Modeling Character: Servant Leaders, Incivility and Patient Outcomes

Neubert, Mitchell J.; Hunter, Emily M.; Tolentino, Remy C.

doi:10.1007/s10551-021-04783-7

Cited by 11 publications

(18 citation statements)

References 105 publications

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“…With the exception of one qualitative study (Clark et al, 2011 ), the remainder of the included studies employed a cross‐sectional design. Sample populations constituted nurses from the same role, with one study including nurse leaders (Clark et al, 2011 ), two studies including new graduate nurses (Alkaabi & Wong, 2019 ; Laschinger & Read, 2016 ) and five studies including staff nurses (Kaiser, 2017 ; Laschinger et al, 2014 ; Lewis & Malecha, 2011 ; Neubert et al, 2021 ; Smith et al, 2018 ). Nurses reported working in medical‐surgical units for the majority of the reviewed studies, followed by the operating room (Lewis & Malecha, 2011 ) and critical care unit (Smith et al, 2018 ).…”

Section: Resultsmentioning

confidence: 99%

“…Nurses reported working in medical-surgical units for the majority of the reviewed studies, followed by the operating room (Lewis & Malecha, 2011) and critical care unit (Smith et al, 2018). However, three of the reviewed studies did not collect or report on nurses' areas of employment (Clark et al, 2011;Kaiser, 2017;Neubert et al, 2021).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Authentic leaders carry a strong sense of self and actively practice core values (Giordano‐Mulligan & Eckardt, 2019 ), whereas resonant leaders focus on building trusting relationships to ensure positive outcomes for their followers (Squires et al, 2010 ). Placing faith in their followers' abilities is a defining trait of servant leaders (Neubert et al, 2021 ), who focus on serving others. Conversely, transformational leaders foster growth in followers by fostering interpersonal relationships (Kaiser, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

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Nurse leadership in promoting and supporting civility in health care settings: A scoping review

Ota

Lam

Gilbert

et al. 2022

J Nursing Management

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Aim This scoping review aimed to identify the existing evidence on how nurse leaders promote and maintain civility amongst nurses in health care settings. Background Research on managing workplace incivility in nursing, a prevalent and concerning issue worldwide, recommends nurse leaders to command cultural change through strong leadership and civility interventions. However, there is very little empirical evidence summarizing and analysing how nurse leaders pragmatically achieve civility, and combat workplace incivility, in the health care setting. Evaluation A scoping review was undertaken using the electronic databases CINAHL, Emerald Insight, MEDLINE, PsychINFO, PubMed and Scopus. Google Scholar was used to search for grey literature. Key issues The eight studies included in this review describe how nurse leaders promote and maintain civility under four key themes: (1) creating a shared vision, (2) educating self and others, (3) fostering accountability and (4) providing support. Conclusion The review provides an overview of commonly used strategies and actions that pragmatically promote and maintain civility in the health care setting by nurse leaders, while also highlighting areas of future research needed to strengthen the evidence base. Implications for Nursing Management It is important for nurse leaders to gain an understanding of evidence‐based practices when addressing workplace incivility in order to address this prevailing problem for the future and safety of nurses moving forward.

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Section: Resultsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Nurse leadership in promoting and supporting civility in health care settings: A scoping review

Ota

Lam

Gilbert

et al. 2022

J Nursing Management

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“…The managerial literature emphasises that incivility, especially if it is allowed to continue unchecked by poor leadership,12–15 can seriously damage organisational culture. For example, nursing unit managers or servant leaders who prioritised their followers’ needs above their own amplified positive behaviours and interactions, whereas unit-level virtuous climates were negatively associated with unit-level incivility 15. One recent review, however, concluded that there was a dearth of research on virtue ethics and nursing 16.…”

Section: Introductionmentioning

confidence: 99%

“…The professional virtue of civility should be understood to be a component of professionalism. Leaders of academic health centres, therefore, should work with faculty colleagues to create and sustain a civility-based organisational culture of professionalism 13–15 17. Organisational culture comprises an organisation’s stated mission and core values, its policies and practices, what its leaders encourage and discourage, and what its leaders tolerate, especially when leaders tolerate what should not be tolerated 17 18.…”

Section: Introductionmentioning

confidence: 99%

Professional virtue of civility and the responsibilities of medical educators and academic leaders

2023

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Incivility among physicians, between physicians and learners, and between physicians and nurses or other healthcare professionals has become commonplace. If allowed to continue unchecked by academic leaders and medical educators, incivility can cause personal psychological injury and seriously damage organisational culture. As such, incivility is a potent threat to professionalism. This paper uniquely draws on the history of professional ethics in medicine to provide a historically based, philosophical account of the professional virtue of civility. We use a two-step method of ethical reasoning, namely ethical analysis informed by pertinent prior work, followed by identifying the implications of clearly articulated ethical concepts, to meet these goals. The professional virtue of civility and the related concept of professional etiquette was first described by the English physician-ethicist Thomas Percival (1740–1804). Based on a historically informed philosophical account, we propose that the professional virtue of civility has cognitive, affective, behavioural and social components based on a commitment to excellence in scientific and clinical reasoning. Its practice prevents a dysfunctional organisational culture of incivility and sustains a civility-based organisational culture of professionalism. Medical educators and academic leaders are in a pivotal and powerful position to role model, promote and inculcate the professional virtue of civility as essential to an organisational culture of professionalism. Academic leaders should hold medical educators accountable for discharge of this indispensable professional responsibility.

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Manufacturing Motivation in the Mundane: Servant Leadership’s Influence on Employees’ Intrinsic Motivation and Performance

et al. 2023

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Modeling Character: Servant Leaders, Incivility and Patient Outcomes

Cited by 11 publications

References 105 publications

Nurse leadership in promoting and supporting civility in health care settings: A scoping review

Nurse leadership in promoting and supporting civility in health care settings: A scoping review

Professional virtue of civility and the responsibilities of medical educators and academic leaders

Manufacturing Motivation in the Mundane: Servant Leadership’s Influence on Employees’ Intrinsic Motivation and Performance

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