A multi-center study of horizontal violence in United States military nursing

Hopkinson, Susan G; Dickinson, Carla M.; Dumayas, Joseph Y.; Jarzombek, Sandra L.; Blackman, Virginia Schmied

doi:10.1016/j.nepr.2020.102838

Cited by 9 publications

(10 citation statements)

References 16 publications

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“…The main difference lies in how the bully is defined. The literature describes a varying frequency of horizontal violence, especially towards novice nurses, with up to about 90% of nurses having been exposed to these incidents (Bloom, 2019; Hopkinson et al, 2020). Whereas horizontal violence refers to abusive behaviour by colleague, the current study focused on social shaming and bullying by patients or relatives.…”

Section: Discussionmentioning

confidence: 99%

Social shaming and bullying of mental health staff by patients: A survey in a mental health centre

Assuline¹,

Savitsky

Wilf‐Miron

et al. 2022

Psychiatric Ment Health Nurs

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What is known on the subject? Public shaming, especially by consumers of healthcare, is getting worse and has become a specific case of bullying Despite extensive research on physical and verbal violence directed towards mental health workers, the issue of social shaming and bullying by patients or relatives has not been sufficiently researched What the paper adds to existing knowledge Mental healthcare workers are exposed to the threat of social shaming and bullying on a regular almost weekly basis Abusive behaviours by patients are associated with professional burnout, decreases in professional functioning and even a tendency to leave the workplace among mental health workers What are the implications for practice? The stability and strength of the therapeutic alliance between healthcare giver and psychiatric patient are critical to the success of the treatment There is a need to develop a dedicated organizational policy for the prevention, early detection, intervention and support for teams exposed to social shaming and bullying An emphatic response, and effective intervention in a case of social shaming may improve professional functioning and reduce burnout and intention to leave. Abstract Introduction Social shaming can impair caregivers' performance. The prevalence of shaming experienced by mental health workers and the relationships to their function or burnout is unknown. Aim To examine the associations between exposure to social shaming and bullying by patients, the risk appraisal of negative impact of this behaviour, burnout, professional functioning and intention to leave among mental health workers. Method In this cross‐sectional study, 122 workers from a psychiatric hospital completed a questionnaire. Results Participants reported exposure to social shaming and bullying by patients on a regular basis. Shaming and bullying were significantly associated with lower professional functioning and higher intention to leave, while burnout may at least partially mediate the association between these variables. Conclusions The phenomenon of shaming and bullying of mental health workers by patients is common and is associated with lower functioning and higher burnout, which have a negative impact on the patient‐caregiver interaction. Implications for Practice There is a need to establish a policy for early detection of shaming of mental health workers in order to prevent burnout or intention to leave. Evidence based interventions, such as the Safewards model, accompanied by assessment of their effectiveness, may help in this effort.

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Section: Discussionmentioning

confidence: 99%

Social shaming and bullying of mental health staff by patients: A survey in a mental health centre

Assuline¹,

Savitsky

Wilf‐Miron

et al. 2022

Psychiatric Ment Health Nurs

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show abstract

“…buy in the need to change the culture of horizontal violence existed in nursing department (Hopkinson et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…Education programmes on the awareness of horizontal violence and assertive communication may be employed (Ceravolo et al., 2012). Additionally, with leadership focused on the cause, nurses would buy in the need to change the culture of horizontal violence existed in nursing department (Hopkinson et al., 2020).…”

Section: Discussionmentioning

confidence: 99%

“…Horizontal violence among nurses negatively affects relationships among nurses, job satisfaction (Purpora et al., 2015) and patient safety (Doo & Kim, 2020; Purpora, 2010). The most frequent perpetrators were staff nurses (Hopkinson et al., 2020). As such, horizontal violence has been considered a pervasive problem in medical institutions (Topa & Moriano, 2013).…”

Section: Introductionmentioning

confidence: 99%

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Effects of horizontal violence among nurses on patient safety: Mediation of organisational communication satisfaction and moderated mediation of organisational silence

Doo

Choi

2020

J Nurs Manag

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Aims This study aimed to investigate the effect of nurses’ horizontal violence on patient safety as mediated by organisational communication satisfaction and to examine the moderated mediation effect of organisational silence. Background Patient safety is a worldwide concern in health care, but patients still experience adverse events. Among factors affecting patient safety, organisational silence must be examined in relation to organisational communication satisfaction and horizontal violence. Method A total of 301 nurses working at four general hospitals with over 500 beds in Gyeonggi‐do were recruited from October to November 2018. Data were collected through questionnaires and analysed using SPSS 25.0 and SPSS PROCESS macro. Results Horizontal violence directly affected patient safety and indirectly affected patient safety via mediation by organisational communication satisfaction. Organisational communication satisfaction had a partial mediation effect, and organisational silence had a significant moderated mediation effect in the path from horizontal violence to organisational communication. Conclusion To enhance patient safety, educational programmes and strategies that improve organisational silence and organisational communication satisfaction should be developed at an organisational level. Implications for nursing management Hospital administrators should be aware of the pivotal impact of organisational silence among nurses on patient safety.

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“…A study occurred in China showed that the prevalence of horizontal violence among nurses is about 56.6%, among which 21.67% are nurses with turnover intention and 33.33% are nurses with change careers intention ( 20 ). A multi-center study from the USA showed that 43–46% of participants indicated that horizontal violence did not impact their intention to leave, but 11–16% felt horizontal violence impacted their intention ( 21 ).…”

Section: Introductionmentioning

confidence: 99%

Association between horizontal violence and turnover intention in nurses: A systematic review and meta-analysis

Zhang

Yin

Lü

et al. 2022

Front. Public Health

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BackgroundHorizontal violence is common in nurses. Most published studies have focused on horizontal violence and higher turnover rates in nurses; however, it lacks systematic reviews and meta-analyses. The purpose of this review is to quantitatively assess the correlation between horizontal violence and turnover intention in nurses.MethodsSystematic review and meta-analysis were performed in accordance with PRISMA guidelines. The relationship between horizontal violence and turnover intention in nurses was obtained by systematically searching related literature in four English databases (Cochrane, PubMed, Embase, and CINAHL) and three Chinese databases (SinoMed, CNKI, and Wanfang) (up to 6 March 2022). The relationship between horizontal violence and turnover intention was evaluated using Fisher's z-value, which was then converted to r. STATA 16.0 was used to perform statistical analysis. The random-effects model was performed to synthesize data.ResultsA total of 14 studies with 6,472 nurses were included. A low-positive correlation of horizontal violence with turnover intention was found (pooled r=0.32 [0.29–0.34]). Subgroup analysis showed that sample size and quality were not the source of heterogeneity. Measurement tool was the source of heterogeneity. Although geographic region might not be the source of heterogeneity, further subgroup analysis of the country reveals heterogeneity. The funnel plot and Egger's test showed no publication bias.ConclusionHorizontal violence had a low positive correlation with turnover intention in nurses. Nurses who experienced horizontal violence were more likely to leave or change careers than those who did not experience horizontal violence. This finding helps to draw attention to horizontal violence by nursing managers and implement effective interventions for nurses, so as to reduce nurses' turnover.

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A multi-center study of horizontal violence in United States military nursing

Cited by 9 publications

References 16 publications

Social shaming and bullying of mental health staff by patients: A survey in a mental health centre

Social shaming and bullying of mental health staff by patients: A survey in a mental health centre

Effects of horizontal violence among nurses on patient safety: Mediation of organisational communication satisfaction and moderated mediation of organisational silence

Association between horizontal violence and turnover intention in nurses: A systematic review and meta-analysis

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