Impact of Cognitive Rehearsal Training Over Time for New Registered Nurses

Abstract

Background New RNs are most at risk for being bullied in health care. Cognitive rehearsal training (CRT) as an anti-bullying intervention is a novel approach to address the issue using role-play to respond to scenarios involving bullying. Previous studies ( Griffin, 2004 ; O'Connell et al., 2019 ) show that students find the CRT strategy useful to increase their confidence and competence when managing a bullying situation. Method New RNs ( N = 15) who had attended a CRT workshop 1 to 2 years previously answered an in-depth survey as to how they had used the training in the interim period. Results Seventy-one percent of the participants were able to recognize bullying behavior, and 64% had been able to stop from reacting immediately. Half of the participants reported taking time to reflect on the context of the bullying and manage their emotions and then respond in a professional manner. Conclusion Nurses in this study requested further CRT to solidify their learning, which could result in more prosocial responses to bullying. [ J Contin Educ Nurs . 2022;53(5):203–211.]

Crushing each other with gossip in nursing academia: Sophisticated communication or a symptom of dysfunction?

“…[31,34] Providing cognitive rehearsal simulations as an anti-bullying strategy and workshops on collaboration and mindfulness are encouraged to manage conflict, enhance a culture of positive communication, and proactively work through incivility within the workplace. [33,35] Nurse leaders in academia are uniquely positioned to manage talk, as their units on campuses represent professionals who advocate for population wellbeing; thus, as qualified health care providers and administrators of health care, leaders in nursing seem to fit well with role modelling and implementing campus-wide vision statements on acceptable organizational behaviours and professional values.…”

Smartphone-Based Virtual and Augmented Reality Implicit Association Training (VARIAT) for Reducing Implicit Biases Toward Patients Among Health Care Providers: App Development and Pilot Testing

“…One example of this type of intervention is the development and implementation of automatic patient care prompts through electronic portals, where computer algorithms are standardized for all patients regardless of sociodemographic backgrounds, attempting to reduce opportunities for human interference (beyond the algorithm development phase) [ 23 ]. A second type of intervention uses cognitive rehearsal to walk practitioners through potentially harmful scenarios to practice their ideal response; this has shown promise at changing health care practitioner behavior to reduce bullying and workplace turnover [ 24 25 ]. While not widely used in combatting health care bias explicitly, the methodology shows a clear avenue for its application to bias training.…”