Creating a Nurse-Led Culture to Minimize Horizontal Violence in the Acute Care Setting: A Multi-Interventional Approach.

Horizontal violence (HV) is prevalent in nursing. However, few strategies are identified to address this phenomenon that undermines communication and patient safety. Nurses at an acute care hospital implemented multiple interventions to address HV resulting in increased knowledge of hospital policies regarding HV, and significantly (p < .05) less HV prevalence than was reported by nurses in other organizations throughout New York State. With the aid and oversight of nursing professional development specialists, evidence-based interventions to address HV were developed including policies, behavioral performance reviews, and staff/manager educational programs.

Assessment of quality and safety education in nursing: a New York state perspective.

AIM: The purpose of this study was to determine the extent of integration of Quality and Safety Education for Nurses (QSEN) competencies and learning strategies into pre-licensure nursing curricula in New York state. BACKGROUND: Faculty are expected to ensure the integration of quality and safety competencies developed by the Institute of Medicine in all nursing pre-licensure curricula. METHOD: Faculty/administrators in 98 nursing programs were surveyed to determine their role in curriculum development, integration of QSEN competencies, satisfaction with student competency development, preparation to teach QSEN competencies, and utilization of QSEN resources. Focus groups were conducted to confirm survey findings. RESULTS: The rate of competency adoption was found to be substantial, but faculty reported needing more information on the quality, safety, and informatics competencies. CONCLUSION: QSEN has been embraced, but QSEN knowledge, skills, and attitudes need further amplification in pre-licensure nursing curricula within the state.

The degree of horizontal violence in RNs practicing in New York State.

This study examined the degree of horizontal violence (HV) among RNs practicing in New York State (NYS). The objective was to determine the knowledge of HV and the degree of being a victim among practicing RNs. A descriptive survey using Briles' Sabotage Savvy Questionnaire, measuring occurrences of HV and nurses' knowledge of HV, was conducted among 2659 RNs in NYS hospitals. Findings demonstrate a significantly greater (P < .05) degree of HV in union versus nonunion cultures and less HV in Magnet® organizations. Gender and RN education significantly impacted HV. Developing organizational, leadership, and individual interventions to address HV helps create a culture of safety.

The prevalence of horizontal violence in New York State registered nurses.

The purpose of this descriptive study was to examine the knowledge of nursing administrators about horizontal violence (HV) among New York Organization of Nurse Executive members and to ascertain if they used evidence-based leadership in their roles. In this paper the authors describe the research conducted and examine evidence-based leadership with regard to HV The authors discuss what HV is, the theories that explain HV, and the impact of HV on the nurse, the nursing profession, and patient care. Research findings were consistent with the theoretical literature, which suggests that HV is so ingrained in nursing's organizational culture that it is not recognized. Until a phenomenon is recognized and named little can be done to alter it.