Preventing and Mitigating Lateral Violence in Nursing Through Bystander Training

OBJECTIVE The aim of this study was to implement a bystander training program for nurses to mitigate lateral violence. BACKGROUND Lateral violence is bullying and harassment between coworkers with equivalent status and positively associated with turnover, distress, suicide, and reduced satisfaction. METHODS Evidence-based practice change feasibility pilot study was conducted. Program outcomes were evaluated by postcourse RN knowledge, confidence to intervene, course satisfaction, and intention to leave. RESULTS Confidence to intervene significantly improved (mean: pre = 4.09, post = 4.69; P < 0.001). Most nurses (90.8%) reported very to extremely satisfied. Future likelihood to attend (83.7%) and recommend (87.8%) were high. Most nurses (69.4%) (n = 68) reported that using the skills learned would strengthen intent to stay. Most nurses (80.6%) (n = 79) indicated that departmental skill application would strengthen intention to stay. Knowledge scores post intervention reflected a 99% pass rate. CONCLUSIONS Bystander training benefits nurses indicating the feasibility of broader program implementation to prevent and mitigate nurse lateral violence.