Introduction to Incivility in Nursing
Nursing is generally considered to be one of the most fulfilling careers; however, there is also a darker side to nursing called incivility. Incivility in the workplace can occur in multiple fashions, including both covert and overt acts by coworkers (such as subtle and/or direct hostile behaviour). Incivility is not only irritating; it obstructs teamwork and impacts the delivery of care to patients. Nurses often attempt to go above and beyond in providing high-quality services while facing considerable pressure; thus, they are also tasked with navigating through a potentially toxic working environment.
The effects of incivility can be profound, not only for individual nurses but also for their mental health and job satisfaction. Additionally, understanding the subtleties of incivility will further enable us to properly address the issues associated with it, such as lateral violence in nursing, or horizontal violence in nursing. Therefore, developing effective prevention and intervention measures is essential to creating a more positive workplace for all nurses.
Incivility in Nursing (Examples of Incivility)
Incivility can take form in several ways in nursing, and each type is very damaging to the work environment. One example of incivility is “verbal abuse,” which occurs when nurses use their voices in an aggressive manner or use derogatory words and expressions directed at other nurses. This type of behavior creates a very negative environment for everyone that works in a setting where verbal abuse occurs.
Another type of incivility involves “passive/aggressive” communication. Instead of saying what they really mean, nurses will roll their eyes or make sarcastic comments; this will lead to the creation of resentment and misunderstandings.
Another example of incivility is “exclusion.” Ignoring a team member during a discussion may make that team member feel isolated. This feeling can lead to staff members having low morale.
Another example of incivility is “bullying.” By spreading rumors about coworkers, nurses create an environment of distrust among their coworkers. This type of behavior not only affects the relationship between coworkers, but it can also have an impact on the quality of patient care because they are no longer focusing on the work that is most important to them.
Therefore, identifying incidents of incivility in nursing will assist in creating a positive nursing environment that fosters respect among nurses and promotes teamwork and collaboration.
Impacts of Incivility on Nurses and Patients
Nurses commonly endure incivility as a work-related source of tension that contributes to their stress levels. Chronic stress has been directly linked to nurse burnout, increasing turnover rates in healthcare facilities.
In addition, a workplace culture characterized by incivility has a negative impact on workplace communication. Poor collaboration among staff will have an adverse effect on patient outcomes and patient satisfaction ratings directly related to good communication. The negative consequences of such interactions reach beyond the immediate experience of each co-worker and ultimately will decrease morale and negatively affect the quality of care provided by the entire team.
Contributing Factors to Incivility in Nursing
Incivility in nursing can result from many factors, including the effects of working in a high-stress setting or the pressure of working under tight deadlines and/or having a heavy patient load, which may cause nurses to feel overwhelmed.
Leadership at the management level is another contributing factor. Confusion and a lack of direction can result from management not communicating clear standards for acceptable performance and/or not demonstrating respectful conduct. This creates an employee culture that is conducive to supporting incivility. When nurses feel unsupported, they may act out against their coworkers.
In addition, inflexible workplace hierarchies can increase levels of stress between coworkers. The power structure and dynamics of the different positions may cause lateral or horizontal violence in nursing when someone tries to prove his or her power over another instead of working collaboratively.
The lack of communication among team members can lead to confusion, misunderstandings, and a lack of trust. In the absence of open communication by team members to share information or support one another, there is a greater chance for misinterpretation and misunderstandings.
Personal issues such as fatigue or emotional exhaustion can also affect how nurses treat their coworkers and may lead to workplace incivility that adversely impacts the overall dynamics of the nursing team.
Incivility Prevention and Management Strategies
A proactive approach is needed towards managing incivility within nursing. Fostering open lines of communication with nursing staff is critical; thus, creating an environment where nurses can voice their concerns without worrying about being punished for doing so is important.
Conflict resolution training will give staff members the tools they need to deal with difficult situations. Training that includes developing emotional intelligence will assist staff members to better identify and manage their emotional responses to potentially stressful situations.
Creating a clear policy about bullying and lateral violence helps create an environment of accountability where all nurses will understand the unacceptable behaviors and the consequences of crossing those lines.
Collaborative practice through different team-building exercises will also enhance relationships between coworkers. When coworkers establish a level of trust in one another, they are less likely to engage in disruptive behaviors.
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Ongoing feedback sessions allow nurses to share their experiences, and managers can assess workplace culture during the same time frame. Continuous conversations facilitate the cultivation of a respectful work atmosphere and subsequently decrease horizontal violence among team members.
Importance of Creating a Positive Work Environment
A positive atmosphere at work is essential in nursing. It enhances teamwork and trust with your fellow staff members. Nurses who feel respected will, in turn, show respect to other nurses.
Communication is very important to decreasing tension in the workplace. Staff members sharing experiences during team meetings allows for better understanding and empathy and, therefore, helps to uncover issues that could develop into larger problems.
Recognition also plays a big part in improving morale within the nursing profession. A simple “thank you” or recognition of hard work enhances morale within your staff members. When staff members feel appreciated, their overall job satisfaction improves.
Creating a positive work place also improves patient care. In general, happy medical staff members provide better quality of care than unhappy staff members, thus making a positive impact on everyone involved.
Enabling workplace culture through the promotion of wellness initiatives allows for the creation of stronger camaraderie among coworkers, and therefore decreases the level of stress within the work environment.
Providing a positive work environment will give financial returns to a healthcare organization through reducing turnover rates of employees, and also provide a positive impact on patient outcomes.
Conclusion
It is important to establish a culture of support and respect in nursing. By directly confronting incivility, you create a more healthy work environment.
Taking a proactive stance can help prevent toxic behaviours from growing into something larger than they are. Supporting staff members with an open line of communication enables staff members to build relationships and collaboration.
Investing in conflict resolution training programs for nursing staff will provide nurses with additional tools to resist workplace mistreatment. Empowered nurses are crucial in developing positive interactions with patients.
Leadership plays a significant role in developing and nurturing a culture of respect within any healthcare setting. The leadership capability of an organization establishes thereby directing the organisation’s members’ behaviour; therefore leaders need to model respectful behaviour consistently to their direct reports and team members.
Providing a culture free from toxicity and facilitating a compassionate healthcare system benefits all who participate within the nursing profession.
FAQs
What is the definition of an act of rudeness in nursing?
- Acts of rudeness occur when any healthcare professional behaves in a disrespectful manner toward another healthcare worker. An act of rudeness can take many forms such as making derogatory comments or engaging in bullying and harassment.
Why are examples of lateral violence in nursing practice?
- Lateral violence can be seen in how coworkers interact with one another. Examples include gossiping, backstabbing, or sabotaging your coworker. People may choose to ignore coworkers or steal credit for a colleague’s work.
What impact does incivility have on patient care?
- Workplace bullying in nursing decreases the overall morale and increases nurses’ levels of stress. Nurses who are preoccupied worrying about toxic relationships with coworkers will likely be distracted from providing their patients with quality care.
Why factors lead to incivility in nursing?
- Incivility can stem from multiple factors within the nursing profession. These include working in a high-stress work environment, short staffing, lack of management support, and the presence of hierarchies that limit needed communication.
What infection control measures can be taken to prevent nursing acidification?
- The establishment of policies prohibiting the mistreatment of coworkers is an important first step. In addition to policy development, the establishment of training programs to help develop communication and conflict resolution skills among staff will contribute to a more positive relationship among coworkers.
