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Incivility in nursing: Implementing a quality improvement program utilizing cognitive rehearsal training.

Catherine C Razzi1, Ann L Bianchi1

  • 1The University of Alabama in Huntsville, College of Nursing, Huntsville, Alabama.

Nursing Forum
|July 17, 2019
PubMed
Summary

This quality improvement program educated nurses on identifying and responding to workplace incivility. The training improved nurses' ability to manage uncivil behaviors, promoting a safer work environment.

Keywords:
cognitive rehearsalincivilitynursing incivility scale

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Area of Science:

  • Nursing
  • Healthcare Management
  • Organizational Behavior

Background:

  • Workplace incivility negatively impacts healthcare environments, affecting job satisfaction and commitment.
  • Improving unit culture is crucial for enhancing nurses' well-being and organizational outcomes.

Purpose of the Study:

  • To implement and evaluate an educational program for nurses on recognizing and addressing hospital incivility.
  • The program aimed to equip nurses with skills to respond professionally to uncivil incidents.

Main Methods:

  • A quality improvement program involving an incivility education module and cognitive rehearsal was conducted.
  • The Nursing Incivility Scale (NIS) measured program effectiveness pre-intervention, immediately post-intervention, and at 1-month follow-up.
  • Cognitive rehearsal included role-playing scenarios with scripted responses to uncivil behavior.

Main Results:

  • Statistical analysis revealed significant differences in total NIS scores and five subscale scores over time.
  • The intervention demonstrated a positive impact on nurses' perceptions and responses to incivility.
  • Nurses showed improved ability to manage uncivil behaviors post-training.

Conclusions:

  • Incivility education programs empower nurses to identify and respond proactively and professionally to workplace behaviors.
  • Such programs contribute to fostering a safer and healthier work environment for nursing staff.
  • Effective management of incivility enhances patient safety and overall care quality.