Ending Nurse-to-Nurse Hostility: Why Nurses Eat Their Young and Each Other / Edition 1

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Through captivating anecdotal scenarios, Ending Nurse-to-Nurse Hostility examines the many facets of horizontal hostility and offers strategies to make your workplace more peaceful and attractive to current staff and future employees.

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Editorial Reviews

Doody's Review Service
Reviewer: Vicki Ann Moss, DNSc, MS, BSN, RN (University of Wisconsin-Oshkosh)
Description: This is a guide to help nurse managers in particular and other nurses in general understand horizontal hostility, why it occurs in nursing, and how it can be remedied.
Purpose: The purpose is to discuss and describe horizontal hostility in the nursing profession and to provide readers with the tools to stop it.
Audience: This book is aimed at nurses in management and leadership positions but would also be appropriate for every nurse and nursing student. The author is especially concerned about new nurses, stating that 60 percent of new nurses leave their first positions within six months because of horizontal hostility.
Features: The book begins with learning objectives and consists of eight chapters divided into two sections. The sections cover understanding the forces and best practices to eliminate horizontal hostility. Each chapter is filled with vignettes from the author's own practice as well as stories and quotes from other nurses who have experienced this problem. The book also includes an instructional guide, exam, and evaluation form. When completed, they can be submitted for continuing education credits accredited by ANCC.
Assessment: This is a very easy read with much practical information to help nurses understand, prevent, and/or deal with horizontal hostility in their working environments. The vignettes and stories really tell it like it is and they aren't pretty. It is good to get this very prevalent problem out in the open, and as E. Goehner, PhD, RN, CPHQ, states on the book's back cover, "Until we (nurses) are willing to name what we've all experienced, nothing will change." The book, at under 200 pages of text, is quite pricey, but it is really one of a kind.
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Product Details

  • ISBN-13: 9781578397617
  • Publisher: Opus Communications
  • Publication date: 3/1/2006
  • Edition description: Older Edition
  • Edition number: 1
  • Pages: 214
  • Product dimensions: 7.00 (w) x 9.00 (h) x 0.50 (d)

Meet the Author

Kathleen Bartholomew, RN, MN served as the manager of a 57-bed orthopedic and spine unit in a tertiary hospital in Seattle, Washington for more than six years and has just recently ended her position to begin work in consulting. A registered nurse and counselor, Bartholomew brings to light the challenges and issues facing nurses today through the use of story. Speak Your Truth was published by HCPro in 2005 and submitted by Bartholomew for her Master's thesis. She has been a national speaker for the nursing profession for the past six years.
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Table of Contents

Dedication vii

Acknowledgements vii

About the author viii

Foreword ix

Learning objectives xi

Prologue xiii

Section I Understanding the forces 1

Chapter 1 What is horizontal hostility? 3

Defining horizontal hostility 3

Is horizontal hostility intentional? 6

Tales from the front line 7

Prevalence 9

Impact 12

Retention during a nursing shortage 16

Summary 18

Bibliography 19

Chapter 2 Exploring theory 23

Marie's story: A manager's point of view 23

Oppression theory 25

Supporting theory: Insights from the animal kingdom 33

Populations at risk 34

Figure 2.1: The 10 most frequent forms of lateral violence in nursing practice 36

Why is horizontal hostility so virulent? 37

Summary 41

Bibliography 42

Chapter 3 A root cause analysis of horizontal hostility 45

Marie's search for answers 45

Intrinsic factors 48

Extrinsic factors 58

Summary 66

Bibliography 66

Chapter 4 Enlarging the landscape 69

Context is critical 69

Organizational context 70

Professional context 76

In the context of our world 79

Summary 82

Recommended reading 84

Bibliography 84

Section II Best practices to eliminate horizontal hostility 87

Introduction 89

The big picture: An analogy 92

Chapter 5 Nurturing our young 95

Impediments to a healthy new nurse experience 96

Creating a healthy environment for student nurses 98

Figure 5.1: Nurse-to-nurse hostility fact sheet 102

Bringing horizontal hostility to light at nursing schools 105

New resident nurses 108

Figure 5.2: Expected behaviors of those who call themselves professionals 111

Figure 5.3: Cueing cards attached to identification badge 112


Recommended reading 115

Bibliography 116

Chapter 6 Managerial response 119

Awareness: Ability to see the problem 120

Figure 6.1: Sample questionnaire 125

Figure 6.2: Verbal abuse survey 126

Communication 127

Figure 6.3: Charge nurse assessment tool 133

Response 144

Persistence and consistency is mandatory 147

Empowering staff 148

Summary 148

Recommended reading 149

Bibliography 149

Chapter 7 Organizational opportunities 151

Framework for leading organizational change to eliminate hostility 152

Increase a healthy culture 153

Decrease hostility 166

Figure 7.1: Commitment to coworkers 169

How the system sets up the manager to fail 172

Summary 173

Recommended reading 175

Bibliography 175

Chapter 8 Individual response 177

Starting with ourselves 177

Transitioning from a closed system to an open system 180

Bibliography 182

Epilogue 183

Nursing education instructional guide 185

Instructions for obtaining your nursing contact hours 187

Nursing education exam 188

Nursing education evaluation 194

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