They are not immune to abuse Israeli nursing students’ experience horizontal violence :

Chaya Balik, Ruth Chaikin, Yafa Ben Avraham, Judith Marcus, Shosh Kelishek


Nurses in Israel, like nurses all over the world, are dealing with horizontal violence. The term “horizontal violence” is used to describe abuse and aggression which are directed at coworkers who are on the same level within an organization's hierarchy. Earlier studies reported that nursing students and nurses experience humiliation, lack of respect and

appreciation, helplessness and lack of visibility


To examine the level of severity of horizontal violence experienced by Israeli nursing students


A survey study was conducted on a convenience sample of 157 students at an advanced clinical practice stage in 5 nursing schools throughout Israel. A self-reported questionnaire was developed to explore nurses' behavior patterns towards students (a=.93), feelings sensed by students (a=.92), and patterns of coping with hostile behavior (a=.68).


Pearson correlation and analysis of variance were used for statistical analysis. The students’ responded to items on the presence of abuse and aggression (M=2.24; SD=.871), acceptance and social support (M=2.69; SD=.95), and physical signs and symptoms of horizontal violence (M=2.14; SD=.81). Feelings of rejection and insecurity sensed by the students and the abuse and aggression directed towards them correlated significantly (rp=.7246; P=.000). Emotional expressions of sadness and helplessness were also related to physical symptoms of horizontal violence


Israeli nursing students are exposed to low-to-middle levels of horizontal violence. Nurses and educators should intervene in support of the students by taking measures to effectively control violence in general and horizontal violence in particular