Simulating Incivility in the Workplace for BSN Nursing Students

Incivility among health care workers negatively affects both providers and patients. This simulation-based educational intervention was designed to equip baccalaureate nursing students with real-world examples of incivility, practicing navigation through two simulated scenarios using a customized toolkit with cognitive rehearsal phrases and TeamSTEPPS tools.

This three-part program, consisting of online training, in-class practice, and simulation, introduced incivility in health care. TeamSTEPPS DESC (Describe, Express, Specify, Consequences) and CUS (Concerned, Uncomfortable, Safety Issue) tools, as well as cognitive rehearsal phrases, were shared. Nursing faculty oversaw program design, data interpretation, and manuscript preparation.

The program was rated highly using the Simulation Effectiveness Tool-Modified (SET-M) for debriefing, self-reflection, and learning. Lower ratings in nonclinical-focused domains aligned with the scenario's emphasis on soft skills. Students reported increased confidence in managing incivility.

This program enhanced communication, navigating incivility, and team-work. Future research should explore the effects of the program on practice.