The effectiveness of education and cognitive rehearsal in managing nurse‐to‐nurse incivility: A pilot study

Abstract

This educational intervention advances civility in nursing practice, promoting a positive work environment in which patients are cared for in a safe and efficient manner.

Incivility through the continuum of nursing: A concept analysis

“…Within the literature reviewed, two main themes were identified as antecedents: a culture of incivility and power gradient. A culture of incivility is the presence of negative behaviors in academia and the workplace with or without policies against uncivil behaviors, lacking collaboration, or demonstrating ineffective communication to promote change . In the work and academic environments, a lack of positive role models exist who demonstrate civil interactions .…”

“…Power gradients exist between individuals of different social or environmental status that create a “sense” of the authority of one individual over another. In nursing, power gradients exist based on seniority and position, or role, within the environment . While seniority is predominantly in the workplace related to the length of service, seniority is also present among nursing students based on their semester placement in the nursing program and nursing faculty based on rank, including tenure or nontenure track and clinical versus didactic role.…”

“…The described demeaning actions were mainly verbal. In the literature, demeaning actions included rude, sarcastic remarks, passive‐aggressive statements, belittling language, and gossiping …”

“…By incorporating psychosocial distress instead of psychological distress, a new definition is created that provides a holistic perspective of the consequences of incivility on the individual. Psychosocial distress diminishes an individual's satisfaction in the workplace leading to a turnover . Psychosocial consequences in the literature include impaired self‐confidence, impaired self‐esteem, and an impaired social image or sense of belonging …”

“…Furthermore, Andersson and Pearson and Clark failed to address the negative social effects of incivility on nurses. While mental, physical and emotional distress can result from incivility, psychosocial distress diminishes an individual's need in the workplace . In addition, the failure to explicitly delineate expected behaviors or societal norms within an environment contributes to or presents an ambiguous definition of incivility that requires personal interpretation …”