Incivility Among Nursing Professionals in Clinical and Academic Environments: Emerging Research and Opportunities


Book Description

Traditionally, nursing is acknowledged as a caring profession and is associated with advocating for others. However, incivility is increasingly occurring amongst nurses, both in the clinical and academic environments, and is causing affected nurses both psychological and physical harm. Incivility Among Nursing Professionals in Clinical and Academic Environments: Emerging Research and Opportunities provides emerging views and consequences surrounding workplace bullying in the healthcare profession including recognizing the signs and symptoms of incivility in the workplace, identifying ways in which affected nurses can seek help, and examining healthy methods of coping with the incivility. Featuring coverage on a broad range of topics such as human resources, therapy, and clinical nursing, this book is ideally designed for nurses, managers, healthcare workers and consumers, hospital and clinical staff, researchers, students, and policymakers.




Code of Ethics for Nurses with Interpretive Statements


Book Description

Pamphlet is a succinct statement of the ethical obligations and duties of individuals who enter the nursing profession, the profession's nonnegotiable ethical standard, and an expression of nursing's own understanding of its commitment to society. Provides a framework for nurses to use in ethical analysis and decision-making.




Creating & Sustaining Civility in Nursing Education, 2nd Ed.


Book Description

This highly anticipated, fully revised second edition revisits and augments the award-winning Creating & Sustaining Civility in Nursing Education. In this comprehensive new edition, author Cynthia Clark explores the problem of incivility within nursing academe and provides practical solutions that range from ready-to-use teaching tools to principles for broad-based institutional change. She further explores the costs and consequences of incivility, its link to stress, ways to identify the problem, and how to craft a vision for change – including bridging the gap between nursing education and practice. Rather than dwell on the negative, this book focuses on solutions, including role-modeling and mentoring, stress management, and positive learning environments. Nurse educators at all levels will appreciate the variety of evidence-based strategies that faculty – and students – can implement to promote and maintain civility and respect in the education setting, including online learning.




Core Competencies of Civility in Nursing & Healthcare


Book Description

“This book has the potential to transform not only organizations but also the lives of all they employ and serve.” –Margaret (Peg) Wichrowski, MSN, RN Staff Nurse, Molecular Imaging and Nuclear Medicine Long Island Jewish Medical Center (LIJMC), Northwell Health “Dr. Cynthia Clark has taken incivility, a complex and critical subject, and provided an incredibly informative and useful blend of how it affects people, particularly healthcare professionals… [T]his book reflects a synthesis of years of study integrated with real experience to help those in healthcare organizations elevate the care environment with civility and kindness.” –David Fryburg, MD President, Envision Kindness “What a scholarly, literary masterpiece on individual and organizational civility… Dr. Clark’s conceptual model of a ‘Culture of Belonging’ is brought to life by her comprehensive coverage of evidence-based practices and practical tools to apply, create, and sustain healthy work environments. A must-read for healthcare and academic leaders!” –Remy Tolentino, MSN, RN, NEA-BC System Vice President, Nursing Workforce & Leadership Development Baylor Scott & White Health Nursing Institute/Center for Nursing Leadership Powerful change can happen when healthcare professionals stand together and amplify the dialogue of civility. Incivility and other workplace aggressions have a significant impact on the lives of healthcare professionals, faculty, and students, as well as the patients and families in their care. Incivility in academic and practice environments can provoke uncertainty and self-doubt, weaken self-confidence, and cause detrimental and lasting effects on individuals, teams, and organizations. These behaviors can fracture relationships and result in life-threatening mistakes, preventable complications, harm, or even the death of a patient. In Core Competencies of Civility in Nursing & Healthcare, Cynthia Clark—a nurse-leader dedicated to organizational change and an unwavering advocate for civility and dignity for all—provides an abundance of practical solutions to create and sustain communities of civility, diversity, inclusion, and respect in academic and healthcare environments. Using a wealth of evidence-based interventions, hands-on tools, and scholarly resources, this book expands current thinking on the topic of civility to create and support healthy, productive work and learning environments for the benefit of all. TABLE OF CONTENTS Chapter 1: What Is Civility, and Why Does It Matter? Chapter 2: The Detrimental Impact of Workplace Aggression Chapter 3: The Power and Imperative of Self-Awareness Chapter 4: Practicing the Fundamentals of Civility Chapter 5: Honing Communication Skills and Conflict Competence Chapter 6: The Power of Leadership, Visioning, and Finding Our WHY Chapter 7: Optimizing Self-Care and Professional Well-Being Chapter 8: Leadership Support and Raising Awareness for Organizational Change Chapter 9: Galvanizing a High-Performing Civility Team Chapter 10: Develop, Implement, and Evaluate a Data-Driven Action Plan Chapter 11: Securing Civility Into the Organizational Culture Through Policy Development Chapter 12: Celebrating Civility: A Powerful Engine to Uplift and Transform the Profession




