Original Articles
5 March 2025
Vol. 38 No. 1 (2016)
[Horizontal violence and bullying in the nursing profession]
Violenza orizzontale e bullismo nella professione infermieristica
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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Introduction. Bullying and horizontal violence are particular features of workplace violence, currently under the attention of professional organizations in the nursing world. Objective. To highlight the spread of the phenomenon, the characteristics, consequences and possible solutions.
Methods. Literature review through Medline and CINAHL databases using the following keywords: "lateral", "horizontal", "hostility", "bullying", "workplace bullying," "violence" "nursing".
Results. 30 original studies were selected and included in the review. The prevalence of bullying varies from 5.7% to 94% of surveyed nurses. The horizontal violence percentages are, instead, 1.3% and 65%. The forms of abuse experienced by nurses are ranging from racial harassment (less frequent, 4.5%), to emotional abuse (up to 62.4%) and being burdened with unmanageable workloads (71%). There is a strong correlation between poor quality of interpersonal relationships and the greater rate of abuse perpetrated by peer colleagues and superiors. Bullying is significantly higher among those who have less seniority, and are younger. The most common problems reported by victims, range from anxiety, to headache, gastrointestinal symptoms, and finally to those typical of post-traumatic stress disorder (from 25% to 55%). The victims of bullying have a high proportion of intent to resign (50%), and a 3-fold greater propensity than others to leave the profession (p <0.001).
Discussion. The theory Oppressed Group Behavior is the most reliable to explain bullying and horizontal violence among nurses, although currently not validated. There are difficulties in comparing the data about bullying and horizontal violence from the literature due to the lack of agreed definitions. Studies about prevention and management of problems derived from bullying and horizontal violence are still scant.
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1) Royal College of Nursing (RCN). Dealing with bullying and harassment at work - a guide for RCN members. January 2001, Revised December 2005 http://www.rcn.org.uk/__data/assets/pdf_file/ 0004/78502/001302.pdf. Accesso effettuato il 19-08-2011.
2) Rumsey M, Foley E, Harrigan R on behalf of Royal College of Nursing, Australia. National Overview of Violence in the Workplace. http://www.smspsts.org/smspsts/papers/australian%20overview.pdf. Accesso effettuato il 04-10-2011.
3) Alspach G. Critical Care Nurses as Coworkers: Are Our Interactions Nice or Nasty? Crit Care Nurse 2007; 27: 10-14. DOI: https://doi.org/10.4037/ccn2007.27.3.10
4) Johnson SL. International perspectives on workplace bullying among nurses: a review. Int Nurs Rev 2009; 56(1): 34-40. DOI: https://doi.org/10.1111/j.1466-7657.2008.00679.x
5) Vessey JA, Demarco RF, Gaffney DA, Budin WC. Bullying of staff registered nurses in the workplace: a preliminary study for developing personal and organizational strategies for the transformation of hostile to healthy workplace environments. J Prof Nurs 2009; 25(5): 299-306. DOI: https://doi.org/10.1016/j.profnurs.2009.01.022
6) Registered Nurses Association Ontario (RNAO). RNAO Position statement: Violence Against Nurses in the Workplace: A 'Zero Tolerance' Approach. 2008. http://www.rnao.org/Storage/45/4013_Violence_ in_the_Workplace_Against_Nurses_and_Nursing_Students.pdf. Accesso effettuato il 19-08-2011.
7) Center for American Nurses. Lateral Violence and Bullying in the Workplace. Approved February 2008. http://www.mc.vanderbilt.edu/ root/pdfs/nursing/center_lateral_violence_and_bullying_position_ statement_from_center_for_american_nurses.pdf. Accesso effettuato il 05-10-2011.
8) American Association of Critical Nurses (AACN). Standards for establishing and sustaining healthy work environments. A journey to excellence. Executive Summary. AACN 2005. http://www.aacn.org/ WD/HWE/Docs/ExecSum.pdf. Accesso effettuato il 18-09-2011.
9) Registered Nurses Association Ontario (RNAO). Healthy Work Environment Best Practice Guideline. Professionalism in Nursing. March 2007. http://www.rnao.org/Storage/28/2303_BPG_Professionalism.pdf. Accesso effettuato il 18-09-2011.
10) American Association of Critical Nurses (AACN). AACN Public Policy. Position Statement - Zero Tolerance for Abuse. 2004. http:// www.aacn.org/WD/Practice/Docs/PublicPolicy/Zero_Tolerance_for_ Abuse.pdf. Accesso effettuato il 19-08-2011.
11) American Association of Critical Nurses (AACN). AACN Public Policy. Position Statement - Workplace Violence Prevention. 2004. http://www.aacn.org/WD/Practice/Docs/PublicPolicy/Workplace_ Violence.pdf. Accesso effettuato il 05-10-2011.
