Newly graduated nurses' experiences of horizontal violence
Newly graduated nurses' experiences of horizontal violence
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DOI：
10.1177/0969733020929063
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发表时间：
2020-07-01
期刊：
影响因子：
4.2
通讯作者：
Rancati, Stefania
中科院分区：
文献类型：
--
作者：
Rosi, Ivana Maria;Contiguglia, Adriana;Rancati, Stefania
背景资料：横向暴力，在文献中定义为“两个护士之间的人际冲突，在组织中相同的层次”，往往与欺凌，影响护士的福祉，护理对象和护理和组织的专业形象，由于增加营业额。每三名新毕业护士中就有一名是横向暴力的受害者，尽管他们并不总是知道如何定义横向暴力。目的：调查新毕业护士遭受横向暴力的直接和间接经历，并揭示这一现象及其意识和认识。研究方法：2018年9月至10月期间，对新毕业的护士进行了一项定性现象学研究，工作经验在6个月至3年之间。访谈是面对面进行的，包括第一个开放式一般问题，然后是半结构化问题。伦理考虑：本研究按照赫尔辛基宣言进行，方案得到了机构审查委员会的批准。结果如下：通过对21名参与者的访谈进行分析，确定了四个主题：“敌人”，即实施暴力的人，他们使用暴力的“武器”，“影响”和为保护自己而确定的“盔甲”类型。讨论内容：横向暴力是很少认识到新毕业的护士，即使我们的样本直接或间接经历了横向暴力。从本科生课程入手，注重有效支持，加大组织领导的保护力度，是本研究提出的无声要求。结论：防止横向暴力对护士的职业和个人福祉、职业行为和向病人提供的护理质量都很重要。
Background: Horizontal violence, defined in the literature as 'interpersonal conflict between two nurses at the same hierarchical levels in organizations', often associated with bullying, affects the well-being of nurses, care recipients and the professional image of nursing and the organization due to increased turnover. One in every three newly graduated nurses is a victim of horizontal violence, although they do not always know how to define it. Aim: To investigate the direct and indirect experiences of horizontal violence in newly graduated nurses as well as to shed light on the phenomenon, on its awareness and recognition. Methods: A qualitative phenomenological study was conducted between September and October 2018 with newly graduated nurses, with a work experience ranging between 6 months and 3 years. The interviews were conducted face-to-face, consisting of a first open general question, followed by semi-structured questions. Ethical considerations: The study was conducted in accordance with the Declaration of Helsinki, and the protocol was approved by the Institution Review Board. Results: From the analysis of the interviews of the 21 participants, four main themes were identified: the 'enemies', that is those who exercised violence, the 'weapons' used by them to exercise violence, the 'effects' and the types of 'armor' identified to protect themselves. Discussion: Horizontal violence is rarely recognized by newly graduated nurses, even though our sample had directly or indirectly experienced horizontal violence. Tackling the phenomenon starting from the undergraduate degree courses, focusing on effective support and more protection by the organization leaders were the silent requests that emerged from this study. Conclusion: Preventing horizontal violence is important for nurses' professional and private well-being, for professional conduct and for the quality of care provided to patients.