An Innovative Civility Intervention Created by a Faculty and Student Action Research Team

Merkel, Rachel; Olsen, Jeanette M.; Pehler, Shelley Rae; Sperstad, Rita A.; Sisto, Hannah; Brunsell, Kristin; Mades, Hannah

doi:10.3928/01484834-20200323-07

Cited by 5 publications

(2 citation statements)

References 14 publications

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“…Although ecological theory is useful to guide intervention research on workplace bullying (Blakey et al, 2019; Merkel et al, 2020; Johnson, 2011), there is an opportunity to explore the multidimensional factors related to incivility experiences of new graduate nurses. Bronfenbrenner (1979) provides a useful approach to exploring these interconnections.…”

Section: Introductionmentioning

confidence: 99%

A review: Developing an ecological model approach to co‐worker incivility experiences of new graduate nurses

Blackstock

Cummings

Glanfield

et al. 2022

Journal of Advanced Nursing

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Aim To explore how an ecological approach be used to explore relationships among workplace empowerment, authentic leadership, trust in management, areas of work life and co‐worker incivility experiences of new graduate nurses. Design Key concepts related to new graduate nurses' incivility experience informed the research question building on the findings of our first author's integrative review. Second, relevant theories and concepts were identified by conducting a literature review. Third, the themes build on prior theories and factors to propose a hypothetical model. Data Sources (2016–2019) CINAHL, OVID, PSYCINFO, PUBMED, EBSCO, ERIC, SCOPUS, Cochrane Library; PROQUEST and Google Scholar. Review Methods (a) Constructs identified in an IR (Blackstock et al., 2018) guided a literature review on predictive variables linked to new graduate nurse's co‐worker incivility experiences; (b) an ecological approach was explored; and (c) we demonstrate how multidimensional organizational factors related to incivility experiences of new graduate nurses can be situated in an ecological model. Results Structural and organizational factors, and nurse leaders influencing new graduate nurses' experiences are situated in an ecological model. Placing new graduate nurses' co‐worker incivility experiences in the microsystem and close to the mesosystem (nurse supervisor) and exosystem (workplace empowerment) of our ecological model provides new insights into their incivility experiences and informs future research. Conclusion The ecological approach and operational definition of incivility help to clarify incivility behaviours as not merely individual behaviours observed by others needing corrective cognitive behaviours, nor support in a graduate transition program, but rather a symptom of work environment factors contributing to multidimensional work environments of new graduate nurses' and influence incivility behaviours. Impact New graduate nurse co‐worker incivility research could measure change across time and across system domains informed by this ecological approach and can shape new ways of thinking about how to prevent and mitigate incivility.

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Section: Introductionmentioning

confidence: 99%

A review: Developing an ecological model approach to co‐worker incivility experiences of new graduate nurses

Blackstock

Cummings

Glanfield

et al. 2022

Journal of Advanced Nursing

View full text Add to dashboard Cite

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“…For example, previous studies have indicated that high civility climate is significantly related to high care performance among nurses [ 36 , 37 ]. It is considered important for individuals, organizations, and patients to foster civility in nursing education and practice [ 38 , 39 ]. While previous CREW program studies have evaluated the effect of civility social climate on work-related outcomes [ 23 , 24 , 25 ], no study has explored work engagement.…”

Section: Introductionmentioning

confidence: 99%

The Effects of the Civility, Respect, and Engagement in the Workplace (CREW) Program on Social Climate and Work Engagement in a Psychiatric Ward in Japan: A Pilot Study

et al. 2021

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Background: Good social climate and high work engagement are important factors affecting outcomes in healthcare settings. This study observed the effects of a program called Civility, Respect, and Engagement in the Workplace (CREW) on social climate and staff work engagement in a psychiatric ward of a Japanese hospital. Methods: The program comprised 18 sessions installed over six months, with each session lasting 30-min. Participation in the program was recommended to all staff members at the ward, including nurses, medical doctors, and others, but it was not mandatory. A serial cross-sectional study collected data at four time-points. Nurses (n = 17 to 22), medical doctors (n = 9 to 13), and others (n = 6 to 10) participated in each survey. The analysis of variance was used to evaluate the changes in the following dependent variables, the Essen climate evaluation schema (EssenCES), the CREW civility scale, and the Utrecht work engagement scale (UWES) over time. Result: We found no significant effects. The effect size (Cohen’s d) for EssenCES was 0.35 from baseline to post-installation for all staff members. Effect sizes for EssenCES for medical doctors and UWES for nurses were 0.79 and 0.56, respectively, from baseline to post-program. Conclusions: Differences in social climate and work engagement among Japanese healthcare workers between the baseline and post-installation of the CREW program were non-significant.

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An Intergenerational Comparison of Civility: Nursing Students and Nurse Educators

Henry Jenkins,

Astroth

2024

J Nurs Educ

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Purpose: Intergenerational differences in perceptions related to civility among nursing students and nurse educators were explored. Method: A convenience sample of 13 students and 10 educators were interviewed in this descriptive qualitative study. Results: Both groups defined civility as kindness, collaboration, and respect. Educators described civil students as being open to learning, polite, appreciative, and gracious. Students described civil educators as listening without judgment and being supportive and respectful. Educators described uncivil students as being disrespectful and entitled, and improperly using social media. Students described uncivil educators as belittling and impatient, and failing to listening. Conclusion: Respect was the strongest theme for both students and educators. In describing civil acts, students focused on cooperation to accomplish classroom and clinical tasks, whereas educators focused on productive classroom behaviors. More research on intergenerational differences is needed to help nurse educators develop interventions that allow faculty to view civility from a student perspective. [ J Nurs Educ . 2024;63(2):86–92.]

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An Innovative Civility Intervention Created by a Faculty and Student Action Research Team

Cited by 5 publications

References 14 publications

A review: Developing an ecological model approach to co‐worker incivility experiences of new graduate nurses

A review: Developing an ecological model approach to co‐worker incivility experiences of new graduate nurses

The Effects of the Civility, Respect, and Engagement in the Workplace (CREW) Program on Social Climate and Work Engagement in a Psychiatric Ward in Japan: A Pilot Study

An Intergenerational Comparison of Civility: Nursing Students and Nurse Educators

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