Lateral Violence Response Training for Nursing Students
Abstract
Lateral violence among nurses is a pervasive problem contributing to deleterious
consequences for targets, work environments, patient outcomes, and the nursing profession.
Newly licensed nurses are at a disadvantage to respond effectively to lateral violence and
may be more likely to be targeted. Thus, response training prior to entering the nursing
workforce may increase their ability to manage lateral violence they encounter as newly
licensed nurses. There is a paucity of interventional research aimed at educating nurses on
effective and appropriate responses to lateral violence and no studies involving nursing
students. This study examines the effect of an educational intervention to increase nursing
students’ self-efficacy in responding to lateral violence. Cognitive Behavioral Therapy, based
on Social Cognitive Theory, was used to guide the format of the intervention and
development of the measurement instrument. A time-series, randomized, cluster design with
intervention and control groups, was used to increase rigor over existing studies. Statistically
significant increase in participant-reported self-efficacy among the intervention group was
determined using paired t-tests. Follow-up data indicate potential for the long-term benefits
of this intervention on self-efficacy in responding to lateral violence. Clinical significance
was also demonstrated by overall increases in all quartiles among the intervention group.
These results indicate potential for use among future nursing students. Future research should
include longitudinal follow-up to determine the long term effects of this intervention, testing
among nursing students at different types of institutions, and refinement of the measurement
instrument.
Table of Contents
Introduction -- Review of the literature and background -- Methods -- Data analysis -- Conclusions -- Appendix A. Permission Letter for use of SADBS-R Appendix B. Instrument - SADBS-R -- Appendix C. Consent Form – Intervention Site -- Appendix D. Consent Form – Attention-Control Site -- Appendix E. Intervention – Lateral Violence Response Training -- Appendix F. Attention Control Group Activity
Degree
Ph.D.