Cognitive Rehearsal, HeartMath, and Simulation: An Intervention to Build Resilience and Address Incivility
Background:
The detrimental impact of incivility in health care is well documented. Nursing students and new graduate nurses are particularly vulnerable to its effects. Evidence-based civility education strategies are urgently needed to address incivility, which can protect patient safety.
Method:
Using a mixed methodology, 188 incoming, upper division, prelicensure nursing students participated in an intervention study that combined cognitive rehearsal, HeartMath, and simulation using TeamSTEPPS™ Concerned, Uncomfortable, and Safety model to address acts of incivility that threaten patient safety.
Results:
Student evaluations immediately following the intervention and 6 months postintervention rendered positive results. Eight themes emerged describing uncivil experiences occurring in the patient care environment.
Conclusion:
This intervention provided nursing students with evidence-based tools to build resilience to effectively address incivility in the patient care environment. Nurse educators are urged to provide civility education in conjunction with tested techniques to build resilience and address uncivil encounters in health care. [J Nurs Educ. 2019;58(12):690-697.].
More Related Videos
08:09Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
06:11High-definition Transcranial Direct Current Stimulation over Right Dorsolateral Prefrontal Cortex to Enhance Metacognitive Sensitivity
Published on: September 26, 2025
Related Concept Videos
Stress Prevention and Stress Management Techniques I
Conscientiousness
Conscientious individuals tend to be organized, responsible, and disciplined. They prioritize completing tasks and following structured routines,...
Coping Strategies: Emotion Focused
Counterfactual Thinking
Rational Emotive Behavior Therapy
Coping Strategies: Problem Focused
For example, consider a student who struggles to understand their...
Stress Prevention and Stress Management Techniques IV