Be Resilient


Book Description

Background: Sense of belonging is essential for nursing students to develop and grow within the nursing profession. Unfortunately, incivility threatens the sense of belonging in nursing students. Purpose: The purpose of this cross-sectional study is to determine the relationship between staff nurse incivility and undergraduate nursing students’ sense of belonging in nursing school, describe the presence of incivility in minority undergraduate nursing students, and determine how semester in the nursing program and weight are associated with incivility and sense of belonging. Baumeister and Leary’s (1995) need to belong theory was chosen as the framework for this study. Methods: A convenience sample of 123 junior and senior nursing students from two nursing schools in New Mexico were recruited to participate in this study. The concepts were measured using the Uncivil Behavior in Clinical Nursing Education (UBCNE) and Sense of Belonging in Nursing School (SBNS) surveys. Correlation coefficient, descriptive statistics, Fisher r-to-z transformation, 95% confidence intervals were calculated. Results: One-hundred and twenty-three pre-licensure undergraduate nursing students completed the study, resulting in 44.7% response rate. The results showed a statistically significant, inverse correlation between the UBCNE and SBNS. However, there was no association between staff nurse incivility and undergraduate nursing student sense of belonging among the cohort. Of the minority undergraduate nursing students, American Indian or Alaskan Native students reported the highest mean frequency of incivility. There was no significant difference noted between correlations based on level in the program or body mass index. Discussion: This was the first study to assess the relationship between staff nurse incivility and undergraduate nursing students’ sense of belonging in nursing school. As the experience of incivility increased in the clinical environment, the overall sense of belonging in nursing school decreased. Yet, staff nurse incivility was not associated with sense of belonging in the cohort, highlighting the impact of acceptance in the students’ social group. Conclusion: This study reported the relationship between incivility and sense of belonging in the nursing profession. The findings of this study may be useful for nursing educators, nursing students, staff nurses, and healthcare organizations who facilitate clinical experiences for nursing students.




Fast Facts on Combating Nurse Bullying, Incivility and Workplace Violence


Book Description

Provides a wealth of proven anti-bullying resources for all nursing settings This pocket-sized, quick-access guide gives nurses crucial information they need to know to understand, identify, and effectively counter incivility, bullying, and violence in all nursing settings. Viewing nurse bullying as an institutional problem, this text expounds upon the ANA position statement, "Incivility, Bullying, and Workplace Violence" and includes definitions and statistics about nurse bullying, and what nurses at any level can do when faced with a bully. Delivered in an easy-to-read, bulleted format, this resource covers all aspects of bullying, including an overview of the problem; why nurses bully each other; a discussion and quantification of the cost and impact of bullying on individuals, the workplace, and the broader health care system. Four instructional case study chapters delineate the different forms bullying can take and how to handle them, and a "bully-proofing" chapter replete with such useful tools as a bullying checklist, a guide to "de-toxifying" the workplace, and an explanation of the ANA Code of Ethics related to bullying. Key Features: Addresses all facets of nurse bullying, from origins and manifestations to evidence-based interventions and prevention strategies Based on the hallmark ANA document “Incivility, Bullying, and Workplace Violence Contains 10 instructive case studies depicting common bullying scenarios Provides a wealth of anti-bullying resources for use in all nursing settings Offers overview and chapter objectives and Fast Facts in a Nutshell clinical pearls




Incivility in Nursing Education


Book Description

Four female and three male nursing students ranging in age from 30-50 years (Mean = 42.4 years, SD = 7.8 years) participated in this study. Two of the participants were currently enrolled in the final semester of their graduate programs. Four had previously graduated with their nursing degrees, and one withdrew from the nursing program. The participants represented four different nursing schools in two states in the northwest.




