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Copy of Incivility in nursing

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Gerry Huggins

on 3 May 2013

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Transcript of Copy of Incivility in nursing

Anthony Cantanzaro,RN,CCRN,CSC,CNC
Gerry Huggins,RN
Melsades Mcintosh-Martin,RN
Susan Summers,RN
Nursing Theory Graphic Organizer What is Incivility? Physician to Physician
MGMT/ Physician to Nurse
Nurses to Nurses
Nurses to Patients
Patients to Nurses
Nurses to Nursing Students What are the Consequences? Teamwork decreases
A negative morale in the work environment is created. According to the North Carolina Board of Nursing, Incivility can be defined as rude, disruptive, intimidating,and undesirable behaviors that are directed toward another person. Who does it Involve? Lateral/ Horizontal Violence- Acts that occur between co-workers.

Bulling/ Vertical Violence- Acts done by a person in a position of authority. Subcategories Overt- Name calling, gossip, criticism, intimidation, public reprimands, destroying one's confidence, and rudeness.

Covert- Refusal of helping others, ignoring co-workers, refusal of working with certain people, and assigning people unfairly. Anxiety
Stress
Depression
Decreased productivity of employees Increased rates of turnover among staff.
It causes increased rates of burnout among nurses. Most importantly it effects PATIENT CARE!!!! Types What Do We Do About It? Individual Level After a disagreement, take a moment and go for a walk and also take some deep breaths.
Do not ignore behaviors, you will only be contributing to the problem.
Confronting the person face to face is not always the answer, this can escalate an argument.
Document the incident exactly how it happened, date, time, and witnesses.
If it was vertical violence report to a person that is of authority to them.
Be the role model, always show respect and correctly handle situations, to example good behavior.
Have respect for everyone! Organizational Level According to the American Nurses association, the nurse must maintain compassionate and caring relationships with colleagues and others with a commitment to the fair treatment of individuals, to integrity preserving compromise , and to resolving conflict. ANA Code of Ethics Provision 1.5 How it Increases Cost the Cost of Business Due to high turnover. It is extremely expensive to hire new employees.
Due to a decrease in patient care; If the customer service is sub par, customers will not return.
There is an increased amount of lawsuits related to incivility in the workplace.
This has been known to cost over 300 million dollars in business costs, all due to something so preventable. (Crystal Tillman Harris, 2013) How it effects patient Care Decreases teamwork among staff.
Job dissatisfaction, if you don't care about the job, how do you care for the patient?
Decreased communication among staff.
Giving feedback.
Clarification (meds, procedures, orders)
Asking Questions (Blegen & Purpora, 2012) Compare and Contrast Incivility in Nursing: The Connection Between Academia and Clinical Settings By: Susan Luparell, PhD, ACNS-BC, CNE This article summarized how nursing programs are in dire need of instilling communication and professionalism within the curriculum, Which I agree with because I feel that it is just as important as the nursing process, H&P, and disease processes that we must learn.
One thing I didn't agree with is that she portrayed nursing students as the perpetrators in most cases, when in other articles I have found have described nursing students as the victims due to the lack of experience.
I believe that it takes everyone including students, teachers, nurses and the rest of the healthcare team, to have good communication and teamwork. (Crystal Tillman Harris, 2013) (American Nurses Association, 2011) (Crystal Tillman Harris, 2013) (Bartholomew, 2013) (Crystal Tillman Harris, 2013) Horizontal Violence and the Quality and Safety of Patient Care: A Conceptual Model By: Christina Purpora and Mary M. Blegen This article summarized the effects incivility has on patient care.
I agreed with all aspects of this article. It explained that incivility causes stress between co-workers and that stress creates communication barriers.
It also causes mental stress on the HCW which can cause them to lash out or to make more mistakes at work.
These things all greatly effect patient care. How This Helped Me? I chose this topic because I thought that it is important to help people become aware of this problem. I see disrespectful and inappropriate behavior by healthcare workers all of the time no matter where it is.
I myself have experienced incivility as a CNA and as a student, and I have also been a culprit of it as well without even realizing it. Incivility is the reason many nurses get burned out so fast and actually put an end to their nursing careers due to the stress. so it needs to come to an end.
As students we are the future of nursing and we can help put an end to this epidemic by thinking twice the next we partake in the "harmless gossip" in the break room or when we feel like we "don't have time" to help that other person. So I hope this helps you too and helps you think about the other people around you, your team! Summary In summary, Incivility is referred to as a disrespectful act toward another person.
It may include; starting rumors, rudeness, back stabbing, verbal abuse, or destroying someones confidence.
It can occur between any member of the healthcare care team, especially nurses.
It can negatively effect work performance and patient care.
It can be avoided through effective communication and with early education in nursing programs.
In the profession of nursing we are supposed to show the up most professionalism, but when we don't work as a team or we disrespect the members of our team that professionalism is broken. Include Incivility education in nursing programs, this will help prevent the problem before it starts.
In-service education for employees.
Always put a stop to a problem right away, otherwise the problem will be able to grow.
Always take action when it is absolutely necessary.
Encourage people to communicate openly in a non-aggressive manner.
Always do Post-departure interviews after a person has been let go or resigns, to see if issues have been resolved or if there is still work to be done.
This should be done after a moderate amount of time has past and not directly after the resignation. Thank You! References American Nurses Association. (2011). Retrieved March 20, 2013, from NursingWorld: http://www.nursingworld.org/Mobile/Nursing-Factsheets/lateral-violence-and-bullying-in-nursing.html

Bartholomew, K. (2013). Break the Spell and End Lateral Violence in Nursing. Retrieved March 20, 2013, from NurseTogether: http://www.nursetogether.com/Career/Career-Article/itemid/2621.aspx#.UVHG1hyG2Qp


Blegen, M. A. Purpora, C. (2012). Horizontal Violence and the Quality and Safety of Patient Care: A Conceptual Model. Nursing Research and Practice.

Crystal Tillman Harris, R. M. (2013, March 20). Incivility in Nursng. North Carolina Board of Nursing: Nursing Bulletin, pp. 16-20.

Susan Luparell, P. A.-B. (2011, April). Incivility in Nursing:The Connection Between. CriticalCareNurse, 92-95. (Crystal Tillman Harris, 2013) According to an article by Susan Luparell, PhD, ACNS-BC, CNE, 24.1% of nurses have experienced verbal abuse in the workplace (this is just verbal abuse) by another coworker or manager. Questions?
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