Abstract:Purpose
This study assessed clinical nurses’ workplace incivility experiences and determined the effects of workplace incivility experiences on nurses’ patient safety competence.
Design
This quantitative study surveyed 261 clinical nurses in two acute healthcare facilities in Saudi Arabia from June to August 2019.
Methods
A self‐administered survey, including the Nurse Incivility Scale and the Health Professional Education in Patient Safety Survey, was employed to assess the variables workplace incivility and … Show more
“…At times, CRCs' roles in advocating for patients, patients-turnedresearch-participants, and research may conflict, and coordinators must balance these roles within a large interprofessional team [46]. Previous research indicates that health care team relationships are critical to patient outcomes, and team relationship quality predicts patient mortality rates [47], treatment adherence [48], and patient safety [49]. Our data indicate that coordinators generally find support among their CRC colleagues.…”
While oncology clinical research coordinators (CRCs) experience a combination of factors that are thought to put them at increased risk for burnout, very little research has been conducted to understand the risk factors associated with burnout among CRCs. We used a mixed-method approach, including self-report questionnaires to assess burnout and compassion satisfaction, as well as individual and interpersonal variables hypothesized to impact CRC well-being. We also conducted a focus group to gain a more nuanced understanding of coordinators’ experiences around burnout, teamwork, resilience, and incivility. Coordinators reported relatively moderate levels of burnout and compassion satisfaction. Resilience, sleep dysfunction, stress, and incivility experienced from patients/family were significant predictors of burnout. Resilience and incivility from patients/family were significant predictors of compassion satisfaction. Themes that emerged from the focus group included that burnout is triggered by feeling overwhelmed from the workload, which is buffered by what was described as a supportive work culture based in teamwork. This study identified variables at the individual and interpersonal level that are associated with burnout and compassion satisfaction among oncology CRCs. Addressing these variables is of critical importance given that oncology CRCs and team-based coordinator care are vital to the success of clinical trials.
“…At times, CRCs' roles in advocating for patients, patients-turnedresearch-participants, and research may conflict, and coordinators must balance these roles within a large interprofessional team [46]. Previous research indicates that health care team relationships are critical to patient outcomes, and team relationship quality predicts patient mortality rates [47], treatment adherence [48], and patient safety [49]. Our data indicate that coordinators generally find support among their CRC colleagues.…”
While oncology clinical research coordinators (CRCs) experience a combination of factors that are thought to put them at increased risk for burnout, very little research has been conducted to understand the risk factors associated with burnout among CRCs. We used a mixed-method approach, including self-report questionnaires to assess burnout and compassion satisfaction, as well as individual and interpersonal variables hypothesized to impact CRC well-being. We also conducted a focus group to gain a more nuanced understanding of coordinators’ experiences around burnout, teamwork, resilience, and incivility. Coordinators reported relatively moderate levels of burnout and compassion satisfaction. Resilience, sleep dysfunction, stress, and incivility experienced from patients/family were significant predictors of burnout. Resilience and incivility from patients/family were significant predictors of compassion satisfaction. Themes that emerged from the focus group included that burnout is triggered by feeling overwhelmed from the workload, which is buffered by what was described as a supportive work culture based in teamwork. This study identified variables at the individual and interpersonal level that are associated with burnout and compassion satisfaction among oncology CRCs. Addressing these variables is of critical importance given that oncology CRCs and team-based coordinator care are vital to the success of clinical trials.
