Evidence map›Paper›PMID 40454663›Full record

ReviewJournal of clinical nursing2025

Understanding the Predisposing Factors of Nurse-to-Nurse Horizontal Violence in Hospital Settings: An Integrative Review.

Cristina Reguera-Carrasco, Nicia Del Rocío Santana-Berlanga, Sergio Barrientos-Trigo

Abstract readReview
In one paragraph

Review in Journal of clinical nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Cristina Reguera-CarrascoDepartment of Nursing, Faculty of Nursing, Physiotherapy, and Podiatry, Universidad de Sevilla, Seville, Spain.ORCID 0000-0002-9626-0960
Nicia Del Rocío Santana-BerlangaDepartment of Nursing, Faculty of Nursing, Physiotherapy, and Podiatry, Universidad de Sevilla, Seville, Spain.
Sergio Barrientos-TrigoDepartment of Nursing, Faculty of Nursing, Physiotherapy, and Podiatry, Universidad de Sevilla, Seville, Spain.ORCID 0000-0001-7618-3091

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNurse-to-nurse horizontal violence is a highly prevalent issue in healthcare, significantly affecting nurses' well-being, job satisfaction and professional performance. Despite its widespread occurrence, it remains largely invisible due to organisational culture, normalisation and underreporting. Recognising and addressing this phenomenon is a priority to improve workplace environments and safeguard both nurses and patient care.

aimThe aim was to synthesise the existing evidence on the main predisposing factors of nurse-to-nurse horizontal violence in a hospital setting.

designAn integrative review. DATA SOURCE: Four databases: PubMed, CINAHL, Scopus and Web of Science.

methodsThis integrative review followed Whittemore and Knafl's approach and was reported according to SWiM checklist. Database searches occurred from September 2022 to February 2023, including studies published between 2013 and 2023. Articles were screened by title, abstract and full text based on set criteria. Additional articles were identified through backward citation searching. Quality was appraised using Joanna Briggs instruments, and a narrative synthesis summarised the findings.

resultsFifteen articles were reviewed, focusing on nurse-to-nurse horizontal violence. Most studies used the Revised Negative Acts Questionnaire and were rated as 'good quality'. The predisposing factors identified were grouped into three categories: organisational, professional and work related.

conclusionThe findings highlight that the predisposing factors of nurse-to-nurse horizontal violence are multidimensional and interrelated. Addressing this issue requires a comprehensive and coordinated approach that strengthens leadership and implements standardised early detection and measurement tools to develop effective preventive strategies. IMPLICATIONS FOR THE PROFESSIONAL PRACTICE AND PATIENT CARE: Horizontal violence promotes disruptive work environments. Management-related issues, professional hierarchies and unhealthy working conditions contribute to its occurrence. Therefore, strengthening leadership, promoting peer support and improving work environments are key to mitigating its impact and enhancing nurse well-being and care quality.

trial registrationPROSPERO: CRD42023396684.

Indexed as

Interprofessional RelationsNursing Staff, HospitalWorkplaceWorkplace ViolenceAdultFemaleHumansJob SatisfactionOrganizational CultureRisk Factorshorizontal violencehospital nursing staffintegrative reviewwork environment

Identifiers

PMID40454663
PMCPMC12489443

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.