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Incivility in academic settings, particularly nursing education, is deeply embedded in bureaucratic systems. Systems thinking offers a framework to promote civility and improve healthcare quality and safety.

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Area of Science:

  • Nursing Education
  • Academic Systems
  • Healthcare Quality and Safety

Background:

  • Incivility is a pervasive issue within academic systems, notably in nursing education.
  • Behaviors learned in academia have direct implications for professional practice.
  • Systems-based interventions are crucial for enhancing healthcare quality and safety.

Purpose of the Study:

  • To identify evidence of systems thinking's impact on civility within academic environments.
  • To explore the relationship between academic incivility and professional practice outcomes.

Main Methods:

  • An integrative review guided by Whittemore and Knafl's approach.
  • Analysis of 49 articles to synthesize findings on incivility and systems thinking.

Main Results:

  • Incivility in nursing education is characterized as a systemic issue within oppressive bureaucracies, fostering fear and perpetuating uncivil behaviors.
  • Identified themes include faculty-to-faculty and faculty-to-student incivility, its causes, reactions, and proposed solutions.

Conclusions:

  • A systems awareness model is proposed to foster civility in nursing education.
  • A significant gap exists in understanding the transfer of academic incivility to practice settings and its impact on quality and safety.