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Creating a Nurse-Led Culture to Minimize Horizontal Violence in the Acute Care Setting: A Multi-Interventional Approach

Parker, Karen M. DNP, FNP-C, RN; Harrington, Ann MPA, BSN, RN, NEA-BC; Smith, Charlene M. DNS, MSEd, WHNP, RN-BC, CNE, ANEF; Sellers, Kathleen F. PhD, RN; Millenbach, Linda PhD, RN

Journal for Nurses in Professional Development: March/April 2016 - Volume 32 - Issue 2 - p 56–63
doi: 10.1097/NND.0000000000000224
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Horizontal violence (HV) is prevalent in nursing. However, few strategies are identified to address this phenomenon that undermines communication and patient safety. Nurses at an acute care hospital implemented multiple interventions to address HV resulting in increased knowledge of hospital policies regarding HV, and significantly (p < .05) less HV prevalence than was reported by nurses in other organizations throughout New York State. With the aid and oversight of nursing professional development specialists, evidence-based interventions to address HV were developed including policies, behavioral performance reviews, and staff/manager educational programs.

Karen M. Parker, DNP, FNP-C, RN, is Assistant Professor of Nursing, St. John Fisher College, Rochester, New York.

Ann Harrington, MPA, BSN, RN, NEA-BC, is Executive Director, New York Organization of Nurse Executives and Leaders, Rensselaer.

Charlene M. Smith, DNS, MSEd, WHNP, RN-BC, CNE, ANEF, is Associate Professor of Nursing, St. John Fisher College, Rochester, New York.

Kathleen F. Sellers PhD, RN, is Associate Professor, Coordinator of Research, School of Health Sciences and Management, State University of New York Polytechnic Institute, Utica.

Linda Millenbach, PhD, RN, is Adjunct Nursing Faculty, State University of New York Polytechnic Institute, Utica, and State University of New York Empire College, Saratoga Springs.

The authors have disclosed that they have no significant relationship with, or financial interest in, any commercial companies pertaining to this article.

ADDRESS FOR CORRESPONDENCE: Karen M. Parker, 3690 East Ave. Rochester, NY 14618 (e-mail:

© 2016 by Lippincott Williams & Wilkins, Inc.