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Preventing and Mitigating Lateral Violence in Nursing Through Bystander Training
Cecily Arenas1, Judy E Davidson, Cecília Tomori
1Author Affiliations: Nurse Practitioner (Dr Arenas), UC San Diego Health, La Jolla, California; DNP/MPH Conferred (Dr Arenas), Johns Hopkins University School of Nursing, Baltimore, Maryland; Nurse Scientist (Dr Davidson), UC San Diego Health, La Jolla, California; and Associate Professor (Dr Tomori), Johns Hopkins University School of Nursing and Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
The Journal of Nursing Administration
|October 21, 2025
Summary
A bystander training program for nurses significantly improved confidence in intervening in lateral violence. This nurse training is feasible for broader implementation to prevent workplace bullying.
Area of Science:
- Nursing
- Healthcare Management
- Workplace Safety
Background:
- Lateral violence, characterized by coworker bullying and harassment, negatively impacts job satisfaction and increases turnover.
- This phenomenon affects nurses, contributing to distress and reduced workplace satisfaction.
Purpose of the Study:
- To implement and evaluate a bystander training program for nurses aimed at mitigating lateral violence.
- Assessing the feasibility and impact of bystander intervention training on nursing staff.
Main Methods:
- An evidence-based practice change feasibility pilot study was conducted.
- Outcomes measured included registered nurse (RN) knowledge, confidence to intervene, course satisfaction, and intention to leave post-training.
Main Results:
- Confidence to intervene significantly improved (pre = 4.09, post = 4.69; P < 0.001).
- High satisfaction reported (90.8% very/extremely satisfied), with strong likelihood to attend (83.7%) and recommend (87.8%).
- Nurses indicated that using learned skills (69.4%) and departmental application (80.6%) would strengthen their intent to stay.
Conclusions:
- Bystander training demonstrates significant benefits for nurses, enhancing their confidence and intention to remain in their roles.
- The study indicates the feasibility of implementing this program more broadly to prevent and mitigate nurse lateral violence.
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