Lateral Violence Essay

1997 Words8 Pages
Mitigating Lateral Violence:

Design for Change in Practice

Stacy Lacaillade

Chamberlain College of Nursing

NR451 Capstone Course

28 November, 2010

Design for Change in Practice

Evidenced based practice (EBP) is an empowering process for improvement in the health care professions. Rosswurm and Larrabee (1999) credit the research studies which used meta - analysis, randomized clinical trials and systematic studies of patient outcomes over the last few decades as having started this shift from the “tradition of intuition – driven practice…to the new paradigm of evidenced based practice” (p.318). However, evidence has encountered a certain amount of difficulty being implemented into practice, thereby necessitating the use of a model when implementing a change based on evidence into practice. This paper will discuss the six steps in the Rosswurm and Larrabee (1999) model for implementing change as they apply to the necessary change of mitigating lateral violence in the nursing work place.

Step 1: Assess

This step of the change process begins with the identification of a problem. For the purposes of this paper the problem identified is lateral violence in the workplace. Rosswurm and Larrabee (1999) discuss this process to include comparing the internal data with external data and involving the shareholders. There is much evidence to support the fact that lateral violence is a real and troubling problem in the nursing profession. The external data of evidence spans over twenty – years’ worth of documented research that describes and proves the presence of lateral violence in the world of professional healthcare particularly as it pertains to nurses (Griffin, 2004). Lateral violence is known by many names; psychological terrorism, nurse – to – nurse aggression, and bullying (Griffin, 2004; Jennings, 2008; Embree & White,
Open Document