Nursing Perception of Horizontal Violence in an Acute Care Setting

“Horizontal violence has been a soap box of mine for years,” said Nicole Malmstrom, MBA, MSN, RN, quality improvement coordinator at CHI Health St. Francis. When she was completing her MSN, she put the topic under the research microscope and found the bulk of studies looked at prevalence, “but nothing tied it to engagement,” she said.

Malmstrom’s study found 38 percent of St. Francis nurses polled reported feeling bullied by peers monthly, compared to the national average of 36 percent. Plus, “as our scores for horizontal violence went down, our engagement went up,” she said.

“It didn’t really surprise me. I thought it was right along the national average. We knew we needed to do some work to change that.”

Malmstrom presented her findings at the Creighton College of Nursing Iota Tau Chapter of Sigma Theta Tau International Nursing Honor Society Annual Research Day in May. She also presented at the 22nd Annual State of the Art Nursing Conference, “Wake up and Smell the Inspiration!” in LaVista, Nebraska, and at the 2017 ANCC Pathway to Excellence Conference – Building Bridges in Dallas.

Nicole Malmstrom MBA, MSN, RN