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A Mixed-Methods Systematic Review of Interventions to Address Incivility in Nursing
The Journal of Nursing Education
|June 5, 2020
Summary
Multicomponent interventions effectively address incivility in nursing education and practice. Strategies include education, skill application, and reflection for students and nurses, but faculty development needs more research.
Area of Science:
- Nursing Education
- Healthcare Professionalism
- Organizational Behavior
Background:
- Incivility in nursing negatively impacts patient safety, academic success, and staff retention.
- Addressing incivility is crucial for maintaining a positive and effective healthcare environment.
- Nursing education and practice settings are key areas where incivility can manifest.
Purpose of the Study:
- To systematically review and identify effective intervention strategies for combating incivility.
- To synthesize evidence on interventions targeting incivility in nursing students and practicing nurses.
- To evaluate the effectiveness of different approaches to promoting civility in the nursing profession.
Main Methods:
- A systematic review using Joanna Briggs Institute methodology for mixed-methods research.
- Searched six databases for studies on incivility interventions in nursing academic and healthcare settings.
- Thematic synthesis of data from 39 included studies.
Main Results:
- Identified two main intervention categories: educational and administrative.
- Clustered interventions into six distinct strategy themes.
- Synthesized six outcome themes to assess the effectiveness of identified strategies.
Conclusions:
- Multicomponent interventions combining educational strategies (information sharing, skill application, reflective processing) show strong support.
- Effective for both nursing students and practicing nurses.
- Limited evidence exists regarding interventions for nursing faculty to enhance role-modeling and coaching, highlighting a gap for future research.
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