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Incivility in Nursing

Incivility in Nursing

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Be able to def<strong>in</strong>e <strong>Incivility</strong><br />

Understand how <strong>Incivility</strong> Impacts Nurs<strong>in</strong>g<br />

Describe Behaviors that are Considered<br />

Uncivil<br />

Discuss what we can do to Reduce this<br />

Problem


“<strong>Incivility</strong> <strong>in</strong> nurs<strong>in</strong>g education is def<strong>in</strong>ed<br />

as rude or disruptive behaviors which<br />

often result <strong>in</strong> physiological or<br />

psychological distress for people<br />

<strong>in</strong>volved and if left unaddressed, may<br />

progress <strong>in</strong>to a threaten<strong>in</strong>g situation”<br />

(Clark, Farnsworth & Landrom, 2008).


Patient Safety<br />

Student and Faculty Safety<br />

Patient Satisfaction<br />

Learn<strong>in</strong>g Environment


Arriv<strong>in</strong>g Late<br />

Rude<br />

Comments<br />

Threaten<strong>in</strong>g<br />

or<br />

Intimidat<strong>in</strong>g<br />

Violence


Manag<strong>in</strong>g Multiple<br />

Roles<br />

Competitive<br />

Environment<br />

Time Commitments<br />

Stress


Disrespect to other Students/Faculty<br />

Attitudes<br />

Inappropriate Emails/Social Network<br />

Question<strong>in</strong>g Faculty Credibility<br />

Us<strong>in</strong>g Cell Phones <strong>in</strong> Class


Mak<strong>in</strong>g others feel <strong>in</strong>adequate<br />

Refusal to help others<br />

Refusal to work with students<br />

Threaten<strong>in</strong>g or <strong>in</strong>timidat<strong>in</strong>g


Be<strong>in</strong>g Unavailable<br />

Subjective Grad<strong>in</strong>g<br />

Condescend<strong>in</strong>g Remarks<br />

Not Allow<strong>in</strong>g Questions


Attrition<br />

Low Self-Esteem<br />

Physical/Emotional Distress<br />

F<strong>in</strong>ancial Implications


Students Faculty and Nurses<br />

Be Prepared Clear Expectations<br />

Be Respectful Respect for Students<br />

Be Open m<strong>in</strong>ded Objective Feedback<br />

Contract Contract


Intimidat<strong>in</strong>g & disruptive behaviors are<br />

unprofessional<br />

It’s everyone’s responsibility to behave <strong>in</strong><br />

a civil manner<br />

Patients, students, nurses, and faculty<br />

benefit from positive environment


American Association of Colleges of Nurses.<br />

(2011). AACN Standards for Healthy Work<br />

Environment. Retrieved from<br />

http://www.aacn.org<br />

Clark, C. M., & Davis-Kenaley, B. L. (2011).<br />

Faculty empowerment of students to foster<br />

civility <strong>in</strong> nurs<strong>in</strong>g education: A merg<strong>in</strong>g of<br />

two conceptual models. Nurs<strong>in</strong>g Outlook,<br />

59(3), 158- 165.


Clark, C.M., Farnsworth, J. & Landrum,<br />

R.E. (2008). Development of description<br />

of the <strong>in</strong>civility <strong>in</strong> nurs<strong>in</strong>g education. The<br />

Journal of Theory Construction and<br />

Test<strong>in</strong>g, 13(1), 7-15.<br />

Jo<strong>in</strong>t Commission. (2008). Behaviors that<br />

underm<strong>in</strong>e a culture of safety. Retrieved<br />

from<br />

http://www.jo<strong>in</strong>tcommission.org/sent<strong>in</strong>el<br />

events


Luparell, S. (2011). Academic education.<br />

<strong>Incivility</strong> <strong>in</strong> nurs<strong>in</strong>g: the connection<br />

between academia and cl<strong>in</strong>ical sett<strong>in</strong>gs.<br />

Critical Care Nurse, 31(2), 92-95. doi:<br />

10.4037/ccn2011171<br />

Robertson, J.E. (2012). Can’t we all just<br />

get along? A primer on student <strong>in</strong>civility<br />

<strong>in</strong> nurs<strong>in</strong>g. Nurs<strong>in</strong>g Education<br />

Perspectives,33(1), 21-26. doi:<br />

10.5480/1536-5026-33.1.21

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