A viable quality health care environment is described as a living, healthy, and positive place to work and grow. It is capable of maintaining itself, germinating and developing under favorable conditions. Unfortunately, there are barriers which distract, interfere or inhibit this type of environment. One main culprit is incivility. Incivility causes psychological and physiological problems for all involved. (Clark 2013). It causes clinicians to leave the bedside, educators to leave the classroom and students to leave the nursing programs. Further, it hinders communication, collaboration, mentoring and support. Additionally, incivility contributes to medication errors as well as poor patient outcomes and satisfaction. Statistics support that 82- 95% of all nurses have experienced incivility (Dumont, Meisinger, Whitacre and Corbin (2012), Cooper, Walker, Winters, Williams, Askew and Robinson (2009) and 56% of nursing students have experienced incivility (Cooper,Walker, Winters, Williams, Askew and Robinson,2009). The most common response to uncivil behavior, (34%) is to do nothing (Clark, 2013). Nurses are the largest source of health care providers today.In order to maintain a viable, quality health care environment, nurses, new graduates and nursing students must be prepared with skills to develop and maintain collegiate relationships. During this presentation, nurses will be introduced to evidenced based skills such as Cognitive Rehearsal, CUS, DESC and Code Pink to address incivility. This will help to create a civil, viable and quality health care environment.
Audience Take Away:
The audience will be able to address incivility in the health care environment using evidenced based strategies. Also the audience will be provided with research statistics to help them begin the discussion about incivility in their work place. Nursing students and New graduates will also be provided with skills to address incivility and promote collegiality in the health care environment. With evidenced based strategies, the nurse will be able to:1) address incivility in the work place and 2) teach others to practice the skills until they become a part of the accepted nursing/health care norm or culture. This will contribute to a viable work environment. Nurses will be encouraged to conduct research described during this session utilizing larger sample sizes so that results can be better generalized. Additionally, nurse educators can thread incivility education throughout the curriculum and introduce incivility strategies during orientation training. A civil environment will enable the health care provider to provide better patient focused care without distractions. Collaboration and communication among the health care team will improve patient outcomes. Utilizing evidenced based skills to address incivility will:
• Enable the learner to gain confidence to break the cycle of incivility which has been accepted as the normal culture.
• Prepare students/new graduates to address incivility in the classroom and clinical setting.
• Increase collegiality among healthcare teams.
• Increase positive patient outcomes and satisfaction and decrease medication errors.
• Improve nurse and nursing student retention, especially in acute care or other stressful environments.
• Contribute to a viable, quality, health care environment.