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LTC Peter Strube

Title: Educational Interventions to Decrease the Occurrence of Lateral Violence: A Scholarly Leadership Project

LTC Peter Strube

Rosalind Franklin University, USA


Lieutenant Colonel Peter D. Strube is a CRNA who graduated Magna Cum Laude from St. Mary’s University school of anesthesia in 2006 with a master’s degree specifically in anesthesia, graduating magna cum laude. His undergraduate degree is from Luther College in Decorah, Iowa. He was awarded the Doctor of Nurse Anesthesia (DNAP) in June of 2017 and is currently enrolled in his executive MBA program. Lieutenant Colonel Strube is in the United States Nurse Corp. LTC Strube has mobilized and deployed four times during current military operations which includes service in both Iraq and Afghanistan. Peter is also an Assistant Professor in the Department of Nurse Anesthesia, College of Health Professions, at Rosalind Franklin University, and is a professional mentor for doctoral students. He has authored several profession articles and training programs and speaks professionally both nationally and internationally. He is an editor and reviewer for anesthesia articles. He is an active researcher on the topic of lateral violence in healthcare. He has been elected to serve on the state association board and two AANA national committees. He has served his community as a member of the Mount Horeb Board of Education and is a Commissioner on the Dane County Ethics Board and is a court appointed mentor for veterans in crisis.


Lateral violence (LV) is an encounter that leaves the victim feeling upset, threatened, humiliated, or vulnerable and can lead to ineffective communication and patient care. Lateral violence destroys the workplace environment. The effects of LV are accompanied by physical, emotional, and financial effects on hospital staff. Lateral violence increases staff turnover and job dissatisfaction. It also decreases patient satisfaction and is a threat to patient safety. The Joint Commission for Accreditation of Healthcare Organizations ([JCAHO], 2008) mandates that healthcare organizations have a policy and procedure for dealing with and educating providers on the topic of LV and disruptive behaviors.

The significance of the problem directly affects patient care. The research demonstrates that LV leads to poor patient care and increased risks. Rosenstein and O’Daniel (2006) found that forty-six percent of patients reported adverse events due to LV. In the Veterans Administrations Study ([VA], 2009) identified that seventeen percent of patients experienced “pain or prolonged pain, delays in treatment, misdiagnosis, mistreatment, and death because of lateral violence” (page 3).

This program was designed to increase awareness of LV in healthcare and identify factors that contribute to LV. The purpose of the project was to examine the effect of educational programs on decreasing the occurrence of and perceptions related to LV. This increased awareness around the topic of LV and the factors that contribute to its occurrence will then decrease the occurrence of LV. The LV educational program is a preemptive action to decrease the occurrence of LV in the workplace.