Pilot Study Using Cognitive Rehearsal, Simulation, and Biomarker Data to Address Workplace Incivility.

Area of Science:

• Nursing Education
• Patient Safety
• Healthcare Simulation

Background:

• Workplace incivility presents a significant risk to patient safety.
• Newly graduated nurses are particularly vulnerable to the effects of incivility.
• Understanding the impact of incivility is crucial for improving healthcare environments.

Purpose of the Study:

• To explore the impact of workplace incivility on patient care using simulation.
• To test the effectiveness of cognitive rehearsal as an intervention to mitigate incivility's effects.
• To assess the preparedness of newly graduated nurses to handle uncivil encounters.

Main Methods:

• A pilot study involving newly graduated nurses utilized a simulated clinical scenario.
• Actors delivered either uncivil or hurried handoff reports to participants.
• Participants underwent a focused patient assessment and medication administration simulation.

Main Results:

• Participants recognized communication gaps in handoff reports, leading to compromised patient care.
• Nurses receiving uncivil reports exhibited lower resilience and higher stress.
• Simulation highlighted the negative effects of incivility on nursing performance.

Conclusions:

• Cognitive rehearsal showed potential as an intervention but requires further development.
• A 60-minute cognitive rehearsal session was insufficient for adequate preparation.
• Enhanced training is needed to equip nurses to effectively manage uncivil workplace interactions.