Once I had this list in hand I was able to devise a plan for completing the application. I looked at the application as three parts: Looking at the individual components made this endeavor feel much more manageable and I was able to outline a timeline and to-do list.
This is an open access article distributed under the Creative Commons Attribution Licensewhich permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract For many years, nurses in international clinical and academic settings have voiced concern about horizontal violence among nurses and its consequences.
However, no known framework exists to guide research on the topic to explain these consequences. This paper presents a conceptual model that was developed from four theories to illustrate how Ahrq dissertation fellowship quality and safety of patient care could be affected by horizontal violence.
Research is needed to validate the new model and to gather empirical evidence of the consequences of horizontal violence on which to base recommendations for future research, education, and practice.
Introduction For several decades, clinical and academic nurses have written about horizontal violence among nurses in clinical settings and its consequences. Horizontal violence is behavior that is directed by one peer toward another that harms, disrespects, and devalues the worth of the recipient while denying them their basic human rights [ 1 ].
Other similar terms used to label negative behavior among nurses at work include nurse-on-nurse aggression [ 23 ], bullying [ 4 — 8 ], verbal abuse [ 9 — 11 ], lateral violence [ 12 — 14 ], incivility [ 15 ], and lateral or horizontal hostility [ 1617 ].
The term horizontal violence was used in this paper because, unlike the other terms, horizontal violence is drawn from oppression theory, one of the four theories used to develop the model described herein.
Research articles [ 235 — 71819 ] and opinion pieces [ 20 — 22 ] from Australia, New Zealand, the United Kingdom, and the United States suggest that nurses share an ongoing and growing concern about horizontal violence and its consequences for nurses, nursing, healthcare organizations, and particularly for patients.
Many researchers have described horizontal violence among nurses working in hospitals [ 2356101114182324 ]. Nurses suffer consequences as a result of their experiences such as sadness, anxiety, mistrust, diminished self-esteem and self-confidence [ 71018 ], job dissatisfaction [ 10 ], and negative effects on peer relationships [ 10 ].
Some describe their experiences as painful [ 24 ] and far more distressing than when similar behaviors are directed toward them by physicians or patients [ 23 ].
Some nurses intend to leave their current job to find work elsewhere [ 56811 ] while others consider leaving nursing altogether [ 518 ]. Some nurses believe that horizontal violence threatens the safety of patients [ 18 ] and diminishes the quality of their care [ 10 ].
When behavior similar to horizontal violence occurs among healthcare providers from different disciplines, the term disruptive behavior is often used to name the behavior. Communication decreases when individuals feel too intimidated to communicate with members of the healthcare team who are known instigators of these negative behaviors [ 2627 ].
Yet, no direct empirical links among horizontal violence or disruptive behavior, communication, and patient care have been made.
Those who used it did so implicitly by using the term horizontal violence, one of its concepts [ 1830 ], while others did so explicitly [ 6142324 ].
Conceptual models are important because of their utility for explaining situations and for guiding research [ 31 ], yet, none of the studies proposed a model to explain horizontal violence and its consequences for patient care.
This paper presents a conceptual model that illustrates how the quality and safety of patient care could be affected by horizontal violence. Then, implications for research are provided. Conceptual Model for Horizontal Violence and the Quality and Safety of Patient Care A conceptual model is an illustration of proposed causal relationships among a group of variables hypothesized to be associated with a problem [ 35 ].
The proposed horizontal violence and the quality and safety of patient care model displayed elsewhere [ 36 ] are shown in Figure 1. Directionality of the model flows from left to right. A conceptual model for horizontal violence and the quality and safety of patient care.
They were dominated by others who had violently obstructed them from living their lives freely as human beings ensconced in their unique beliefs and values. Freire [ 29 ] contends that a situation of oppression can be changed because it results from an imbalanced social structure, not fate.
Building on the work of Freire and others, Roberts [ 37 ] posited that nurses have worked in a situation of oppression since the early s when they began caring for patients in hospitals controlled by male physicians and administrators.
Ashley [ 38 ] and Reverby [ 39 ] describe nurses in the mid s to early s doing the work traditionally thought of as the work of women in hierarchical hospitals. Their practice was controlled either by groups with more power that are held in higher esteem or by the systems in which they work.
Today, nurses continue to bear a great deal of responsibility caring for patients whose lives are in their hands; yet they have little power compared to physicians and administrators [ 41 ]. Oppressed people manifest what they internalize by acting like those who oppress them while remaining submissive to them.
As the oppressed align with the oppressor, they develop hatred for their own group.
This hatred is manifested when the oppressed themselves become oppressors of their group.AHRQ provides support to individuals for dissertation research in health services research as part of completing a research doctorate degree. The AHRQ will be awarded award budget up .
Overview; usa, sports medicine has a dissertation. _____ current issue jul 19, the national louis university s strategic goals of the merits of pennsylvania, fellowship award: hhs-ahrq.
Aging research dissertation on data for health care act essay health research dissertation fellowship for a. What is I-O? Industrial-organizational (I-O) psychology is the scientific study of working and the application of that science to workplace issues facing individuals, teams, and organizations.
The Agency for Healthcare Research and Quality (AHRQ) provides an array of intramural and extramural predoctoral and postdoctoral educational, research infrastructure and career development grants and opportunities in health services research.
This work was supported by AHRQ Dissertation Fellowship Grant 1R36HS and the Robert Wood Johnson Foundation. The content of this work does not represent. The Impact of EHR and Teamwork on Care Transitions and Patient Outcomes By Ilana Paula Graetz A dissertation submitted in partial satisfaction.