Rasouli Parisa, Fallahi-Khoshknab Masoud, Arsalani Narges, Hosseini Mohammadali, Tabrizi Kian N
Department of Nursing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Iranian Research Centre on Aging, Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
Iran J Nurs Midwifery Res. 2025 Sep 11;30(5):765-770. doi: 10.4103/ijnmr.ijnmr_316_24. eCollection 2025 Sep-Oct.
Horizontal Violence (HV) in healthcare settings is any type of violence among healthcare providers. It has many different negative consequences for nurses. This study aimed at exploring Iranian nurses' perceptions of the consequences of HV for nurses.
This qualitative content analysis study was conducted in 2022-2023 on twelve nurses purposively selected from five hospitals affiliated with Hamadan University of Medical Sciences in the west of Iran. In-depth semi-structured interviews were conducted for data collection. The main interview question was, "Have you ever experienced HV in your relationships with your colleagues?" Graneheim and Lundman's conventional qualitative content analysis was used for data analysis.
Iranian nurses' perceptions of the consequences of HV for nurses fell into three main categories, namely erosive tension (with four categories), professional repulsion (with two categories), and low-quality patient care (with two categories). The subcategories of these categories were, respectively, psychoemotional tension, mental tension, physical tension, social tension, low organizational belongingness, low professional interest, hesitation in performing care measures, and endangered patient safety.
The main consequences of HV for nurses are erosive tension, professional repulsion, and low-quality patient care. Nurse leaders can prevent HV by providing strong support and quality education to nurses. Interventional studies are recommended to determine the most effective methods to reduce HV in nurses' workplace.
医疗环境中的横向暴力（HV）是指医疗服务提供者之间的任何暴力行为。它对护士有许多不同的负面后果。本研究旨在探讨伊朗护士对横向暴力给护士带来的后果的看法。
本定性内容分析研究于2022年至2023年进行，从伊朗西部哈马丹医科大学附属的五家医院中 purposively 选取了12名护士。通过深入的半结构化访谈收集数据。主要访谈问题是：“你在与同事的关系中是否经历过横向暴力？”采用格兰海姆和伦德曼的传统定性内容分析法进行数据分析。
伊朗护士对横向暴力给护士带来的后果的看法主要分为三大类，即侵蚀性紧张（有四个类别）、职业排斥（有两个类别）和低质量的患者护理（有两个类别）。这些类别的子类别分别是心理情绪紧张、精神紧张、身体紧张、社交紧张、组织归属感低、职业兴趣低、执行护理措施时的犹豫以及患者安全受到威胁。
横向暴力给护士带来的主要后果是侵蚀性紧张、职业排斥和低质量的患者护理。护士长可以通过为护士提供有力支持和高质量教育来预防横向暴力。建议进行干预性研究，以确定减少护士工作场所横向暴力的最有效方法。
