Association between horizontal violence and turnover intention in nurses: A systematic review and meta-analysis

BackgroundHorizontal violence is common in nurses. Most published studies have focused on horizontal violence and higher turnover rates in nurses; however, it lacks systematic reviews and meta-analyses. The purpose of this review is to quantitatively assess the correlation between horizontal violenc...

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Main Authors: Yue Zhang, Rulan Yin, Jing Lu, Jianzheng Cai, Haifang Wang, Xiaoqing Shi, Lifen Mao
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-10-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.964629/full
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author Yue Zhang
Yue Zhang
Rulan Yin
Rulan Yin
Jing Lu
Jing Lu
Jianzheng Cai
Haifang Wang
Xiaoqing Shi
Lifen Mao
author_facet Yue Zhang
Yue Zhang
Rulan Yin
Rulan Yin
Jing Lu
Jing Lu
Jianzheng Cai
Haifang Wang
Xiaoqing Shi
Lifen Mao
author_sort Yue Zhang
collection DOAJ
description BackgroundHorizontal violence is common in nurses. Most published studies have focused on horizontal violence and higher turnover rates in nurses; however, it lacks systematic reviews and meta-analyses. The purpose of this review is to quantitatively assess the correlation between horizontal violence and turnover intention in nurses.MethodsSystematic review and meta-analysis were performed in accordance with PRISMA guidelines. The relationship between horizontal violence and turnover intention in nurses was obtained by systematically searching related literature in four English databases (Cochrane, PubMed, Embase, and CINAHL) and three Chinese databases (SinoMed, CNKI, and Wanfang) (up to 6 March 2022). The relationship between horizontal violence and turnover intention was evaluated using Fisher's z-value, which was then converted to r. STATA 16.0 was used to perform statistical analysis. The random-effects model was performed to synthesize data.ResultsA total of 14 studies with 6,472 nurses were included. A low-positive correlation of horizontal violence with turnover intention was found (pooled r=0.32 [0.29–0.34]). Subgroup analysis showed that sample size and quality were not the source of heterogeneity. Measurement tool was the source of heterogeneity. Although geographic region might not be the source of heterogeneity, further subgroup analysis of the country reveals heterogeneity. The funnel plot and Egger's test showed no publication bias.ConclusionHorizontal violence had a low positive correlation with turnover intention in nurses. Nurses who experienced horizontal violence were more likely to leave or change careers than those who did not experience horizontal violence. This finding helps to draw attention to horizontal violence by nursing managers and implement effective interventions for nurses, so as to reduce nurses' turnover.
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spelling doaj.art-b4477898a269430eb580c537e284c8502022-12-22T04:29:30ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-10-011010.3389/fpubh.2022.964629964629Association between horizontal violence and turnover intention in nurses: A systematic review and meta-analysisYue Zhang0Yue Zhang1Rulan Yin2Rulan Yin3Jing Lu4Jing Lu5Jianzheng Cai6Haifang Wang7Xiaoqing Shi8Lifen Mao9Department of Nursing, The First Affiliated Hospital of Soochow University, Suzhou, ChinaSchool of Nursing, Medical College of Soochow University, Suzhou, ChinaDepartment of Rheumatology, The First Affiliated Hospital of Soochow University, Suzhou, ChinaFaculty of Nursing, Chiang Mai University, Chiang Mai, ThailandDepartment of Nursing, The First Affiliated Hospital of Soochow University, Suzhou, ChinaSchool of Nursing, Medical College of Soochow University, Suzhou, ChinaDepartment of Nursing, The First Affiliated Hospital of Soochow University, Suzhou, ChinaDepartment of Nursing, The First Affiliated Hospital of Soochow University, Suzhou, ChinaDepartment of Nursing, The First Affiliated Hospital of Soochow University, Suzhou, ChinaDepartment of Nursing, The First Affiliated Hospital of Soochow University, Suzhou, ChinaBackgroundHorizontal violence is common in nurses. Most published studies have focused on horizontal violence and higher turnover rates in nurses; however, it lacks systematic reviews and meta-analyses. The purpose of this review is to quantitatively assess the correlation between horizontal violence and turnover intention in nurses.MethodsSystematic review and meta-analysis were performed in accordance with PRISMA guidelines. The relationship between horizontal violence and turnover intention in nurses was obtained by systematically searching related literature in four English databases (Cochrane, PubMed, Embase, and CINAHL) and three Chinese databases (SinoMed, CNKI, and Wanfang) (up to 6 March 2022). The relationship between horizontal violence and turnover intention was evaluated using Fisher's z-value, which was then converted to r. STATA 16.0 was used to perform statistical analysis. The random-effects model was performed to synthesize data.ResultsA total of 14 studies with 6,472 nurses were included. A low-positive correlation of horizontal violence with turnover intention was found (pooled r=0.32 [0.29–0.34]). Subgroup analysis showed that sample size and quality were not the source of heterogeneity. Measurement tool was the source of heterogeneity. Although geographic region might not be the source of heterogeneity, further subgroup analysis of the country reveals heterogeneity. The funnel plot and Egger's test showed no publication bias.ConclusionHorizontal violence had a low positive correlation with turnover intention in nurses. Nurses who experienced horizontal violence were more likely to leave or change careers than those who did not experience horizontal violence. This finding helps to draw attention to horizontal violence by nursing managers and implement effective interventions for nurses, so as to reduce nurses' turnover.https://www.frontiersin.org/articles/10.3389/fpubh.2022.964629/fullhorizontal violenceturnover intentionnursesoccupational healthmeta-analysis
spellingShingle Yue Zhang
Yue Zhang
Rulan Yin
Rulan Yin
Jing Lu
Jing Lu
Jianzheng Cai
Haifang Wang
Xiaoqing Shi
Lifen Mao
Association between horizontal violence and turnover intention in nurses: A systematic review and meta-analysis
Frontiers in Public Health
horizontal violence
turnover intention
nurses
occupational health
meta-analysis
title Association between horizontal violence and turnover intention in nurses: A systematic review and meta-analysis
title_full Association between horizontal violence and turnover intention in nurses: A systematic review and meta-analysis
title_fullStr Association between horizontal violence and turnover intention in nurses: A systematic review and meta-analysis
title_full_unstemmed Association between horizontal violence and turnover intention in nurses: A systematic review and meta-analysis
title_short Association between horizontal violence and turnover intention in nurses: A systematic review and meta-analysis
title_sort association between horizontal violence and turnover intention in nurses a systematic review and meta analysis
topic horizontal violence
turnover intention
nurses
occupational health
meta-analysis
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.964629/full
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