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Civility and Nursing Education
Transcript of Civility and Nursing Education
What is Civility?
Definition: Noun. polite, reasonable, and respectful behavior (Merriam-Webster’s Learner Dictionary, n.d.)
Civility (and incivility) have received attention in recent years
Moderate amount of evidence located which supports implementation of interventions in nursing curriculum to promote civil behavior
Weak research designs (e.g. no RCT or quasi-experimental studies located)
Editorial articles promote adoption of interventions that have little empirical data to demonstrate their effectiveness
Carolyn R. Smith PhD, RN
University of Cincinnati College of Nursing
Why Address Civility?
Nurses and health care professionals are at increased risk for experiencing aggression, including incivility
Tolerance of incivil behaviors fosters development of a toxic educational culture where more aggressive actions (e.g. bullying, violence) are apt to flourish.
Applications to Teaching
Future Nursing Research
Testing of interventions to promote civil behaviors
Stronger study designs
Short- and long-term efficacy
Testing of interventions to reduce, mitigate, and recover from incivil behavior
Significance to Nursing Education
Nurses are obligated "to create an ethical environment and culture of civility and kindness, treating colleagues, coworkers, employees, students, and others with respect and dignity." (American Nurses Association, 2015)
Create and adopt group norms and code of conduct
Identify behaviors that will/will not work and clarify expectations (Rieck & Crouch, 2007; Woodworth, 2015)
Integrate civility education throughout nursing curriculum
Problem-based learning (Clark et al., 2013; Clark et al., 2014)
Role-play simulations (Gillespie et al., 2015)
Develop positive academic-clinical partnerships
(Clark et al., 2011; Decker & Shellenbarger, 2012)
Academic Civility decreases during program
(Clark, Nguyen, Barbosa-Leiker, 2014)
Foster Civility through Academic-Clinical Partnerships
(Clark, Olender, Cardoni, & Kenski, 2011)
Civility-Focused Journal Club
(Jenkins, Kerber, & Woith, 2013; Kerber, Jenkins, Woith, & Kim, 2012)
Problem-Based Learning Scenarios
(Clark, Ahten, & Macy, 2013)
(Gillespie, Brown, Grubb, & Montoya, 2015)
(Rieck & Crouch, 2007)
Embrace a Unified Definition for Civility
"Civility is defined as a compilation of positive behaviors and attributes that influence communication, interpersonal relationships, learning, and patient outcomes" (Woodworth, 2015, p. 6)
Apply Empowerment Model in Classroom Setting
(Clark & Kenaley, 2011; Shanta & Eliason, 2014)
Use Therapeutic Communication Skills
Take Care of Oneself
American Nurses Association. (2015).
Code of ethics for nurses with interpretive statements.
Silver Spring, MD: Author.
Clark, C. M., Ahten, S. M., & Macy, R. (2013). Using problem-based learning scenarios to prepare nursing students to address incivility.
Clinical Simulation in Nursing, 9
(3), e75-e83. doi:10.1016/j.ecns.2011.10.003.
Clark, C. M., & Kenaley, B. L. D. (2011). Faculty empowerment of students to foster civility in nursing education: A merging of two conceptual models.
Nursing Outlook, 59
, 158-165. doi:10.1016/j.outlook.2010.12.005
Clark, C. M., Nguyen, D. T., & Barbosa-Leiker, C. (2014). Student perceptions of stress, coping, relationships, and academic civility: A longitudinal study.
Nurse Educator, 39
(4), 170-174. doi:10.1097/NNE.0000000000000049
Clark, C. M., Olender, L., Cardoni, C., & Kenski, D. (2011). Fostering civility in nursing education and practice: nursing leader perspectives.
Journal of Nursing Administration, 41
(7-8), 324-330. doi:10.1097/NNA.0b013e31822509c4
Decker, J. L., & Shellenbarger, T. (2012). Strategies for nursing faculty to promote a healthy work environment for nursing students.
Teaching and Learning in Nursing, 7
(2), 56-61. http://dx.doi.org/10.1016/j.teln.2010.12.001
Gillespie, G. L., Brown, K., Grubb, P., Shay, A., & Montoya, K. (2015). Qualitative evaluation of a role play bullying simulation.
Journal of Nursing Education and Practice, 5
(6), 73-80. http://dx.doi.org/10.5430/jnep.v5n6p73
Jenkins, S. D., Kerber, C. S., & Woith, W. M. (2013). An intervention to promote civility among nursing students.
Nursing Education Perspective, 34
Kerber, C., Jenkins, S., Woith, W., & Kim, M. (2012). Journal clubs: A strategy to teach civility to nursing students.
Journal of Nursing Education, 51
(5), 277-282. http://dx.doi.org/10.3928/01484834-20120323-02
Parrish, E. (2016). Civility and self-care in nursing go hand in hand.
Perspectives in Psychiatric Care, 52
, 81. doi: 10.1111/ppc.12163
Rieck, S., & Crouch, L. (2007). Connectiveness and civility in online learning.
Nursing Education in Practice, 7
(6), 425-432. doi:10.1016/j.nepr.2007.06.006
Shanta, L. L., & Eliason, A. R. M. (2014). Application of an empowerment model to improve civility in nursing education.
Nursing Education in Practice, 14
(1), 82-86. http://dx.doi.org/10.1016/j.nepr.2013.06.009
Woodworth, J. A. (2015). Promotion of nursing student civility in nursing education: A concept analysis. Nursing Forum. doi: 10.1111/nur/12138