Department of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
J Nurs Manag. 2022 Sep;30(6):1590-1599. doi: 10.1111/jonm.13498. Epub 2021 Nov 16.
This study aimed to analyse the prevalence of nurse-to-nurse horizontal violence in Chinese hospitals and examine the effects of head nurse's caring and nurse's group behaviour on horizontal violence.
Horizontal violence is a serious global problem affecting the nursing profession, but little is known of the issue in Chinese hospitals. Increasing evidence has showed that leadership and group factors are important in facilitating horizontal violence. Whether the head nurse's caring and group behaviour perceived by nurses has protective effects against horizontal violence remains unclear.
A cross-sectional online-based questionnaire study was performed in seven general hospitals in Hubei Province, China. Data related to the demographic information, horizontal violence, head nurse's caring and group behaviour were collected. Descriptive analyses, chi-squared tests and logistic regression were used for data analysis.
In total, 1942 valid questionnaires were collected, with a 92.70% effective response rate (1942/2095). Of those, 59.1% (1148/1942) of respondents had experienced horizontal violence at least once in the previous 6 months. Covert negative behaviours were more frequently reported. Compared with the low level, moderate and high levels of the head nurse's caring showed a lower risk of horizontal violence (odds ratio [OR] = 0.400, p < .001; OR = 0.128, p < .001); moderate and high levels of group behaviour also showed a reduced risk (OR = 0.601, p < .001; OR = 0.221, p < .001).
Horizontal violence is common among Chinese nurses. The head nurse's caring and maintaining a good climate of nurses' group behaviours could serve as protective factors for preventing horizontal violence.
This study helps nursing managers identify which specific negative behaviours occur frequently and require special attention. It suggests that nursing managers attach importance to improving their caring ability towards nurses and to creating an amicable climate of group behaviour to buffer against horizontal violence.
本研究旨在分析中国医院护士间横向暴力的普遍程度，并探讨护士长关怀和护士群体行为对横向暴力的影响。
横向暴力是一个严重的全球性问题，影响着护理行业，但在中国医院中，这一问题鲜为人知。越来越多的证据表明，领导力和群体因素在促进横向暴力方面很重要。护士长关怀和护士感知到的群体行为是否对横向暴力具有保护作用尚不清楚。
采用横断面在线问卷调查研究方法，在中国湖北省的 7 所综合医院进行。收集与人口统计学信息、横向暴力、护士长关怀和群体行为相关的数据。采用描述性分析、卡方检验和逻辑回归进行数据分析。
共收集到 1942 份有效问卷，有效应答率为 92.70%（1942/2095）。其中，59.1%（1148/1942）的受访者在过去 6 个月内至少经历过一次横向暴力。隐匿性负面行为更为常见。与低水平相比，护士长关怀的中、高水平均显示出较低的横向暴力风险（比值比[OR] = 0.400，p < .001；OR = 0.128，p < .001）；群体行为的中、高水平也显示出降低的风险（OR = 0.601，p < .001；OR = 0.221，p < .001）。
中国护士中横向暴力较为普遍。护士长关怀和保持良好的护士群体行为氛围可以作为预防横向暴力的保护因素。
本研究有助于护理管理人员识别哪些特定的负面行为经常发生，需要特别关注。这表明护理管理人员应重视提高对护士的关怀能力，并营造友好的群体行为氛围，以缓冲横向暴力。
