Implementing a Nursing Civility Code: Implications for Education

Williams, Susan; Lauerer, Joy

doi:10.3928/01484834-20130218-01

Cited by 19 publications

(11 citation statements)

References 17 publications

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“…Prevention of incivility can take a variety of forms including introducing student conduct codes, [50,51] using psychosocial approaches like guided democracy [52] or adopting a journal club approach. [4] Understanding the context that the incivility occurs in, is the key to adopting the right approach.…”

Section: Discussionmentioning

confidence: 99%

Student nurses’ experiences of incivility and the impact on learning and emotional wellbeing

Vuolo

2017

JNEP

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Background: Incivility is the display of intimidating, rude, disruptive or undesirable behaviours. Incivility in nursing has the potential to impact on the learning environment, student wellbeing and patient outcomes. Although it is a globally recognised phenomenon, relatively little is known about it in the context of nurse education in the United Kingdom, where the students’ time is divided equally between theory and practice and a nurse mentor is allocated to each student when on clinical placement.Methods: A phenomenological qualitative design was used to explore the experiences of ten student nurses studying on a three year degree level pre-registration (pre-licensure) nursing programme. Data was collected by in-depth, semi-structured, face-to-face interviews which were tape-recorded and transcribed verbatim. Thematic analysis was conducted using Interpretative Phenomenological Analysis as a framework.Results: Student nurses can experience incivility in both classroom and clinical settings with negative consequences in terms of learning and personal wellbeing. Four superordinate (main) themes (Knowing-Not Knowing/Positioning/The Invisible Student/Distraction) were identified along with a further fifteen subordinate themes which included misuse, being nameless and feeling a burden.Conclusions: These findings add further to our understanding of incivility in nursing education and specifically the potential for incivility to impact on learning and students’ emotional wellbeing. Incivilities related to ‘the Invisible Student’ and ‘Knowing-Not Knowing’ are particularly worthy of further exploration as they reveal a hitherto unappreciated dimension of this complex, globally recognised phenomena.

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Section: Discussionmentioning

confidence: 99%

Student nurses’ experiences of incivility and the impact on learning and emotional wellbeing

Vuolo

2017

JNEP

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“…In addition to demonstrating professionalism, faculty must support student learning in a safe, healthy learning environment created with civility (Center, ; Clark, ; Clark & Cardoni, , Clark & Kenaley, ; Theart & Smit, ). Nurse faculty is responsible to outline acceptable civil behaviors (Clark et al., , Williams & Lauerer, ) and must be prepared to intercede if necessary (Shanta & Eliason, ). Broome and Williams‐Evans (), Clark et al.…”

Section: Review Of Literaturementioning

confidence: 99%

“…Classroom rules and expectations should be explicitly reviewed on the first day of class and be included in the course syllabus (DalPezzo & Jett, ; Jenkins et al., ; Kerber et al., ; Robertson, ; Shanta & Eliason, ). In addition, Williams and Lauerer () suggest that students sign a contract documenting acknowledgment of the civility code expectations. A similar practice is also supported for establishing rules of acceptable behavior in online nursing classes (Hart & Morgan, ) and is referred to as netiquette (Rieck & Crouch, ).…”

Section: Review Of Literaturementioning

confidence: 99%

“…Other uncivil behaviors noted in online environments include rudeness in tone, yelling through posts in all uppercase letters, disrespectful language, and being overly critical of others (Rieck & Crouch, ). The behaviors that contribute to incivility are commonly referred to as bullying (Broome & Williams‐Evans, ; Clark, Olender, Cardoni, & Kenski, ; Clarke et al., ; Dellasega, ; Jenkins, Kerber, & Woith, ; Kear, ; Kerber, Jenkins, Woith, & Kim, ; Williams & Lauerer, ), lateral/horizontal violence (Broome & Williams‐Evans, ; Clarke et al., ; Kear, ; Williams & Lauerer, ), and relational aggression (Clarke et al., ; Dellasega, ). Incivility has been present within the profession of nursing for decades and has been referred to as “nurses eating their young” (Clarke et al., ).…”

Section: Introductionmentioning

confidence: 99%

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Promotion of Nursing Student Civility in Nursing Education: A Concept Analysis

Woodworth

2015

Nurs Forum

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“…In addition, a faculty-to-faculty network was emphasized for providing emotional support and seeking advice from a mentor. Nurse educators need to share successful experiences of incivility prevention or management [41].…”

Section: Summary Of Evidencementioning

confidence: 99%

Nurse educators’ experiences with student incivility: a meta-synthesis of qualitative studies

Park

Kang²

2020

J Educ Eval Health Prof

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Purpose: This study aimed to synthesize the best available qualitative research evidence on experiences of nurse educators with student incivility in undergraduate nursing classrooms. Methods: A meta-synthesis of qualitative evidence using thematic synthesis was conducted. A systematic search was performed of 12 databases for relevant literature with a publication date limit of March 31, 2019. Two reviewers independently conducted critical quality appraisals using the checklist for qualitative research developed by the Joanna Briggs Institute. Results: Eleven studies that met the inclusion criteria were selected in the review. From pooled study findings 26 descriptive themes were generated and categorized into the following 5 analytical themes: (i) contributing factors to student incivility, (ii) management of student incivility, (iii) impact: professional and personal damage, (iv) impact: professional growth, (v) initiative for the future. Conclusions: Many nurse educators became confident in their role accountability as both an educator and a gatekeeper and experienced professional growth. However, others experienced damage to personal and professional life and became demotivated for teaching. Nurse educators recommended strategies for preventing or better managing student incivility: institutional efforts of a university, unified approaches for student incivility within a nursing program, a faculty-to-faculty network for mentoring, and a better teaching and learning strategies of an individual educator. These strategies would help all nurse educators experience professional growth by successfully preventing and managing student incivility.

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Implementing a Nursing Civility Code: Implications for Education

Cited by 19 publications

References 17 publications

Student nurses’ experiences of incivility and the impact on learning and emotional wellbeing

Student nurses’ experiences of incivility and the impact on learning and emotional wellbeing

Promotion of Nursing Student Civility in Nursing Education: A Concept Analysis

Nurse educators’ experiences with student incivility: a meta-synthesis of qualitative studies

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