Perceived incivility during emergency department phone consultations

Shetty, Amith; Vaghasiya, Milan Rasikbhai; Boddy, Rachel; Unwin, Danielle

doi:10.1111/1742-6723.12564

Cited by 8 publications

(15 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Among the quantitative studies, the majority, 39 studies, relied on cross-sectional research design and used questionnaires. Other methodologies included analysis of prospective self-reports by the participants (events sampling), 21 data extracted from or collected in partly with an institutional electronic reporting systems, [22][23][24] data collected as part of a physician fitness to practice evaluation programme 25 or direct observations. 26 Qualitative studies included four interview studies, 27-30 one observational study, 15 one study based on a combination of observations and interviews 31 and one qualitative analysis of reporting systems.…”

Section: Methodology Of the Included Studiesmentioning

confidence: 99%

“…57 In the same vein, a study found that interactions with surgeons were rated by ED physicians similarly as interactions with other specialists. 21 Interestingly, in these two latter studies, surgeons were likely to work in other settings than the OR when they interacted with their medical colleagues.…”

Section: Medical Specialtiesmentioning

confidence: 99%

“…In one study, radiology was followed by general surgery, neurosurgery, cardiology and other specialties 49 and in the other study radiology was compared with medical, surgical and other specialties. 21 One study found contrasting results, with radiology as one of the medical domains with the least incivility, for example, compared with surgery, cardiology, trauma and other potentially higher risk specialties. 23 Other medical domains that were associated with more incivilities were obstetrics 12 23 -with one study showing contrasting results, 38 long term-care, 12 the ED, ICU, cardiology, 23 52 whereas a study found that nurses working in the ICU reported the least incivilities compared with other nurses.…”

Section: Medical Specialtiesmentioning

confidence: 99%

“…27 30 Finally, organisational constraints, defined as factors preventing employees to perform their task efficiently (eg, because a lack of resources), were perceived as a potential catalyst of incivilities, 13 32 36 as were task difficulties and stress. 26 36 Some other situational factors investigated by a single study and contributing to incivilities in healthcare teams were fatigue, 44 personality conflicts, 24 the reason for the interaction, that is, request for medical investigations, 21 compensation or non-work-related factors. 60 on May 10, 2021 by guest.…”

Section: Situational Influences On Incivilitiesmentioning

confidence: 99%

See 3 more Smart Citations

Predictors and triggers of incivility within healthcare teams: a systematic review of the literature

et al. 2020

View full text Add to dashboard Cite

ObjectivesTo explore predictors and triggers of incivility in medical teams, defined as behaviours that violate norms of respect but whose intent to harm is ambiguous.DesignSystematic literature review of quantitative and qualitative empirical studies.Data sourcesDatabase searches according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline in Medline, CINHAL, PsychInfo, Web of Science and Embase up to January 2020.Eligibility criteriaOriginal empirical quantitative and qualitative studies focusing on predictors and triggers of incivilities in hospital healthcare teams, excluding psychiatric care.Data extraction and synthesisOf the 1397 publications screened, 53 were included (44 quantitative and 9 qualitative studies); publication date ranged from 2002 to January 2020.ResultsBased on the Medical Education Research Study Quality Instrument (MERSQI) scores, the quality of the quantitative studies were relatively low overall (mean MERSQI score of 9.93), but quality of studies increased with publication year (r=0.52; p<0.001). Initiators of incivility were consistently described as having a difficult personality, yet few studies investigated their other characteristics and motivations. Results were mostly inconsistent regarding individual characteristics of targets of incivilities (eg, age, gender, ethnicity), but less experienced healthcare professionals were more exposed to incivility. In most studies, participants reported experiencing incivilities mainly within their own professional discipline (eg, nurse to nurse) rather than across disciplines (eg, physician to nurse). Evidence of specific medical specialties particularly affected by incivility was poor, with surgery as one of the most cited uncivil specialties. Finally, situational and cultural predictors of higher incivility levels included high workload, communication or coordination issues, patient safety concerns, lack of support and poor leadership.ConclusionsAlthough a wide range of predictors and triggers of incivilities are reported in the literature, identifying characteristics of initiators and the targets of incivilities yielded inconsistent results. The use of diverse and high-quality methods is needed to explore the dynamic nature of situational and cultural triggers of incivility.

