School of Nursing and Health Studies, University of Miami, Coral Gables, Florida.
School of Nursing, University of Maine, Coral Gables, Florida.
J Nurs Manag. 2019 Jul;27(5):1005-1010. doi: 10.1111/jonm.12763. Epub 2019 May 7.
To evaluate horizontal violence and bullying in the nursing workforce of an oncology inpatient and outpatient academic centre and to test the Horizontal Violence Scale in an outpatient setting.
Horizontal violence (HV) and bullying in the workplace are dysfunctional behaviours that can affect nursing staff and patient care. The impact of bullying and HV is multilevel, affecting patient safety and satisfaction, nursing retention and employee satisfaction, while creating poor patient outcomes.
A quantitative cross-sectional descriptive design was used to examine prevalence of HV and bullying and the relationship between HV and bullying of nursing department personnel in an oncology setting.
The study findings revealed significant positive relationships between bullying and HV in both inpatient and outpatient settings.
Nurses experience diverse workplace violence, which could decrease their professional quality of life and affect their turnover intention no matter the work setting.
The findings of this study clearly link the presence of bullying and HV, which includes, emotional, physical, verbal and defiant behaviours to both inpatient and outpatient workplace settings. A positive organisational culture, which can be shaped by nursing leaders, can create a work environment that can thwart workplace violence.
评估肿瘤住院和门诊学术中心护理人员中的横向暴力和欺凌行为，并在门诊环境中测试横向暴力量表。
工作场所中的横向暴力（HV）和欺凌是功能失调的行为，会影响护理人员和患者护理。欺凌和 HV 的影响是多层次的，会影响患者安全和满意度、护理人员保留率和员工满意度，同时导致较差的患者预后。
采用定量横断面描述性设计，检查肿瘤环境中护理部门人员的 HV 和欺凌的流行程度以及 HV 和欺凌之间的关系。
研究结果表明，在住院和门诊环境中，欺凌与 HV 之间存在显著的正相关关系。
护士在工作场所经历多种形式的暴力，这可能会降低他们的职业生活质量，并影响他们的离职意愿，无论工作环境如何。
本研究的结果清楚地将欺凌和 HV 的存在联系起来，包括住院和门诊工作场所环境中的情绪、身体、言语和挑衅行为。护理领导者可以塑造积极的组织文化，从而营造一个可以阻止工作场所暴力的工作环境。
