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Experiences of Patient Incivility: A Qualitative Study
Emily A Vargas1, Ramaswami Mahalingam2
1Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Journal of Patient Experience
|October 16, 2020
Summary
Patients frequently experience incivility in hospitals, including insensitivity, stigma, and poor communication. Understanding these patient-centered incivility forms is crucial for improving healthcare experiences.
Area of Science:
- Healthcare experiences
- Patient-centered care
- Interpersonal mistreatment
Background:
- Incivility is a common form of mistreatment within healthcare settings.
- Research has extensively covered incivility towards healthcare professionals, but less so towards patients.
- Understanding patient experiences of incivility is vital for improving hospital environments.
Purpose of the Study:
- To empirically investigate the diverse forms of incivility experienced by patients in hospitals.
- To deepen the understanding of the phenomenology of incivility from the patient's viewpoint.
Main Methods:
- Interpretative phenomenological analysis was employed.
- Data were collected from 173 participants detailing their hospital incivility experiences.
Main Results:
- Six primary themes of patient incivility were identified: Insensitivity, Identity Stigma, Gaslighting, Infantilization, Poor Communication, and Ignored.
- These themes represent unique manifestations of incivility within the patient role.
- Incivility permeates nearly all facets of the patient journey.
Conclusions:
- Patient incivility is pervasive and multifaceted, impacting various aspects of their hospital stay.
- The identified themes offer critical insights into patient mistreatment.
- Further research should explore the health consequences associated with these incivility experiences.
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