Championing Civility in the Clinical Learning Environment: Evaluation of a Novel Training Program

Area of Science:

• Healthcare Management
• Medical Education
• Organizational Behavior

Background:

• Workplace incivility is a growing concern in healthcare, negatively impacting staff, patients, and families.
• A novel training program, Civility Champions (CCs), was developed using trauma-informed care, nonviolent communication, and restorative practices.

Purpose of the Study:

• To evaluate the efficacy and impact of the Civility Champions (CCs) training program.
• To assess participant reactions, perceived learning, and workplace skill application.
• To identify key success factors for program implementation.

Main Methods:

• A mixed-methods study involving 39 faculty and graduate medical education (GME) trainees from 6 departments.
• Utilized the Kirkpatrick New World Model for evaluation tool development and data analysis.
• Collected quantitative and qualitative data on participant responses and skill usage.

Main Results:

• 84.6% of participants found the CCs training valuable and relevant.
• Participants reported increased confidence and commitment to using learned skills (P < .05).
• 70% of CCs applied learned skills at the 6-month follow-up; program success factors identified.

Conclusions:

• The CCs training program demonstrated significant measurable benefits in a healthcare setting.
• The program's expansion to multidisciplinary departments showed early efficacy.
• Future work will focus on interdisciplinary training and assessing institutional culture impact.