By Melissa Diebel

Ferris State University

Group 5 ~ Part 2

Explanation of terminology
Tertiary Care
A specialty facility with advanced training to provide care

Communities
Communities are the family of tertiary care facilities making up the health care
profession

Retrieved from: http://www.wisegeek.com/what-is-tertiary-care.htm

Aspects of Lateral Violence

Horizontal Violence
Nursing Violence
Hostile Behavior
Interpersonal Conflict
Psychological Harassment
Walrafen, N. Brewer, M. K., Mulvenon, C., (2012)

Lateral Violence Impact

93% of nurses admitted to witnessing lateral violence
85% reported being victims of lateral violence
Decreased employee productivity
Direct affect on the organizations ability to attract and retain nurses
Jeopardizes patient safety

Need for Change

Lateral Violence is unacceptable, disruptive, and inappropriate behavior

(Coursey, Rodreguez, Dieckmann and Austin, 2013)

Organizational need for zero-tolerance

When lateral violence exists, everyone is affected, even the patients

Code of conduct

Organizations have difficulties improving the quality of care

Costs incurred by organizations from high turnover

Process for Change

Collecting data to analyze specific problem areas
Quantitative
Qualitative

The need for Education

Conferences
Train the Trainer
Changing culture and behavior
Evaluations
Collaboration

Process for Change (continued)

Lewins Change Theory
Unfreezing
Moving - transitioning
Re-Freezing

Conflict and Resistance

Leadership
Must be involved and enforce policies and code of conduct

Transformational leadership to drive change

Incorporating evidence-based research into policy and procedures

Managerial leadership aimed at improving the quality of

the work environment sends a message to the staff that the
leaders are committed to maintaining certain standards.
Coursey, J., Rodriguez, R., Dieckmann, L., & Austin, P. (2013). Successful implementation of policies addressing lateral violence. AORN Journal, 97(1), 101-109.
doi:10.1016/j.aorn.2012.09.010

Next Steps
Changing the outcomes for the future

Additional research needed to understand organizational factors of Lateral

Violence

Community
Evaluate effectiveness

Globally
Expanding lessons learned to other communities through collaboration

Conclusion
Lateral violence has been around for decades. This is not an effective

or appropriate environment for any organization. These negative

effects go beyond the nurse to nurse violence and are reflected on the
profession, organization, employees and patients. Therefore a
communal collaboration is needed to address these lateral violence
changes needed in the healthcare profession.

References
Barrett, A., Piatek, C., Korber, S., Padula, C. (2009). Lessons Learned From a Lateral Violence and TeamBuilding Intervention. Nursing Administration Quarterly, 33(4), 342351. doi:
10.1097/NAQ.0b013e3181b9de0b
Coursey, J., Rodriguez, R., Dieckmann, L., & Austin, P. (2013). Successful implementation of policies addressing lateral
violence. AORN Journal, 97(1), 101-109. doi:10.1016/j.aorn.2012.09.010
Conger, J. A. (1999). Charismatic and transformational leadership in organizations: An insiders perspective on these
developing streams of research. Leadership Quarterly, 10(2), 145-179.
Diaz, A. L., McMillin J. D. (1991). A Definition and Description of Nurse Abuse, Western Journal of Nursing
Research, Feb; 13 (1): 97-109. doi: 10.1177/019394599101300107
Dimarino, T. (2011). Eliminating Lateral Violence in the Ambulatory Setting: One Center's Strategies. AORN Journal,
93(5), 583-588. doi:10.1016/j.aorn.2010.10.019

References (continued)
Dumont, C., Meisinger, S., Whitacre, M., & Corbin, G. (2012). Horizontal violence survey report. Nursing, 42(1), 44-49.
doi:10.1097/01.NURSE.0000408487.95400.92
Embree, J. L. and White, A. H. (2010), Concept Analysis: Nurse-to-Nurse Lateral Violence. Nursing Forum, 45: 166173.
doi: 10.1111/j.1744-6198.2010.00185.x

Hockley, Charmaine (2000). The Language Used When Reporting Interfemale VIOLENCE Among Nurses In The
Workplace, Collegian, 7(4), 24-29.
Lewin, K. (2011), Change Theory: Nursing Theories, a companion to nursing theories and models. Retrieved from
http://currentnursing.com/nursing_theory/change_theory.html
Longo, J., Amy, D., Shelby Dartene, N., Suzette W., W., & Leslie N., K. (2011). It Starts With a Conversation: A
Community Approach to Creating Healthy Work Environments. Journal Of Continuing Education In Nursing,
42(1), 27-35. doi:10.3928/00220124-20100901-03

References (continued)
Marshall, E. (2011). Transformational leadership in nursing: From expert clinician to influential
leader. (1st ed.). New York: Springer Publishing Company, LLC
Walrafen, N. Brewer, M. K., Mulvenon, C., (2012). Sadly Caught Up in the Moment: An Exploration of Horizontal
Violence, Nursing Economic$, Jan-Feb; 30 (1): 6-49.