title: A cross-hospital exploration of nurses' experiences with horizontal violence.
abstract: OBJECTIVE
  To explore nurses' experiences of horizontal violence (HV) in three diverse non-affiliated organisations within a single city in the USA.
  
  
  BACKGROUND
  Horizontal violence, also called workplace bullying or lateral violence, is a long-standing nursing issue.
  
  
  METHODS
  Content analysis was used to analyse open-format textual responses from 126 registered nurses.
  
  
  RESULTS
  A powerful collective story emerged from nurses' shared experiences with HV, describing the characters and the setting in which HV and its consequences exist. Nurses' depictions of HV were consistent despite the different organisational structures of their workplaces suggesting that hospital type is not the explanation for HV, rather the culture of acute care nursing. Nurses want change and asked for tactics to resolve HV within their institutions; some provided specific solutions.
  
  
  CONCLUSIONS
  Nurse managers must continue to address HV by using a variety of known tactics, as well as adopting new evidence-based interventions as they are identified. The anti-bullying message should be disseminated through professional nursing organisations as well as in local health-care establishments.
  
  
  CONCLUSIONS
  Nurse managers need to be the culture champions who hold individuals accountable for HV and foster professionalism through their leadership.
authors: St Joseph's Hospital Health Center, Syracuse, NY, USA.
authors: Gina
authors: G
authors: Myers
authors: UNC Greensboro School of Nursing, Greensboro, North Carolina.
authors: Denise
authors: D
authors: Côté-Arsenault
authors: Upstate University Hospital, Upstate Medical University, Syracuse, NY, USA.
authors: Priscilla
authors: P
authors: Worral
authors: Upstate Medical University, College of Nursing, Syracuse, NY, USA.
authors: Roberta
authors: R
authors: Rolland
authors: St Joseph's College of Nursing, St Joseph's Hospital Health Center, Syracuse, NY, USA.
authors: Denise
authors: D
authors: Deppoliti
authors: Crouse Hospital, Syracuse, NY, USA.
authors: Elizabeth
authors: E
authors: Duxbury
authors: Crouse Hospital, Syracuse, NY, USA.
authors: Martiel
authors: M
authors: Stoecker
authors: College of Health Sciences and Management, SUNY Polytechnic, Utica, NY, USA.
authors: Kathleen
authors: K
authors: Sellers
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D058445:Bullying; D005260:Female; D006801:Humans; D007400:Interprofessional Relations; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D009726:Nurses / Q000523:psychology*; D015279:Organizational Culture; D017132:Workplace / Q000523:psychology* / Q000592:standards
keywords: acute care nurses; bullying content analysis; horizontal violence; incivility