12) McCarthy G, Savage E, Lehane E. Research priorities for nursing and midwifery in Southern Ireland. Int Nurs Rev 2006; 53(2): 123-8. DOI: https://doi.org/10.1111/j.1466-7657.2006.00461.x
13) Simons SR, Stark RB, DeMarco RF. A new, four-item instrument to measure workplace bullying. Res Nurs Health 2011; 34(2): 132-40. doi: 10.1002/nur.20422 14) Yildirim A; Yildirim D. Mobbing in the workplace by peers and managers: mobbing experienced by nurses working in healthcare facilities in Turkey and its effect on nurses. J Clin Nurs, 2007; 16(8): 1444-53. DOI: https://doi.org/10.1111/j.1365-2702.2006.01814.x
15) Yildirim D. Bullying among nurses and its effects. Int Nurs Rev 2009; 56(4): 504-11. DOI: https://doi.org/10.1111/j.1466-7657.2009.00745.x
16) Camerino D, Estryn-Behar M, Conway PM, van Der Heijden BIJ, Hasselhorn H. Work-related factors and violence among nursing staff in the European NEXT Study: a longitudinal cohort study. Int J Nurs Stud 2008; 45(1): 35-50. DOI: https://doi.org/10.1016/j.ijnurstu.2007.01.013
17) Kwok RP, Law YK, Li KE, Ng YC, Cheung MH, Fung VK, Kwok KT, Tong JM, Yen PF, Leung WC. Prevalence of workplace violence against nurses in Hong Kong. Hong Kong Med J 2006; 12(1): 6-9. 18) Hesketh KL, Duncan SM, Estabrooks CA, Reimer MA, Giovannetti P, Hyndman K, Acorn S Workplace violence in Alberta and British Columbia hospitals. Health Policy 2003; 63: 311-321. DOI: https://doi.org/10.1016/S0168-8510(02)00142-2
19) Johnson SL, Rea RE. Workplace bullying: concerns for nurse leaders. J Nurs Adm 2009; 39(2): 84-90. DOI: https://doi.org/10.1097/NNA.0b013e318195a5fc
20) Khalil D. Levels of violence among nurses in Cape Town public hospitals. Nurs Forum 2009; 44(3): 207-17. DOI: https://doi.org/10.1111/j.1744-6198.2009.00144.x
21) Chen WC, Hwu HG, Kung SM, Chiu HJ, Wang JD. Prevalence and determinants of workplace violence of health care workers in a psychiatric hospital in Taiwan. J Occup Health 2008; 50(3): 288-93. 22) Pai HC, Lee S. Risk factors for workplace violence in clinical registered nurses in Taiwan. J Clin Nurs 2011; 20(9-10): 1405-12. doi: 10.1111/j.1365-2702.2010.03650.x 23) Hauge LJ, Skogstad A, Einarsen S Individual and situational predictors of workplace bullying: Why do perpetrators engage in the bullying of others? Work & Stress 2009; 23(4): 349-358. DOI: https://doi.org/10.1080/02678370903395568
24) Dunn H. Horizontal violence among nurses in the operating room. AORN J 2003; 78(6): 977-88. DOI: https://doi.org/10.1016/S0001-2092(06)60588-7
25) Stanley KM, Martin MM, Nemeth LS, Michel Y, Welton JM. Examining lateral violence in the nursing workforce. Issues Ment Health Nurs 2007; 28(11): 1247-65. DOI: https://doi.org/10.1080/01612840701651470
26) Chen WC, Sun YH, Lan TH, Chiu HJ. Incidence and risk factors of workplace violence on nursing staffs caring for chronic psychiatric patients in Taiwan. Int J Environ Res Public Health 2009; 6(11): 2812-21. DOI: https://doi.org/10.3390/ijerph6112812
27) Ulrich BT, Lavandero R, Hart KA, Woods D, Leggett J, Taylor D. Critical Care Nurses' Work Environments: A Baseline Status Report. Crit Care Nurse 2006; 26: 46-57. DOI: https://doi.org/10.4037/ccn2006.26.5.46
28) Ulrich BT, Lavandero R, Hart KA, Woods D, Leggett J, Friedman D, D'Aurizio P. Edwards SJ. Critical Care Nurses' Work Environments 2008: A Follow-Up Report. Crit Care Nurse 2009; 29: 93-102 doi: 10.4037/ccn2009619. DOI: https://doi.org/10.4037/ccn2009619
29) Alspach G. Lateral hostility between critical care nurses: a survey report. Crit Care Nurse 2008; 28(2): 13-9. DOI: https://doi.org/10.4037/ccn2008.28.2.13
30) Maxfield D, Grenny J, McMillan R, Patterson K, Switzler A. VitalSmarts, American Association of Critical Care Nurses. Silence kills. The seven crucial conversations for healthcare. 2005 VitalSmarts, L.C. http://nursing.dal.ca/Files/SilenceKills.pdf. Accesso effettuato il 05-10-2011.
