Nurse Incivility and Impact on Communication Breakdown
This assignment enables the student to meet the following course outcomes:
CO 2: Apply research principles to the interpretation of the content of published research studies. (POs #4
and #8)
CO 4: Evaluate published nursing research for credibility and clinical significance related to evidence‐ based
practice. (POs #4 and #8)
Solution.
Nurse Incivility and Impact on Communication Breakdown
Definition of Health Care Problem
Incivility is a well-known problem in health care. Over the past two decades,the word “workplace incivility has been used to coin the rudebehaviors such as low-intensity deviant behavior with an attempt to cause harm to a target. Studies suggest that incivility is rampant in the nursing profession and has significantly impacted on the communication breakdown.Nurses are just like the other professional workers working in an institution. Incivility can occur anytime. According to(Danque, Serafica, Lane, & Hodge, 2014), it is evident that many nursing students have reported cases if incivility in theform of intimidation, profanity, and sarcasm. The articlealso outlines that nursing practice is likely to suffer the detrimental effects that come with incivility due to the demanding working challenges and conditions. In ahealthcare setting nurses on practice experience incivility from mostly from physicians, patients, supervisors and family members of the patient under treatment (Danque, Serafica, Lane, & Hodge, 2014). In this article, the main stressor that affects most of the nurses after practice is being overwhelmed with responsibilities
Significance of the Problem
Nurse incivility has significantly impacted on the breakdown of communication which has, in turn, led to poor service delivery to patients who are victims. Also, research suggests that nurse incivility has detrimental effects on performance, motivation, medication errors as well as patient complaining of poor service delivery. The American Association of Critical-nurse Care(AACN)in launching the Healthy Work Environments Initiative their studies it was evident that more nurses had adamant concernsabout incompetence and disrespect, and a number of intensive care and operating room nurse were speaking out about civility. Communication is an important tool in the health care setting regardingcoordinating activities in the facility of care. With the rampant incivility in healthcare which creates disrespect, it is evident that such communication patterns will lead to thewrongcoordinationof tasks and service delivery to the victims(patients). According to Nikstaitis and Coletta(2014), incivility posesa significant risk to nurse satisfaction and nurse retention and can have a detrimental effect on the patient outcome. It isrecommended that nurse must be educated in ways to improvefacility in their clinical practice.Incase there are severe incivility, nurses can choose to display unrulybehavior at workplaces. Therefore, it impacts on the level of performance, retention of nurses in the facility and poor healthcare quality.
PICOT Question
Nurse incivility has majorly affected the communication pattern that interferes with the service delivery to patients.Are nurses (P-Population), who have 10 or more years of experience (I-Intervention), compared to those with less experience (C-Comparison), at risk for uncivil behavior (O-Outcome), over a 5 year period (T-Time)?
Purpose of the Research
The goal of this research offers a review on how nurse incivility impacts on communication pattern in a healthcare setting. The paper outlines how incivility in health care setting can influence the communication between workers or nursing students in a facility which in turn affects the quality of attention, retention of nurse and nurse satisfaction (Nikstaitis & Coletta, 2014).
Level of Evidence
Types of Question Asked
The types of questions raised in this research involve assessment questions and evaluation questions.
- As a nurse in practice, how often have you encountered incivility issues? If so who committed the act of incivility on you?
- How did you cope up with the case if incivility? How did you react on the perpetrator of the act?
- What are the possible impacts of incivility on nurse satisfaction and performance?
- What strategies are recommended in handling nurse incivility
- How will you communicate incivility to other nurses?
- What are the worst outcomes that can influence the hospital environment from incivility and poor communication patterns?
The best approach to obtain feedback from the above question is through cohort studies. Cohort studies are efficient in obtaining prognosis and harm questions as mentioned above. When trying to obtain data on the strategies which nurses have come up to cope with incivility at the workstations, it is important to use cohort studies. Also, when a study involves that feelings and opinions concerning an emerging issue in the field of a nursing,cohort study are the best approaches.
Search strategy
The combination of terms that was the most essential in thisresearch was “nurse incivility”, others included interventions, nurse, communication, outcome, causes, impact and healthcare. Some combined search termswere employed such as ‘nurse incivility and healthcare’ and ‘nurse incivility and communication in healthcare.’
The most appropriate databases used in this research were PubMed, CINAHL, and Academic Premier Search. Through the use EBSOCOHOST,I was able to combine the three databases to refine my search. After a refinement of the search, I decided on two peer-reviewed journals. Both were literature reviews.
- Danque, C. T., Serafica, R., Lane, S. H., & Hodge, M. A. (2014). Incivility in the Hospital Environment: The Nurse Educator–Staff Nurse Relationship. Journal for Nurses in Professional Development, 30(4), 185-189.
- Nikstaitis, T., &Coletta, S. L. (2014, September). Incivility Among Intensive Care Nurses. Dimensions Of Critical Care Nursing, 33(5), 293-301
References
Danque, C. T., Serafica, R., Lane, S. H., & Hodge, M. A. (2014). Incivility in the Hospital Environment: The Nurse Educator–Staff Nurse Relationship. Journal for Nurses in Professional Development, 30(4), 185-189.
Nikstaitis, T., & Coletta, S. L. (2014, September). Incivility Among Intensive Care Nurses. Dimensions Of Critical Care Nursing, 33(5), 293-301.
