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Updated: Oct 5, 2025

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Civility: A concept analysis revisited.
Cynthia M Clark1, Karen L Gorton2, Amanda L Bentley3
1Boise State University, Boise, ID.
Nursing Outlook
|January 29, 2022
Summary
Authentic civility is essential for nurses to foster inclusive work environments and ensure patient safety. This analysis updates the concept of civility to guide practice and promote healthy workplaces.
Area of Science:
- Nursing
- Organizational Behavior
- Healthcare Ethics
Background:
- Nurses have an ethical duty to cultivate civility.
- Creating respectful and inclusive work environments is crucial for worker and patient safety.
Purpose of the Study:
- To compare the original concept of civility (2008) with its current understanding.
- To analyze the evolution of the concept of civility over time.
Main Methods:
- The Walker and Avant method of concept analysis was employed.
- Key elements of civility were examined, including antecedents, attributes, and consequences.
Main Results:
- The analysis identified antecedents, defining attributes, and consequences of civility.
- A conceptual model was developed to illustrate the dynamics of civility and incivility.
Conclusions:
- Authentic civility is vital for building relationships and fostering inclusive organizational cultures.
- This updated concept analysis provides a framework for promoting healthy work and learning environments.
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