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Reframing and addressing horizontal violence as a workplace quality improvement concern
Rosemary A Taylor1, Steven S Taylor2
1Department of Nursing, University of New Hampshire, Durham, New Hampshire.
Horizontal violence in nursing persists despite interventions. Reframing it as a systemic quality improvement issue, considering organizational factors, offers a more effective approach to address this complex problem.
Area of Science:
- Nursing
- Healthcare Quality Improvement
- Organizational Behavior
Background:
- Horizontal violence among nurses remains a persistent issue.
- Current interventions show limited effectiveness.
- The problem is complex, influenced by social, individual, and organizational factors.
Purpose of the Study:
- To reframe horizontal violence as a quality improvement concern.
- To propose a systemic approach to address horizontal violence.
Main Methods:
- Discussion paper.
- Based on a study of nurses' perceptions of horizontal violence.
- Literature review.
Main Results:
- Contextual and systemic factors are often overlooked in addressing horizontal violence.
- Existing interventions have not proven effective.
Conclusions:
- A quality improvement framework can be used to investigate systemic contributions to horizontal violence.
- Reframing the issue systemically allows for broader intervention strategies.
- Addressing organizational factors is crucial for effective interventions.
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