Nurse Incivility and Impact on Communication Breakdown
Instructions: The paper will include the following. a. Clinical Question
a. Describe problem
b. Significance of problem in terms of outcomes or statistics
c. Your PICOT question in support of the group topic
d. Purpose of your paper b. Levels of Evidence
a. Type of question asked b. Best evidence found to answer question c. Search Strategy a. Search terms
b. Databases used (you may use Google Scholar in addition to the library databases; start with the Library)
c. Refinement decisions made d. Identification of two most relevant articles d. Format
a. Correct grammar and spelling
b. Use of headings for each section
c. Use of APA format (sixth edition) d. Page length: three to four pages
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 rude behaviors 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 the form of intimidation, profanity, and sarcasm. The article also outlines that nursing practice is likely to suffer the detrimental effects that come with incivility due to the demanding working challenges and conditions. In a healthcare 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 concerns about 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 regarding coordinating 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 the wrong coordination of tasks and service delivery to the victims(patients). According to Nikstaitis and Coletta( 2014), incivility is the poses a significant risk to nurse satisfaction and nurse retention and can have a detrimental effect on the patient outcome. Is recommended that nurse must be educated in ways to improve facility in their clinical practice. In case there are severe incivility nurses can choose to display unruly behavior at workplaces. Therefore, it impacts on the level of performance, retention of nurses in the facility and poor healthcare quality.
PICOT table
Nurse incivility has major affected the communication pattern that interferes with the service delivery to patients. When administering care to patients in a heath care setting (P- Population), what are the anti- Nurse incivility strategies(I-Intervention) that largely change the communication pattern (C- Comparison) to influence a working environment for nurses in a health care setting (Outcome).
Purpose of the Paper
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 affect 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 are 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 this research was “nurse incivility”, others included interventions, nurse, communication, outcome, causes, impact and healthcare. Some combined search terms were 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.
