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Published on: March 29, 2019
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.
Objective:
The aim of this study was to implement a bystander training program for nurses to mitigate lateral violence.
Background:
Lateral violence is bullying and harassment between coworkers with equivalent status and positively associated with turnover, distress, suicide, and reduced satisfaction.
Methods:
Evidence-based practice change feasibility pilot study was conducted. Program outcomes were evaluated by postcourse RN knowledge, confidence to intervene, course satisfaction, and intention to leave.
Results:
Confidence to intervene significantly improved (mean: pre = 4.09, post = 4.69; P < 0.001). Most nurses (90.8%) reported very to extremely satisfied. Future likelihood to attend (83.7%) and recommend (87.8%) were high. Most nurses (69.4%) (n = 68) reported that using the skills learned would strengthen intent to stay. Most nurses (80.6%) (n = 79) indicated that departmental skill application would strengthen intention to stay. Knowledge scores post intervention reflected a 99% pass rate.
Conclusions:
Bystander training benefits nurses indicating the feasibility of broader program implementation to prevent and mitigate nurse lateral violence.
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