Core Competencies of Civility in Nursing & Healthcare


Book Description

Harm from disrespect and incivility in healthcare has been identified as the next major challenge in addressing patient safety efforts since these behaviors can result in life-threatening mistakes, preventable complications, harm, or death of a patient. Incivility and other related workplace aggressions are also associated with a worse patient experience, lower quality of care, higher risk of physical harm, and higher levels of staff disengagement, absenteeism, and turnover. The consequences of incivility also have a significant impact on the work life of healthcare professionals as well as the patients and families they serve. Incivility in the patient care environment can provoke uncertainty and self-doubt, weaken self-confidence, compromise moral courage, and cause detrimental and lasting effects on individuals, teams, organizations.Creating and sustaining communities of civility is an imperative for all work environments. Fostering a firm commitment to respect and civility is a critical step toward achieving optimal patient care and high reliability in health care. Creating healthy work environments where nurses are empowered to speak up, have the confidence to be heard, and where actions will be taken to resolve unsafe conditions is essential. Civility education is an effective strategy to prevent and address these serious concerns.The book integrates evidence-based strategies and best practices to foster civility and healthy academic and practice environments. The author use scholarly resources, personal stories, illustrations, conceptual models, exemplars, and practical tools to promote civility, professionalism, and ethical practice for students, faculty, nurse leaders, health care professionals, and society-at-large. The book's 20 informative, timely, and up-to-the minute chapters will appeal to multiple audiences focusing on practical, evidence-based interventions that can be implemented immediately, midterm, and long-term. Rather than dwelling on the negative aspects of incivility and other workplace aggressions, this book will focus the reader on individual and organizational core competencies to foster civil, productive work and learning environments. It will be a go-to resource for raising awareness about the problem of incivility, uncovering the serious and insidious nature of the problem - and, more importantly - providing evidence-based strategies to eliminate it from practice-based and academic workplaces.




The Incivility Solution:


Book Description

Tools to foster self-transcendence in nurse educators are presented to teach the teacher to use multiple intelligences, emotional intelligence, knowing and authentic learning experiences to guide a daily practice of forgiveness, empathy and gratitude. Nurse educators who understand incivility and co-create an environment of civility in their respective workplaces can positively impact their lives and those of their colleagues and students. Nurse educators CAN develop collegiality, through recognition of the efforts of our brothers and sisters by believing in them even when we see them at their worst.




Incivility in Nursing


Book Description

Background: Incivility among nurses continues to be a widespread problem despite national agencies mandating nurses foster safe and healthy work environments. Incivility affects patient outcomes in a negative manner; incivility decreases effective communication and increases physical and emotional distress among nursing staff who experience such behavior in the workplace. Incivility and bullying have been linked to sentinel events, medication errors, decreased quality of care, and poor patient outcomes. Incivility in the workplace can lead to decreased job satisfaction, more illnesses and absences among staff members, and lower nurse retention rates, all of which have a massive financial impact on the healthcare system. Governing bodies have mandated that incivility must be addressed as the negative impact to patients, nurses, providers, and health care systems is too great to ignore. Health care systems must implement interventions to address incivility. Framework: This quality improvement project incorporated Sister Callista Roy's Adaptation Model with the Stevens Star Model of Knowledge Transformation for evidence-based practice change. Methods: An educational intervention was offered via a 14-minute PowerPoint presentation, created by the project manager, with the goals to increase the nursing staff's ability to recognize workplace incivility, reduce workplace incivility on a nursing unit, and to increase confidence confidence in the staff members' ability to respond to workplace incivility when it occurs. Staff were surveyed before and after the education, using the Workplace Incivility Civility Scale. Group mean scores were compared pre- and post-education using independent t-tests. Findings: The educational intervention helped staff recognize uncivil behaviors. The amount of uncivil behavior did not change significantly, as perceived by participants, although there was not a great deal of uncivil behavior observed initially. Staff members' confidence in dealing with incivility did not increase significantly. Conclusion and Recommendations: There are no simple strategies to decrease incivility. Combating incivility requires a multi-faceted approach, including education of staff, implementing a practice change, and teaching staff cognitive rehearsal strategies while offering opportunities to practice the strategies learned. Educating staff to recognize uncivil behavior can decrease wuch behaviors, simply through increased awareness. Nurses can be receptive to such education and will benefit from education aimed at improving their ability to curtail uncivil behavior in the workplace. Recommend future education to offer more interventions and practice opportunities for the staff to improve their skills in handling incivility.