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Promoting Civility in the OR: An Ethical Imperative.

Cynthia M Clark, Diane Kenski

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    |December 31, 2016
    PubMed
    Summary

    Addressing incivility in the operating room (OR) is crucial for patient safety and a healthy work environment. Evidence-based strategies involving organizational, managerial, and individual nurse responses improve outcomes and satisfaction.

    Area of Science:

    • Healthcare Management
    • Nursing Practice
    • Patient Safety

    Background:

    • Incivility in healthcare settings, particularly the perioperative area, poses risks to patient safety and workplace health.
    • Foundational documents emphasize nurses' responsibility in maintaining safety, civility, and respect for patients and colleagues.
    • The fast-paced operating room (OR) environment can exacerbate conflict and incivility due to pressures from patient needs, performance metrics, and safety standards.

    Purpose of the Study:

    • To present a case-based scenario illustrating a multilevel, evidence-based response to an uncivil encounter in the OR.
    • To discuss the multi-level responses to incivility, including organizational, nurse manager, and individual nurse actions.

    Main Methods:

    • Case-based scenario presentation.
    Keywords:
    civilitycommunicationethical practiceincivilitypatient safety

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  • Discussion of evidence-based responses at organizational, managerial, and individual nurse levels.
  • Exploration of the impact of addressing incivility on patient safety and workplace dynamics.

    • Main Results:

    • Nurses speaking up and resolving issues report improved patient outcomes.
    • Resolving incivility leads to greater workplace satisfaction.
    • Addressing incivility enhances organizational commitment among nursing staff.

    Conclusions:

    • An intentional, informed approach is necessary to recognize, address, and prevent incivility in healthcare.
    • Multilevel, evidence-based interventions are effective in mitigating the negative effects of incivility.
    • Empowering nurses to address incivility contributes to a safer patient environment and a more committed workforce.