Evaluating the Work Environment: Development of a Horizontal Violence Scale

2.50
Hdl Handle:
http://hdl.handle.net/10755/290982
Category:
Abstract
Type:
Presentation
Title:
Evaluating the Work Environment: Development of a Horizontal Violence Scale
Author(s):
Longo, Joy; Newman, David; Piyakong, Duangporn
Lead Author STTI Affiliation:
Iota Xi
Author Details:
Joy Longo, PhD, RN, jlongo5@fau.edu; David Newman, PhD; Duangporn Piyakong RN
Abstract:

Session presented on Saturday, April 13, 2013

Background: Recently the behaviors of healthcare workers have come under scrutiny due to their potential negative impact on patient care and safety. Inappropriate behaviors such as intimidation, yelling, ignoring, and physical threats can lead to a breakdown in communication and collaboration both hallmarks of a healthy work environment. When the behaviors occur among nurses it is known as horizontal violence.  Nurses need to be supportive of each other so that quality patient care can be delivered.  

Purpose:  Horizontal violence can be defined as physical, verbal, and emotional inappropriate behaviors display among colleagues that may be overt or covert. In order to address horizontal violence in nursing, we must accurately measure the extent of the problem and develop effective interventions that specifically address nurse-to-nurse violence. The purpose of this research was to develop a theoretically-based instrument to measure horizontal violence in the clinical setting and to test the reliability and validity.

Methods: The Horizontal Violence Scale (HVS) was created in stages. First, items were developed based on the theoretical model of Horizontal Violence.  Once the items were created they were given to 3 expert judges to assess content validity. An item was retained if at least two of the reviewers rated the item as a score of 3 (quite relevant) or a 4 (very relevant). This resulted in the final 23-item tool.  In the second stage data on the HV instrument collected on over 300 clinical managers.  A Confirmatory Factor Analysis (CFA) was then conducted on this data to test if the items created do reflect the underlying theoretical constructs.   Reliability was assessed using Chronbach’s Alpha and Item Response Theory.

Results: The Confirmatory Factor Analysis showed a good model fit.  The HVS can be used in the practice to help in creating healthy work environments.

Keywords:
Horizontal Violence; Measurement; Collaboration
Repository Posting Date:
13-May-2013
Date of Publication:
13-May-2013
Conference Date:
2013
Conference Name:
Creating Healthy Work Environments
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
Creating Healthy Work Environments. Held at the JW Marriott, Indianapolis
Note:
This is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleEvaluating the Work Environment: Development of a Horizontal Violence Scaleen_GB
dc.contributor.authorLongo, Joyen_GB
dc.contributor.authorNewman, Daviden_GB
dc.contributor.authorPiyakong, Duangpornen_GB
dc.contributor.departmentIota Xien_GB
dc.author.detailsJoy Longo, PhD, RN, jlongo5@fau.edu; David Newman, PhD; Duangporn Piyakong RNen_GB
dc.identifier.urihttp://hdl.handle.net/10755/290982-
dc.description.abstract<p>Session presented on Saturday, April 13, 2013</p>Background: Recently the behaviors of healthcare workers have come under scrutiny due to their potential negative impact on patient care and safety. Inappropriate behaviors such as intimidation, yelling, ignoring, and physical threats can lead to a breakdown in communication and collaboration both hallmarks of a healthy work environment. When the behaviors occur among nurses it is known as horizontal violence.&nbsp; Nurses need to be supportive of each other so that quality patient care can be delivered. &nbsp; <p>Purpose:&nbsp; Horizontal violence can be defined as physical, verbal, and emotional inappropriate behaviors display among colleagues that may be overt or covert. In order to address horizontal violence in nursing, we must accurately measure the extent of the problem and develop effective interventions that specifically address nurse-to-nurse violence. The purpose of this research was to develop a theoretically-based instrument to measure horizontal violence in the clinical setting and to test the reliability and validity. <p>Methods: The Horizontal Violence Scale (HVS) was created in stages. First, items were developed based on the theoretical model of Horizontal Violence. &nbsp;Once the items were created they were given to 3 expert judges to assess content validity. An item was retained if at least two of the reviewers rated the item as a score of 3 (quite relevant) or a 4 (very relevant). This resulted in the final 23-item tool. &nbsp;In the second stage data on the HV instrument collected on over 300 clinical managers. &nbsp;A Confirmatory Factor Analysis (CFA) was then conducted on this data to test if the items created do reflect the underlying theoretical constructs.&nbsp;&nbsp; Reliability was assessed using Chronbach&rsquo;s Alpha and Item Response Theory. <p>Results: The Confirmatory Factor Analysis showed a good model fit. &nbsp;The HVS can be used in the practice to help in creating healthy work environments.en_GB
dc.subjectHorizontal Violenceen_GB
dc.subjectMeasurementen_GB
dc.subjectCollaborationen_GB
dc.date.available2013-05-13T10:24:06Z-
dc.date.issued2013-05-13-
dc.date.accessioned2013-05-13T10:24:06Z-
dc.conference.date2013en_GB
dc.conference.nameCreating Healthy Work Environmentsen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.descriptionCreating Healthy Work Environments. Held at the JW Marriott, Indianapolisen_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item related to this abstract, you may find it by browsing the repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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