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Incivility and Clinical Performance, Teamwork, and Emotions: A Randomized Controlled Trial.

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Exposure to incivility in healthcare settings can lead to major errors in clinical performance, specifically in cardiopulmonary resuscitation (CPR). This study highlights the negative impact of workplace incivility on patient care quality.

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Area of Science:

  • Healthcare performance
  • Medical teamwork
  • Patient safety

Background:

  • Incivility is prevalent in healthcare environments.
  • Anecdotal reports suggest negative impacts on patient care.
  • Robust evidence linking incivility to clinical errors is limited.

Purpose of the Study:

  • To investigate the effects of incivility exposure on clinical performance.
  • To assess the impact on teamwork and emotional states.
  • To provide empirical evidence on incivility in healthcare.

Main Methods:

  • Randomized controlled trial design.
  • Nurses assigned to control or incivility-exposed groups.
  • Assessment of cardiopulmonary resuscitation (CPR) performance, teamwork, affect, and cognition using a manikin simulation.

Main Results:

  • No significant differences in CPR, cognitive, or teamwork scores, or emotional state between groups.
  • A significant increase in major CPR errors (66%) in the incivility-exposed group.
  • Control group demonstrated no major CPR errors.

Conclusions:

  • Findings support anecdotal evidence linking incivility to clinical errors.
  • Exposure to incivility may compromise patient safety through performance deficits.
  • Further research is needed to understand mechanisms and interventions.