1. Nurse-to-Nurse Lateral Violence Education in New Graduate Programs:
A Randomized Controlled Trial
Michaela Fox, Bailey Massenburg, Randi Meier & Alexandra Plaat
Entry-level Master’s in Nursing
Aim of Study
Background
Lateral violence is so ingrained in the culture of nursing that this phenomenon has become expected in the nursing workplace, affecting 90% of nurses (Ceravolo et al., 2012). Nurses have various perceptions of lateral violence because it can present itself in many forms, making it difficult to address those individuals who have been a victim of this demeaning act (Stanley et al., 2007). The first year of clinical practice for new graduate nurses is a critical transition period that often gets tainted with acts of lateral violence. Lateral violence can break down newly licensed nurses by disrupting their ability to ask questions and seek knowledge necessary for clinical practice (McKenna et al., 2002). Despite the nursing shortage, lateral violence has shown to decrease novice nursing rates (Laschinger et al., 2010). Change can’t be achieved unless there is a conscious effort to identify and eliminate acts of lateral violence.
The aim of the study is to identify if the inclusion of Nurse-to-Nurse Lateral Violence (NNLV) education to new graduate nurse programs increases awareness of lateral violence and nurse job satisfaction.
Do nurses who complete a new graduate program that includes NNLV education have an increased awareness of NNLV in their workplace?
Do nurses who complete a new graduate program that includes NNLV education have increased job satisfaction?
Methodology
Sample:
60 new graduate nurses (30 control and 30 experimental)
Sharp Healthcare medical-surgical new graduate program
Graduate, no more than 18 months prior to start of program, of a U.S. state-approved and accredited nursing program; Less than 12 months of work experience
Research Design: A Randomized Controlled Trial
Experimental (30 subjects) receive NNLV education
1-hour session includes: lecture on components of lateral violence and cognitive rehearsal techniques with supplemental cueing cards
Nurses were paid by Sharp Healthcare for the time they participated in the session
Control (30 subjects) do not receive NNLV education
No supplemental education
Awareness of NNLV and job satisfaction surveys will be sent via 6 months after completion of new graduate program
Variables:
Independent: NNLV education supplemented to new graduate program
Dependent
Awareness of NNLV: The Workplace Stress Scale
Job Satisfaction: Nurse Satisfaction Questionnaire
Results
Results: Pending
Hypothesis: The NNLV education will increase new graduate nurses’ lateral violence awareness, which will increase job satisfaction.
Further Recommendations: Multiple cohort studies to include a larger sample size
Implications for Nursing Practice
Establish a universal definition of lateral violence
NNLV education will give new graduate nurses the necessary skills to identify the presence of lateral violence and intervene as necessary
Hospital retention through increased job satisfaction
Contributes to the development of new graduate programs
Data Analysis
A paired T-test will be used to compare the awareness of NNLV between the control group and the experimental group.
A paired T-test will also be used to compare the job satisfaction between the control group and the experimental group.
Conceptual Framework
Patricia Benner’s Model Novice to Expert Theory
References Available Upon Request