Taylor Rosemary
University of New Hampshire, Durham, New Hampshire, USA.
Glob Qual Nurs Res. 2016 Apr 11;3:2333393616641002. doi: 10.1177/2333393616641002. eCollection 2016 Jan-Dec.
In this article, I describe a study exploring horizontal violence and nurses' perceptions of the phenomenon within the context of two 28-bed inpatient hospital units. The purpose of the study was to develop a clearer understanding of horizontal violence, incorporating observation and inquiry to identify the language nurses use to describe their experiences and factors in the nursing work environment that may perpetuate the phenomenon. Observation, review and analysis of policies, and interviews with staff were completed between June and November 2012. Thematic analysis resulted in five themes: (a) behaviors are minimized and not recognized, (b) fear inhibits all reporting, (c) avoidance and isolation are coping strategies, (d) lack of respect and support, and (e) organizational chaos. The findings suggest future interventions must address a range of factors that perpetuate horizontal violence within the nursing work environment with consideration for the embeddedness and complexity of the phenomenon.
在本文中，我描述了一项研究，该研究在两个拥有28张床位的住院部病房环境中，探讨了横向暴力以及护士对这一现象的认知。该研究的目的是更清晰地理解横向暴力，通过观察和调查来确定护士用来描述自身经历的语言，以及护理工作环境中可能使这一现象长期存在的因素。2012年6月至11月期间完成了对政策的观察、审查与分析以及对工作人员的访谈。主题分析得出了五个主题：（a）行为被轻视且未得到认可；（b）恐惧抑制了所有的报告行为；（c）回避和孤立是应对策略；（d）缺乏尊重与支持；（e）组织混乱。研究结果表明，未来的干预措施必须解决一系列在护理工作环境中使横向暴力长期存在的因素，同时要考虑到这一现象的根深蒂固性和复杂性。
