Taylor Rosemary A, Taylor Steven S
Department of Nursing, University of New Hampshire, Durham, New Hampshire.
Foisie Business School, Worcester Polytechnic Institute, Worcester, Massachusetts.
Nurs Forum. 2018 Oct;53(4):459-465. doi: 10.1111/nuf.12273. Epub 2018 Jun 27.
To reframe horizontal violence as a quality improvement concern.
Although the number of studies exploring horizontal violence has increased, evidence supporting the effectiveness of current interventions is weak and the problem persists. Often framed as an individual or interpersonal issue, horizontal violence has been recognized as a complex phenomenon that can only be understood through an examination of social, individual and organizational factors. As such, interventions to address horizontal violence must be applied systemically and address contributions from all sources.
This is a discussion paper.
This discussion is based on results of a study of nurses' perceptions of horizontal violence and review of the literature.
Context is recognized as a contributing factor in human behavior, yet often overlooked in interventions to address horizontal violence. Moving the focus away from the individual and investigating systems contributions to horizontal violence using existing quality improvement frameworks is suggested.
To date, efforts to address horizontal violence have not been proven effective. There is a call for a wider application and investigation of interventions. This reframing provides the system level application suggested and would address a broader range of factors contributing to the perpetuation of the phenomenon.
将横向暴力重新界定为一个质量改进问题。
尽管探索横向暴力的研究数量有所增加，但支持当前干预措施有效性的证据不足，该问题依然存在。横向暴力通常被视为个人或人际问题，但现在已被认为是一种复杂现象，只有通过考察社会、个人和组织因素才能理解。因此，应对横向暴力的干预措施必须系统地应用，并解决所有来源的影响因素。
这是一篇讨论文件。
本讨论基于一项关于护士对横向暴力认知的研究结果以及文献综述。
环境被认为是人类行为的一个影响因素，但在应对横向暴力的干预措施中常常被忽视。建议将关注点从个体转移，利用现有的质量改进框架调查系统对横向暴力的影响。
迄今为止，应对横向暴力的努力尚未被证明有效。呼吁更广泛地应用和研究干预措施。这种重新界定提供了建议的系统层面应用，并将解决导致该现象持续存在的更广泛因素。
