We recommend fostering culture change through strategies that target students, faculty, and systems. These strategies include peer mentoring, role modeling integrity, enhancing awareness of what constitutes cheating, and developing policies that promote honesty.

The participants witnessed uncivil interactions that negatively impacted them emotionally, professionally, and physically. They also discussed the harmful effects of incivility on patients, whose care may be impeded or their faith in caregivers eroded in hostile, uncivil care environments. Nurses in professional development play a crucial role in promoting a culture of civility through raising awareness, supporting nurses new to the profession, and helping health care workers to better cope with incivility.

Expansion of this study to further test the impact of civility-focused journal clubs is recommended.

The proliferation of state lotteries and casinos has led to an increased participation in gambling and its associated problems. Older retired adults have more opportunities to gamble and available funds than other demographic groups. For these reasons, older adults may constitute a special risk group for pathological gambling. Because substance misuse, mood, anxiety, and personality disorders are common in problem and pathological gamblers, we sought to examine rates of comorbid psychiatric disorders in 40 older adults with lifetime pathological gambling using structured assessments of known reliability. The results indicate a high level of psychiatric comorbidity in this population including depression, alcohol dependence, panic, and generalized anxiety disorders, as well as obsessive compulsive and avoidant personality disorders. Implications of these findings for psychiatric nurses are discussed.

Incivility affects nurses and nursing students and can negatively influence patient care and the quality of nursing education. The Institute of Medicine, The Joint Commission, and the American Association of Colleges of Nursing recommended implementation of strategies to manage incivility and build social capital. The purpose of this mixed methods study was to explore the influence of a journal club as an educational intervention to build civility and academic integrity among nursing students. Seventy-nine nursing students completed the Nurses’ Intervention for Civility Education Questionnaire and the Ways of Coping Questionnaire before and after the Civility Journal Club intervention. Students involved in the Civility Journal Club were more aware of civility and incivility, more likely to be helpful to their peers, and better equipped to cope with episodes of incivility.