Incivility and its negative impacts on individuals, teams, and organizations have been widely studied in workplace contexts, but the literature lacks a comprehensive understanding of incivility from the instigator's perspective. This meta-analysis of instigated incivility included 35,344 workers from 76 independent samples. Results showed that instigated incivility was related to several correlates including psychological ill-being, ρ = .36, and well-being, ρ = −.17; physical well-being, ρ = −.25; personal dispositions that are risk factors, ρ = .47, and preventative factors, ρ = −.34; negative, ρ = .28, and positive, ρ = −.33, job attitudes; positive team characteristics, ρ = −.28; job demands, ρ = .10; and experienced, ρ = .61, and observed, ρ = .58, incivility. Moderator analyses showed that the relationship between experienced and instigated incivility was weaker for older participants and under conditions of greater job control and work-group civility.
PurposeIncivility is pervasive in organisational settings, particularly in healthcare, and is associated with negative employee outcomes. The aim of this study was to analyse the relationships between experienced incivility, sleep quality and emotional outcomes, positioning sleep quality as a mediator. Additionally, the protective role of tenure and the unique effects of incivility from different sources were examined.Design/methodology/approachThis study used a daily diary longitudinal design using self-report questionnaires with 92 nurses of varying tenure.FindingsThis research demonstrates that experiencing incivility negatively impacts sleep quality, which, in turn, increases surface acting and emotional exhaustion. Furthermore, the negative relationship between incivility and sleep quality is attenuated among nurses who have longer tenure.Practical implicationsThese findings are helpful in developing targeted practical practices, such as incivility interventions and mentorship programs to reduce the incidence and impact of incivility.Originality/value This study draws upon theories of self-regulation and emotion regulation to examine how incivility diminishes self-control resources, leading to negative outcomes. This study also positions job tenure as a buffer against incivility and examines the differential impact of different sources of incivility.
BackgroundOmission of patient information in perioperative communication is closely linked to adverse events. Use of checklists to standardize the handoff in the post anesthesia care unit (PACU) has been shown to effectively reduce medical errors.ObjectiveOur study investigates the use of a checklist to improve quantity of data transfer during handoffs in the PACU.DesignA cross-sectional observational study.SettingPACU at Memorial Sloan Kettering Cancer Center (MSKCC); June 13, 2016 through July 15, 2016.Patients, other participantsWe observed the handoff reports between the nurses, PACU midlevel providers, anesthesia staff, and surgical staff.InterventionA physical checklist was provided to all anesthesia staff and recommended to adhere to the list at all observed PACU handoffs.Main outcome measureQuantity of reported handoff items during 60 pre- and 60 post-implementation of a checklist.ResultsComposite value from both surgical and anesthesia reports showed an increase in the mean report of 8.7 items from pre-implementation period to 10.9 post-implementation. Given that surgical staff reported the mean of 5.9 items pre-implementation and 5.5 items post-implementation without intervention, improvements in anesthesia staff report with intervention improved the overall handoff data transfer.ConclusionsUsing a physical 12-item checklist for PACU handoff increased overall data transfer.
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