Nursing Research Utilization Project Proposal Topic Selectio

Nursing Research Utilization Project Proposal Topic Selection

Choose a clinical issue or work setting problem that will be the focus of your ongoing individual assignments over the next six weeks. Examples include patient-centered care and education, risks across the lifespan, discharge planning including home environment needs and community resources, health promotion, orientation to clinical settings, support for new graduates or residency programs, policy or procedure changes, developing collaborative teams, horizontal violence, interdisciplinary patient care planning, or the clinical nurse leader role.

Identify your selected issue or problem and provide a rationale for why this is an issue or problem. The rationale must be supported by valid research findings. Format a word paper consistent with APA guidelines, including a minimum of four scholarly references. Submit the assignment via the Assignment Files tab.

Paper For Above instruction

The healthcare environment is continually evolving, and nurses play a crucial role in identifying and addressing issues that impact patient outcomes and clinical efficiency. For this research utilization project, I have selected the issue of horizontal violence among nursing staff within hospital settings as my focal concern. Horizontal violence, also known as lateral violence, refers to hostile, aggressive, or non-supportive behaviors among colleagues at the same hierarchical level, which can undermining team cohesion and compromise patient care quality.

Significance of Horizontal Violence in Nursing Practice

The significance of addressing horizontal violence lies in its detrimental effects on the nursing workforce and patient safety. Research indicates that horizontal violence contributes to increased job stress, burnout, staff turnover, and a decline in the overall quality of care (Dellasega et al., 2014). Nurses experiencing workplace hostility may become disengaged, less collaborative, and less likely to adhere to best practice protocols, thus jeopardizing patient safety (Zeeman et al., 2014). Moreover, the operational costs associated with staff turnover and decreased productivity further highlight the importance of tackling this issue.

Supporting Research and Rationale

Valid research underscores that horizontal violence is a pervasive problem in healthcare. A study conducted by Dellasega et al. (2014) revealed that nearly 75% of nurses reported experiencing or witnessing horizontal violence, which adversely affected their job satisfaction and mental health. The study also identified that environments with high incidences of lateral hostility had more frequent errors and compromised patient safety (Dellasega et al., 2014). Similarly, Zeeman et al. (2014) emphasized that organizational culture and leadership significantly influence the prevalence and management of horizontal violence. Addressing this issue is therefore critical in promoting a supportive work environment conducive to high-quality patient care and nurse well-being.

Contextualizing Within Clinical Settings

In hospital units, especially high-stress departments such as intensive care units or emergency departments, tension among staff can escalate, leading to behaviors that range from subtle undermining to overt hostility. Such interactions diminish teamwork, hinder effective communication, and create a toxic environment that impairs both staff morale and patient outcomes (Clark et al., 2016). Implementing strategies to recognize, prevent, and manage horizontal violence is essential for fostering a positive workplace culture and improving overall clinical practice.

Conclusion and Proposed Next Steps

Addressing horizontal violence in nursing environments holds significant promise for enhancing patient safety, staff satisfaction, and organizational efficiency. The formulation of targeted interventions based on research evidence is vital to mitigate this issue. This project will further explore potential strategies such as educational programs, leadership initiatives, and policy reforms aimed at reducing lateral hostility and promoting a culture of respect and collaboration within healthcare settings.

References

• Clark, P. G., Deibert, G., & Pich, J. (2016). Addressing horizontal violence in nursing: An evidence-based intervention. Journal of Nursing Management, 24(7), 927-934.
• Dellasega, C., Walker, C., & Sekerak, A. (2014). Lateral violence among nurses. Clinical Nursing Research, 23(3), 245-263.
• Zeeman, L., Oates, J., & Cummings, G. (2014). Impact of workplace hostility on nurse well-being and patient safety. International Journal of Nursing Studies, 51(4), 567-573.
• Gower, S., Holder, R., & Shields, L. (2017). The influence of organizational culture on lateral violence. Journal of Nursing Administration, 47(2), 105-110.
• Shannon, S. E., & Carter, K. (2016). Strategies to reduce horizontal violence in health care teams. Journal of Nursing Care Quality, 31(2), 147-152.
• Johnson, S., & Johnson, S. (2015). Organizational culture and its impact on nursing violence prevention. Nursing Outlook, 63(2), 177-184.
• Williams, L., & Schaefer, N. (2018). Implementation of workplace civility programs in healthcare settings. Journal of Clinical Nursing, 27(15-16), 3098-3108.
• Goldberg, H., & Rottman, S. (2019). Leadership roles in promoting respectful work environments. Nursing Leadership, 32(4), 14-20.
• Lebaron, N. J., & Morgan, N. (2020). Addressing lateral violence: A framework for organizational change. Journal of Healthcare Management, 65(3), 189-201.
• Karsh, B.-T., & Weinger, M. (2018). Preventing lateral hostility among nursing teams: Strategies and interventions. Journal of Patient Safety, 14(3), 174-181.