Using Cognitive Rehearsal to Address Nurse-to-Nurse Incivility: Student Perceptions

2.50
Hdl Handle:
http://hdl.handle.net/10755/621232
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Using Cognitive Rehearsal to Address Nurse-to-Nurse Incivility: Student Perceptions
Other Titles:
Incivility in Academia
Author(s):
Logan, Jennette S.; Andrson, Maija; Stoekel, Pamela
Lead Author STTI Affiliation:
Alpha Kappa-at-Large
Author Details:
Jennette S. Logan, RN; Maija Andrson, RN; Pamela Stoekel, RN
Abstract:
Session presented on Saturday, March 18, 2017: Abstract: Incivility is defined by researchers as rude, discourteous, dismissive and belittling behavior which causes physiological and psychological problems for all involved. It may occur on a continuum which ranges from eye rolling to physical stalking or injury. It creates barriers to learning and destroys work relationships. Unfortunately, incivility is so prevalent, it has become the accepted norm in many work environments. Incivility contributes to students leaving the nursing program, clinicians leaving the practice and educators are leaving the class room. Additionally, it contributes to medication errors, poor patient outcomes and satisfaction. Incivility unchecked will contribute to the impending nursing shortage. According to research, incivility costs approximately $12,000 dollars in lost productivity a year. The American Nursing Association as well as the Joint Commission has charged nursing administrators to address incivility and to establish a safe, civil work environment. Incivility may occur in various forms; It may be descending, ascending or lateral. Horizontal or lateral incivility is also known as nurse to nurse incivility. It is the most commonly reported type of incivility in the nursing profession. Many researchers suggest this phenomenon results because nurses are an oppressed group as illustrated by the Stanley-Martin Model. According to literature reviews, approximately 86-90 % of all nurses have experienced and or witnessed incivility in the work environment. Ninety percent of the sample in this study reported experiencing incivility in the nursing program while attending clinical or in academic settings. Consequently, there is a need to prepare nursing students with evidenced based strategies to address incivility. Research about incivility in nursing is plentiful, however evidenced based strategies to address the phenomena are scarce. Evidence supports that cognitive rehearsal is one strategy which provides nurses with a professional and effective means of addressing incivility. In this qualitative study, 10 senior BSN nursing students were surveyed using six open ended questions following a roleplay using cognitive rehearsal to address incivility. Comparative analysis was used to identify and categorized responses. This study demonstrates the effectiveness of cognitive rehearsal as a strategy to address incivility from a nursing student's perception. Incivility in nursing is defined by researchers as rude, discourteous, dismissive and belittling behavior which causes physiological and psychological problems for all involved. Nurses and nursing students therefore need an evidenced based strategy to address this phenomenon. Cognitive rehearsal coupled with role play can effectively impact an uncivil environment. Learning Objectives: By the end of the session, the learner will be able to describe the prevalence and consequences of incivility in the clinical setting and work environment. By the end of the session, the learner will be able to demonstrate the use of cognitive rehearsal as an evidenced based strategy to address incivility in nursing.
Keywords:
Evidenced based strategies, cognitive rehearsal, to address incivility in nursing; bullying behavior in nursing; Evidenced based strategies, cognitive rehearsal, to address incivility in nursing
Repository Posting Date:
3-Mar-2017
Date of Publication:
3-Mar-2017
Other Identifiers:
CHWE17E01
Conference Date:
2017
Conference Name:
Creating Healthy Work Environments 2017
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
Creating Healthy Work Environments 2017: Best Practices in Clinical and Academic Settings. Held at the JW Marriott, Indianapolis, Indiana, USA

Full metadata record

DC FieldValue Language
dc.language.isoen[US]en
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleUsing Cognitive Rehearsal to Address Nurse-to-Nurse Incivility: Student Perceptionsen
dc.title.alternativeIncivility in Academiaen
dc.contributor.authorLogan, Jennette S.en
dc.contributor.authorAndrson, Maijaen
dc.contributor.authorStoekel, Pamelaen
dc.contributor.departmentAlpha Kappa-at-Largeen
dc.author.detailsJennette S. Logan, RN; Maija Andrson, RN; Pamela Stoekel, RNen
dc.identifier.urihttp://hdl.handle.net/10755/621232-
dc.description.abstractSession presented on Saturday, March 18, 2017: Abstract: Incivility is defined by researchers as rude, discourteous, dismissive and belittling behavior which causes physiological and psychological problems for all involved. It may occur on a continuum which ranges from eye rolling to physical stalking or injury. It creates barriers to learning and destroys work relationships. Unfortunately, incivility is so prevalent, it has become the accepted norm in many work environments. Incivility contributes to students leaving the nursing program, clinicians leaving the practice and educators are leaving the class room. Additionally, it contributes to medication errors, poor patient outcomes and satisfaction. Incivility unchecked will contribute to the impending nursing shortage. According to research, incivility costs approximately $12,000 dollars in lost productivity a year. The American Nursing Association as well as the Joint Commission has charged nursing administrators to address incivility and to establish a safe, civil work environment. Incivility may occur in various forms; It may be descending, ascending or lateral. Horizontal or lateral incivility is also known as nurse to nurse incivility. It is the most commonly reported type of incivility in the nursing profession. Many researchers suggest this phenomenon results because nurses are an oppressed group as illustrated by the Stanley-Martin Model. According to literature reviews, approximately 86-90 % of all nurses have experienced and or witnessed incivility in the work environment. Ninety percent of the sample in this study reported experiencing incivility in the nursing program while attending clinical or in academic settings. Consequently, there is a need to prepare nursing students with evidenced based strategies to address incivility. Research about incivility in nursing is plentiful, however evidenced based strategies to address the phenomena are scarce. Evidence supports that cognitive rehearsal is one strategy which provides nurses with a professional and effective means of addressing incivility. In this qualitative study, 10 senior BSN nursing students were surveyed using six open ended questions following a roleplay using cognitive rehearsal to address incivility. Comparative analysis was used to identify and categorized responses. This study demonstrates the effectiveness of cognitive rehearsal as a strategy to address incivility from a nursing student's perception. Incivility in nursing is defined by researchers as rude, discourteous, dismissive and belittling behavior which causes physiological and psychological problems for all involved. Nurses and nursing students therefore need an evidenced based strategy to address this phenomenon. Cognitive rehearsal coupled with role play can effectively impact an uncivil environment. Learning Objectives: By the end of the session, the learner will be able to describe the prevalence and consequences of incivility in the clinical setting and work environment. By the end of the session, the learner will be able to demonstrate the use of cognitive rehearsal as an evidenced based strategy to address incivility in nursing.en
dc.subjectEvidenced based strategies, cognitive rehearsal, to address incivility in nursingen
dc.subjectbullying behavior in nursingen
dc.subjectEvidenced based strategies, cognitive rehearsal, to address incivility in nursingen
dc.date.available2017-03-03T14:34:46Z-
dc.date.issued2017-03-03-
dc.date.accessioned2017-03-03T14:34:46Z-
dc.conference.date2017en
dc.conference.nameCreating Healthy Work Environments 2017en
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationIndianapolis, Indiana, USAen
dc.descriptionCreating Healthy Work Environments 2017: Best Practices in Clinical and Academic Settings. Held at the JW Marriott, Indianapolis, Indiana, USAen
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