“…These found significant associations between unacceptable behaviour and the perceived frequency of errors,30 adverse events (such as medication errors, nosocomial infections and falls29 44) and near misses or negative outcomes 45. Three studies found either direct23 46 or indirect47 associations between the frequency of unacceptable behaviour and patient safety culture of their workplace, while a fourth study48 demonstrated an association with individual HCW safety competence.…”
BackgroundRecent studies suggest that displays of unacceptable behaviour, including bullying, discrimination and harassment, between healthcare workers (HCWs) may impair job performance, and in turn, increase the frequency of medical errors, adverse events and healthcare-related complications. The objective of this systematic review was to summarise the current evidence of the impact of unacceptable behaviour occurring between HCWs on clinical performance and patient outcomes.MethodsWe searched MEDLINE, Embase, PsycINFO and CINAHL from 1 January 1990 to 31 March 2021. The search results were screened by two independent reviewers and studies were included if they were original research that assessed the effects of unacceptable behaviour on clinical performance, quality of care, workplace productivity or patient outcomes. Risk of bias was assessed using tools relevant to the study design and the data were synthesised without meta-analysis.ResultsFrom the 2559 screened studies, 36 studies were included: 22 survey-based studies, 4 qualitative studies, 3 mixed-methods studies, 4 simulation-based randomised controlled trials (RCTs) and 3 other study designs. Most survey-based studies were low quality and demonstrated that HCWs perceived a relationship between unacceptable behaviour and worse clinical performance and patient outcomes. This was supported by a smaller number of higher quality retrospective studies and RCTs. Two of four RCTs produced negative results, possibly reflecting inadequate power or study design limitations. No study demonstrated any beneficial effect of unacceptable behaviour on the study outcomes.ConclusionsDespite the mixed quality of evidence and some inconsistencies in the strengths of associations reported, the overall weight of evidence shows that unacceptable behaviour negatively affects the clinical performance of HCWs, quality of care, workplace productivity and patient outcomes. Future research should focus on the evaluation and implementation of interventions that reduce the frequency of these behaviours.
“…The American Nurses Association de nes incivility as "one or more rude, discourteous, or disrespectful actions that may or may not have a negative intent behind them" [7]. These behaviors include sarcastic remarks, grinning, contemptuous tone of voice, hostile looks, interrupting others, shouting, spreading rumors, taking advantage of others' attempts and achievements, and ignoring authority and identity in front of colleagues [8,9].…”
Section: Introductionmentioning
confidence: 99%
“…Incivility in the nursing profession can have signi cant consequences for nurses, patients, and health care organizations [14]. Nurses who are affected by such behaviors in their work environment may experience psychological and physiological distress [7] and problems such as low self-esteem, anxiety, fatigue, sleep disturbance, and depression [15]. Such behaviors can also lead to reduced quality of patient care, poor health outcomes in patients, increased medication errors [16], organizational con icts, burnout, increased job stress, deciding to quit nursing, declined organizational commitments, and weaker work performance [16,17].…”
Section: Introductionmentioning
confidence: 99%
“…Such behaviors can also lead to reduced quality of patient care, poor health outcomes in patients, increased medication errors [16], organizational con icts, burnout, increased job stress, deciding to quit nursing, declined organizational commitments, and weaker work performance [16,17]. Reviewing existing studies and evidence con rms that the experience of incivility in the workplace can affect the quality of the professional life of nurses [1,7,18]. However, more studies are required in different areas [1].…”
Background: Workplace Incivility is a common issue in the nursing profession. On the other hand, studies imply that the professional quality of life in nurses is lower than average. Therefore, this study aimed to investigate the relationship between workplace incivility and the professional quality of life in nurses.Methods: This cross-sectional correlational study was conducted in 2021 in Tehran. Participants were 200 nurses randomly recruited from selected hospitals of TUMS. Data were collected using a demographic questionnaire, the Nursing Incivility Scale (NIS), and the Professional Quality Of Life scale (ProQOL). Data analysis was performed through correlation test and multiple regression analysis, using the SPSS software version 16.Results: The mean age of participants was 32.30 ± 7.22, and 76.5% were female. There was a significant correlation between the professional quality of life and workplace incivility. Multiple regression analysis between the subscales of workplace incivility and professional quality of life demonstrated that the incivility from the supervisor (β= -0.29, P= 0.001) and incivility from patients (β= -0.27, P< 0.001) can predict the compassion satisfaction dimension. The incivility from the supervisor (β= 0.24, P= 0.001) and incivility from patients (β= 0.26, P< 0.001) can explain burnout. The incivility from the patients can explain secondary traumatic stress (β= 0.14, P= 0.02).Conclusions: This study showed that nurses experienced the incivility of various groups, including doctors and patients. Therefore, it seems necessary to identify behaviors of incivility and to reduce them through various ways like continuous training courses, clarifying the roles of nurses, and improving the professional image of nursing in society.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.