Horizontal Violence and Staff Morale

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Recommended: horizontal workplace violence in nursing.

When one goes into the profession of nursing it is usually not for the money, job security or the glamour of the job. Those of us who chose nursing as our profession generally care for others and want to make a difference in the world. New nurses are excited to become licensed and to start working in the profession of nursing. When new nurses enter the field of nursing, they are often met with more experienced nurses who have practiced longer and subsequently has more experience. This maybe an opportunity for the new graduate to learn and grow or it can lead to horizontal violence in the work place. Horizontal violence decreases patient safety and job satisfaction drastically.
Horizontal violence is unfortunately not new to the nursing profession. Many ask, what is horizontal violence? It can be defined as the malicious and demeaning behavior towards a colleague (Echevarria, 2013). In nursing, horizontal violence can be between different levels of experienced nurses, unit managers, physicians or a combination of these examples. Unfortunately, physicians are more likely to go unpunished when displaying horizontal violence in the health care setting, because they are viewed as the source of the facilities revenue (Longo & Smith, 2011).
In the authors’ opinion, physicians are no better than the nurses that carry out their orders. Hospitals would not be able to function without the assistance of nurses carrying out the physicians’ orders. From personal experience, the author has witnessed accounts of horizontal violence committed by a physician towards a nurse. He can remember an instance in which a doctor became very upset because he was not notified about a laboratory report on one of his patients. The nurse stated t...

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... Louis, MO: Elsevier.
Echevarria, I. (2013). Stop “eating the young” and start mentoring. Nursing 2013 Critical Care, 8(3), 20-24. doi: 10.1097/01.CCN.0000429384.33344.2a
Hickson, J. (2013). New nurses’ perceptions of hostility and job satisfaction. THE JOURNAL OF NURSING ADMINISTRATION, 43(5), 293-301.
Longo, J., & Smith, M. (2011). A prescription for disruptions in care: community building among nurses to address horizontal violence. Advances in Nursing Science, 34(4), 345-35. doi:10.1097/ANS.0b013e3182300e3e
Maddalena, V., Karney, A., & Adams, L. (2012). Quality of work life of novice nurses. Journal for Nurses in Staff Development, 28(2), 74-79. doi: 10.1097/NND.0b013e31824b41a1
Purpora, C., & Blegen, M. (2012). Horizontal violence and the quality and safety of patient care: A conceptual model. Nursing Research and Practice, 2012(), 1-5. doi: 10.1155/2012/306948

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