Harm from disrespect has been identified as the next frontier in patient safety efforts.
Disrespectful and uncivil behaviors in healthcare settings can have detrimental effects
on individuals, teams, organizations, and patient safety—including life-threatening
mistakes, preventable complications, or harm to a patient. This article focuses on
the impact of incivility on the patient care environment; explores ethical, legal,
regulatory, and educational implications of workplace incivility; and provides evidence-based
strategies to promote a culture of civility and respect in healthcare.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Nursing RegulationAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Bullying: The antithesis of caring acknowledging the dark side of the nursing profession.International Journal of Caring Sciences. 2015; 8: 765-773
- Pocket guide.TeamSTEPPSTM, 2014 (Retrieved from)
- AACN standards for establishing and sustaining healthy work environments: A journey to excellence.2nd ed. Author, Aliso Viejo, CA2016 (Retrieved from)
- Position statement: Incivility, bullying, and workplace violence.2015 (Retrieved from)
- Code of ethics for nurses with interpretive statements.Author, Washington, DC2015
- Mass. S.B. 1013, 190th Gen. Court, Reg. Sess An Act Addressing Workplace Bullying, Mobbing, and Harassment, Without Regard to Protected Class Status. 2017
- Transformational change in health care: Changing the question.Hospital Topics: Research and Perspectives on Health Care. 2005; 83: 19-26
- Lateral violence and bullying in the workplace.(Retrieved from)
- Combining cognitive rehearsal, simulation, and evidence-based scripting to address incivility.Nurse Educator. 2019; 44: 64-68
- Creating and sustaining civility in nursing education.2nd ed. Sigma Theta Tau International Publishing, Indianapolis, IN2017
- An evidence-based approach to integrate civility, professionalism, and ethical practice into nursing curricula.Nurse Educator. 2017; 42: 120-126
- Development and description of the Organizational Civility Scale (OCS).Journal of Theory Construction & Testing. 2013; 17: 11-17
- Policy to foster civility and support a healthy academic work environment.Journal of Nursing Education. 2018; 57: 325-331
- Development and testing of the Healthy Work Environment Inventory (HWEI): A reliable tool for assessing work environment health and satisfaction.Journal of Nursing Education. 2016; 55: 555-562
- Teaching cognitive rehearsal as a shield for lateral violence: An intervention for newly licensed nurses.Journal of Continuing Education in Nursing. 2004; 35: 257-263
- Revisiting cognitive rehearsal as an intervention against incivility and lateral violence in nursing: 10 years later.Journal of Continuing Education in Nursing. 2014; 45: 535-542
- Patient safety and workplace bullying.Journal of Nursing Care Quality. 2017; 32: 164-171
- Hostile clinician behaviours in the nursing work environment and implications for patient care: A mixed-methods systematic review.BMC Nursing. 2013; 12: 25-44
- Position statement: Prevention and management of workplace violence.(Retrieved from)
- International Code of Ethics for Nurses.(Retrieved from)
- An investigation of organizational and regulatory discourses of workplace bullying.Workplace Health & Safety. 2015; 63: 452-461
- Perception of new nurses concerning incivility in the workplace.Journal of Continuing Education. 2015; 46: 522-527
- A field guide to real-time culture change: Just “rolling out” a training program won’t cut it.The Journal of Medical Practice Management: MPM. 2014; 29: 294-303
- Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes.Journal of Nursing Administration. 2014; 44: 284-290
- Cognitive rehearsal.American Nurse Today. 2017; 12: 41-43
- Human resource management.12th ed. Thomson/South-Western Publisher, Mason, OH2008
- Ethical and legal issues associated with bullying in the nursing profession.Journal of Nursing Law. 2012; 15: 9-13
- Crucial moments in healthcare: Patient safety and quality of care impacted by silence around five common workplace issues.(Retrieved from)https://www.vitalsmarts.com/healthcare/Date: 2017
- The silent treatment: Why safety tools and checklists aren’t enough to save lives.(Retrieved from)http://www.silenttreatmentstudy.comDate: 2011
- Civility norms, safety climate, and safety outcomes: A preliminary investigation.Journal of Occupational Health Psychology. 2014; 19: 437-452
National Center for Organization Development. (n.d.). Civility, Respect, and Engagement in the Workplace (CREW). Retrieved from https://www.va.gov/NCOD/CREW.asp
- The nursing regulatory environment in 2018: Issues and challenges.Journal of Nursing Regulation. 2018; 9: 52-67
- New Installment in NLN Vision Series: Creating community to build a civil and healthy academic work environment [News release].(Retrieved from)
- Civility, respect, engagement in the workforce (CREW): Nationwide organization development intervention at Veterans Health Administration.Journal of Applied Behavioral Science. 2009; 45: 384-410
- Incidence and impact of physician and nurse disruptive behaviors in the emergency department.Journal of Emergency Medicine. 2012; 43: 139-148
- Using simulation to teach responses to lateral violence: Guidelines for nurse educators.Nurse Educator. 2017; 42: 133-137
- A road map for advancing the practice of respect in health care: The results of an interdisciplinary modified Delphi consensus study.Joint Commission Journal on Quality & Patient Safety. 2018; 44: 463-476
- Workplace bullying: The effectiveness of a workplace program.Workplace Health & Safety. 2013; 61: 333-338
- Evaluation of a workplace bullying cognitive rehearsal program in a hospital setting.Journal of Continuing Education in Nursing. 2011; 42: 395-401
- Code of ethics for nurses.District of Columbia Nurse. 2015; 12 (Retrieved from): 6
- Nursing civility proclamation.(Retrieved from)http://tricouncilfornursing.org/documents/Tri-Council-Nursing-Civility-Proclamation.pdfDate: 2017, September 26
- The movement: History of the healthy workplace campaign.(Retrieved from)
Biography
Cynthia M. Clark, PhD, RN, ANEF, FAAN, is a Professor Emeritus at Boise State University, Idaho, and Strategic Nursing Advisor for ATI Nursing Education, living in Boise, Idaho.
Article info
Identification
Copyright
© 2019 National Council of State Boards of Nursing. Published by Elsevier Inc. All rights reserved.
ScienceDirect
Access this article on ScienceDirectLinked Article
- Conflict of Interest Compliance Article 3Journal of Nursing Regulation Vol. 12Issue 2
- PreviewAs is standard in scholarly publishing, NCSBN’s Journal of Nursing Regulation (JNR) requires its authors to disclose any potential conflicts of interest (COI). Although COI information has always been collected by our staff in order to support editors’ review of the paper, it was not our standard practice to publish COI statements in each article. In this issue, JNR is retrospectively publishing the COI statements, which were collected with the below papers at submission, in order to make potential COI’s transparent to readers, as well as editors.
- Full-Text
- Preview
