Workplace incivility and its influence on professional quality of life among nurses from multicultural background: A cross‐sectional study

Abstract

Aims and Objectives To investigate the workplace incivility of nurses working in two Saudi hospitals and analyse its influence on the nurses’ professional quality of life (ProQOL). Background The prevalence and economic impact of workplace incivility cannot be overstated and disregarded. To the current authors’ knowledge, no extensive study on this topic has been conducted in Saudi Arabia. The influence of workplace incivility to ProQOL of nurses from different cultural backgrounds has never been thoroughly investigated. Design Descriptive, cross‐sectional design. Methods A sample of 378 nurses working in two government hospitals in Saudi Arabia were surveyed using the Nursing Incivility Scale and the ProQOL Scale version 5 from February to May 2018. A multivariate multiple regression analysis was conducted to analyse the multivariate effect of workplace incivility on the nurses’ ProQOL. The study adhered to the STROBE guideline (See Supporting Information File 1). Results The nurses perceived a moderate level of workplace incivility from the different sources of uncivil acts measured in this study. Among the five sources of incivility explored in this study, the nurses reported the majority of workplace incivility experienced from patients/visitors (M = 2.44, SD = 0.80), while the lowest was from supervisors (M = 1.90, SD = 0.66). The mean scores of the respondents in the compassion satisfaction, burnout and secondary traumatic stress subscales were 36.50 (SD = 6.30), 26.43 (SD = 4.81) and 26.47 (SD = 6.06), respectively. General incivility, supervisor incivility, physician incivility and patient/visitor incivility showed a significant multivariate effect on the three ProQOL subscales. Conclusions Nurses’ experience of workplace civility and its sources were associated with ProQOL. Relevance to clinical practice. The findings of this study can be used as guide in establishing human resource policies towards achieving nurses’ needs, reducing workplace incivility and improving ProQOL.

Influence of workplace incivility on the quality of nursing care

“…The nurses' mean years of experiences were 7.05 ( SD = 4.68) years in the nursing profession, 4.78 ( SD = 3.89) years in Saudi Arabia and 2.08 ( SD = 3.43) years in the current hospital. The nurses worked in various clinical areas, including the Emergency Room (5.0%), the Outpatient Department (6.9%), the Medical Department (24.3%), the Surgical Department (19.8%), the Intensive Care Unit (16.6%), the Operating Room (6.9%), the Obstetric Department (7.7%), the Artificial Kidney Unit (5.3%) and the Paediatric Department (7.4%) (Alshehry et al, ).…”

“…This descriptive, cross‐sectional, comparative study is the second part of a study that examines the WPI experiences of nurses, their perceived professional quality of life and QNC in two government hospitals in Saudi Arabia. An article reporting on the impact of WPI on the professional quality of life of nurses was previously published (Alshehry et al, ). This current paper reported the results of an examination of the influence of WPI on QNC.…”

“…Consequently, they may feel unrespected, reprimanded, harassed, emotionally abused and mobbed by their supervisor. A recent study by Alshehry et al (2019) Freitas, Silva, Minamisava, Bezerra, and Sousa (2014), QNC is based on patients' personal views as receivers of healthcare services. In order to provide QNC, nurses should be knowledgeable and skilful in patient care (Kieft, de Brouwer, Francke, & Delnoij, 2014).…”

“…Consequently, they may feel unrespected, reprimanded, harassed, emotionally abused and mobbed by their supervisor. A recent study by Alshehry et al () revealed 165 (29%) Saudi nurses and 268 (71%) expatriate nurses working in two Saudi hospitals who reported experiencing WPI, most of which came from patients/visitors.…”

“…However, measuring the QNC is not only about nurses' performance but also about how nursing is organised and delivered within healthcare institutions (Freitas et al, ). In the study of Alshehry et al (), good workplace environment of nurses improves the patient‐centred care delivery. In addition, patients are also satisfied with the care delivered if there is an interdisciplinary collaboration between nurses and other healthcare professionals (Al‐Hussami et al, ).…”