A Methodological Triangulation Study on the Experience of Horizontal Violence in Intensive Care Unit Nurses

Lee, Young-Ok; Kang, Jiyeon; Yun, Seonyoung; Lee, Younghee; Kim, Bok-Ja

Journal of Korean Critical Care Nursing 2013;6(2):37-50.
Published online December 31, 2013.

중환자실 간호사의 수평적 폭력 경험에 관한 방법론적 트라이앵귤레이션 연구

이영옥, 강지연, 윤선영, 이영희, 김복자

¹고신대학교 복음병원 내과계중환자실
²동아대학교 간호학과
³동아대학교 간호학과
⁴성균관대학교 임상간호대학원
⁵대구대학교 간호학과

A Methodological Triangulation Study on the Experience of Horizontal Violence in Intensive Care Unit Nurses

Young-Ok Lee, Jiyeon Kang, Seonyoung Yun, Younghee Lee, Bok-Ja Kim

¹Gosin University Gospel Hospital
²Department of Nursing, Dong-A University
³Department of Nursing, Dong-A University
⁴Department of Clinical Nursing Science, Samsung Medical Center
⁵Department of Nursing, Daegu University

Abstract

Purpose
The purpose of this study was to investigate the experience of horizontal violence in intensive care unit (ICU) nurses.
Methods
This is a methodological triangulation study consists of quantitative and qualitative research methods. A total of 134 ICU nurses from 5 hospitals participated in a survey on nurse to nurse horizontal violence, and the qualitative data were collected through 3 focus group interviews.
Results
94.0% of the participants have experienced horizontal violence within the past 6 months. The question with the highest mean score was "dominating senior nurses mood", and the question with the lowest mean score was "physical assaults". The qualitative data analysis revealed 17 themes on the backgrounds, types, and influence of horizontal violence.
Conclusion
The survey result shows that the problem of horizontal violence in ICU nurses is serious, and the focus group interview extracts additional types of horizontal violence such as "scolding in a wrong way", "pressing to resign", "leaving out in the cold", and "burning". Further research needs to be done to build a multidimensional model of horizontal violence in the nursing workplace.

Key Words: Intensive care units, Nursing, Workplace, Violence, Qualitative research