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Updated: Sep 10, 2025

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Simulating Incivility in the Workplace for BSN Nursing Students.

Nicole Agnes Szalla, Colleen Sunday, Kristen Lutz

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    This study developed an educational intervention for nursing students to manage incivility in healthcare settings. The simulation-based program improved communication and teamwork skills, boosting student confidence in handling difficult situations.

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    Area of Science:

    • Healthcare Education
    • Nursing Simulation
    • Professional Communication

    Background:

    • Incivility among healthcare professionals detrimentally impacts both providers and patients.
    • A simulation-based educational intervention was developed to address incivility in healthcare.
    • The intervention aimed to equip baccalaureate nursing students with strategies to navigate challenging workplace interactions.

    Purpose of the Study:

    • To design and implement a simulation-based educational program for nursing students focused on managing incivility.
    • To provide students with practical experience in handling real-world incivility scenarios.
    • To enhance students' communication and teamwork skills in healthcare settings.

    Main Methods:

    • A three-part program incorporating online training, in-class practice, and simulation.
    • Utilized TeamSTEPPS DESC (Describe, Express, Specify, Consequences) and CUS (Concerned, Uncomfortable, Safety Issue) tools.
    • Incorporated cognitive rehearsal phrases and simulated scenarios for skill development.

    Main Results:

    • The program received high ratings for debriefing, self-reflection, and learning via the Simulation Effectiveness Tool-Modified (SET-M).
    • Students reported enhanced confidence in managing incivility.
    • Lower ratings in nonclinical domains were observed, consistent with the focus on soft skills.

    Conclusions:

    • The intervention effectively enhanced communication, incivility navigation, and teamwork among nursing students.
    • The program shows promise in preparing future healthcare professionals for workplace challenges.
    • Further research is recommended to evaluate the program's long-term impact on clinical practice.