31) Simons S. Workplace bullying experienced by Massachusetts registered nurses and the relationship to intention to leave the organization. ANS Adv Nurs Sci. 2008; 31(2): E48-59. DOI: https://doi.org/10.1097/01.ANS.0000319571.37373.d7
32) Sellers K, Millenbach L, Kovach N, Yingling JK. The prevalence of horizontal violence in New York State registered nurses. J N Y State Nurses Assoc. 2009 Fall-2010 Winter; 40(2): 20-5.
33) Hegney D; Eley R; Plank A; Buikstra E; Parker V. Workplace violence in Queensland, Australia: The results of a comparative study. Int J Nurs Pract 2006; 12(4): 220-31. DOI: https://doi.org/10.1111/j.1440-172X.2006.00571.x
34) Chaboyer W, Najman J, Dunn S. Cohesion among nurses: a comparison of bedside vs. charge nurses' perceptions in Australian hospitals. J Adv Nurs 2001 Aug; 35(4): 526-32. DOI: https://doi.org/10.1046/j.1365-2648.2001.01886.x
35) Barrett A, Piatek C, Korber S, Padula C Lessons learned from a lateral violence and team-building intervention. Nurs Adm Q 2009; 33(4): 342-51. DOI: https://doi.org/10.1097/NAQ.0b013e3181b9de0b
36) Dimarino TJ. Eliminating Lateral Violence in the Ambulatory Setting: One Center's Strategies. AORN J 2011; 93(5): 583-8. DOI: https://doi.org/10.1016/j.aorn.2010.10.019
37) Laschinger HK, Grau AL, Finegan J, Wilk P. New graduate nurses' experiences of bullying and burnout in hospital settings. J Adv Nurs 2010; 66(12): 2732-42. doi: 10.1111/j.1365-2648.2010.05420.x. DOI: https://doi.org/10.1111/j.1365-2648.2010.05420.x
38) McKenna BG, Smith NA, Poole SJ, Coverdale JH. Horizontal violence: experiences of Registered Nurses in their first year of practice. J Adv Nurs 2003; 42(1): 90-6. DOI: https://doi.org/10.1046/j.1365-2648.2003.02583.x
39) Griffin M. Teaching cognitive rehearsal as a shield for lateral violence: an intervention for newly licensed nurses. J Contin Educ Nurs 2004; 35(6): 257-63. DOI: https://doi.org/10.3928/0022-0124-20041101-07
40) Tomei G, Cinti ME, Sancini A, Cerratti D, Pimpinella B, Ciarrocca M, Tomei F, Fioravanti M. Evidence based medicine and mobbing. G Ital Med Lav Ergon. 2007; 29(2): 149-57.
41) Farrell GA. From tall poppies to squashed weeds*: why don't nurses pull together more? J Adv Nurs 2001; 35(1): 26-33. DOI: https://doi.org/10.1046/j.1365-2648.2001.01802.x
42) Roberts SJ, De Marco R, Griffin M. The effect of oppressed group behaviors on the culture of the nursing workplace: a review of the evidence and interventions for change. J Nurs Manag 2009; 17: 288-293. 43) Roberts SJ. Oppressed group behavior: Implications for nursing. ANS Adv Nurs Sci 1983; 5(3): 21-30. DOI: https://doi.org/10.1111/j.1365-2834.2008.00959.x
44) Hutchinson M, Vickers M, Jackson D, Wilkes L. Workplace bullying in nursing: towards a more critical organizational perspective. Nurs Inq 2006; 13(2): 118-26. DOI: https://doi.org/10.1111/j.1440-1800.2006.00314.x
45) Matheson LK, Bobay K. Validation of oppressed group behavior in nursing. J Prof Nurs 2007; 23: 226-34. DOI: https://doi.org/10.1016/j.profnurs.2007.01.007
46) Abe K, Henly SJ. Bullying (ijime) among Japanese hospital nurses: modeling responses to the revised Negative Acts Questionnaire. Nurs Res 2010; 59(2): 110-8. DOI: https://doi.org/10.1097/NNR.0b013e3181d1a709
47) Lewis PS, Malecha A. The impact of workplace incivility on the work environment, manager skill, and productivity. J Nurs Adm 2011; 41(1): 41-7. DOI: https://doi.org/10.1097/NNA.0b013e3182002a4c
48) Villadsen A, Shalhoub H, Ryan P. Report on Staff Bullying & Harassment at West London Mental Health Trust (NHS). August 2008. http://www.wlmht.nhs.uk/docs/general/Report%20on%20staff%20 bullying.pdf Accesso effettuato il 04-10-2011.
How to Cite
[Horizontal violence and bullying in the nursing profession]: Violenza orizzontale e bullismo nella professione infermieristica. (2025). Giornale Italiano Di Medicina Del Lavoro Ed Ergonomia, 38(1), 50-57. https://doi.org/10.4081/gimle.650
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