show abstract

Section: Methodology Of the Included Studiesmentioning

confidence: 99%

Section: Medical Specialtiesmentioning

confidence: 99%

Section: Medical Specialtiesmentioning

confidence: 99%

Section: Situational Influences On Incivilitiesmentioning

confidence: 99%

See 2 more Smart Citations

Predictors and triggers of incivility within healthcare teams: a systematic review of the literature

et al. 2020

View full text Add to dashboard Cite

show abstract

“…One study found that more than half of surveyed ophthalmology trainees in Australia and New Zealand reported bullying, harassment, or discrimination during their training, 20 while two studies examining EM physicians noted that junior physicians (both junior faculty and residents) reported that they experienced more incivility than their more senior counterparts. 5 , 21 Our cohort, when stratified by residents in their final year of training versus those in the first 3 years, did not appear to report any difference in their experience with incivility. Unfortunately, incivility does not appear to go away after training or with more time as a physician.…”

Section: Discussionmentioning

confidence: 67%

Prevalence of incivility between ophthalmology and emergency medicine residents during interdepartmental consultations

Mgboji¹,

Woreta²,

Fliotsos³

et al. 2021

AEM Education and Training

View full text Add to dashboard Cite

Objectives Since incivility is linked to adverse effects in patient care and health care worker well‐being, evaluation of the prevalence of incivility during the formative years of residency training is warranted. The aim of this study was to determine the perceived presence and degree of incivility between emergency medicine (EM) and ophthalmology residents during emergency department (ED) consultations. Methods We conducted a single‐site, survey‐based study, targeted to ophthalmology and EM residents. The survey we distributed included questions adapted from validated and widely used surveys measuring incivility in the workplace (Workplace Incivility Scale) and incivility within the ED. Results Ophthalmology (13/15, 86.7%) and EM (42/48, 87.5%) residents participated, with an overall response rate of 55 of 63 (87.3%). Most residents (47/55, 85.5%) reported some degree of incivility during consultations, with a greater proportion of females reporting incivility (100%) than males (77.4%, p = 0.033). A total of 52.7% of respondents reported occurrence of incivility on a quarterly basis; 21.8% reported monthly, 10.9% weekly, and none daily. Incivilities were reported most commonly during nonurgent consults (85.5%). The two most common incivilities reported by trainees were when the other party paid little attention to their statements or opinions (80% of residents) or doubted their professional judgment (74.5% of residents). More female trainees reported jokes being told at their expense compared to males (15.8% vs. 0%, p = 0.049). Residents most often attributed incivility to stress (78.2%), loss of empathy/burnout (63.6%), or attempts to shift responsibility to another party (60.0%). Among EM residents surveyed, incivility was identified as occurring most often during consultations with surgical specialties. Conclusions Incivility during interdepartmental consultations between EM and ophthalmology is commonly reported by physicians‐in‐training. It occurs more often during consultations deemed as nonurgent and is more commonly reported by females. Given its associations with adverse outcomes, interventions to decrease incivility early in training may be warranted.

show abstract

Communicating with Consultants

Westhoff

2023

An Emergency Physician’s Path

View full text Add to dashboard Cite

Perceived incivility during emergency department phone consultations

Cited by 8 publications

References 18 publications

Predictors and triggers of incivility within healthcare teams: a systematic review of the literature

Predictors and triggers of incivility within healthcare teams: a systematic review of the literature

Prevalence of incivility between ophthalmology and emergency medicine residents during interdepartmental consultations

Communicating with Consultants

Contact Info

Product

Resources

About