Civility in Health Care: A Moral Imperative

Geiderman, Joel M.; Moskop, John C.; Marco, Catherine A.; Schears, Raquel M.; Derse, Arthur R.

doi:10.1007/s10730-022-09501-y

HEC Forum

2022

DOI: 10.1007/s10730-022-09501-y

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Civility in Health Care: A Moral Imperative

Joel M. Geiderman

John C. Moskop

Catherine A. Marco

et al.

Abstract: Civility is an essential feature of health care, as it is in so many other areas of human interaction. The article examines the meaning of civility, reviews its origins, and provides reasons for its moral significance in health care. It describes common types of uncivil behavior by health care professionals, patients, and visitors in hospitals and other health care settings, and it suggests strategies to prevent and respond to uncivil behavior, including institutional codes of conduct and disciplinary procedur… Show more

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Cited by 3 publications

References 30 publications

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What Went Right? A Mixed-Methods Study of Positive Feedback Data in a Hospital-Wide Mortality Review Survey

Chua,

Khinkar,

Wien

et al. 2023

J GEN INTERN MED

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What Went Right? A Mixed-Methods Study of Positive Feedback Data in a Hospital-Wide Mortality Review Survey

Chua,

Khinkar,

Wien

et al. 2023

J GEN INTERN MED

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Championing Civility in the Clinical Learning Environment: Evaluation of a Novel Training Program

Shofer,

Gagliardi,

Bryant

et al. 2024

Acad Med

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Problem Incivility in the health care workplace is increasing and negatively impacts everyone in the environment, including health care team members and the patients and families they serve. This study examined the efficacy and impact of Civility Champions (CCs), a novel training program for a multidisciplinary cohort of faculty and graduate medical education (GME) trainees based in principles of trauma-informed care, nonviolent communication, and restorative practices. Approach Participants were 39 faculty and GME trainees representing 6 departments in a major academic medical center. The concurrent, mixed-methods study employed the Kirkpatrick New World Model as a framework for the creation of the evaluation tools as well as to analyze and report the results of the study. Quantitative and qualitative data analysis examined participants’ reactions, perceived learning, workplace use of the skills following training, and initial indicators of whether the program is on track to meet its goals. Outcomes Participants found CCs training to be valuable (84.6% agree or strongly agree that training was relevant and would recommend it to others). Post-training, CCs felt an increased sense of confidence and commitment using the skills and knowledge learned as indicated by a positive average change score (P < .05) on all measures. At the 6-month survey, 70% of CCs had employed the skills. Results on the implementation of the CCs program found that key success factors include improving program visibility, providing opportunities for skill refreshment, and fostering a supportive community. Next Steps This study expanded a novel training program to multidisciplinary departments and provided early evaluation of the efficacy of the training in the health care workplace. CCs training showed significant measurable benefit using both quantitative and qualitative measures. Future iterations will include training interdisciplinary cohorts and will attempt to assess the program’s impact on institutional culture.

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Relationship between structural empowerment and work engagement in the health-care sector in Portugal: the mediating role of civility

Tomé Pires,

Kulari,

Ribeiro

et al. 2024

MRJIAM

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Purpose This paper aims to explore how nurses stay engaged in their work with the impact of structural empowerment and civility. It delves deeper into how kind, empathetic and respectful behaviours (civility) among colleagues influence the link between structural empowerment and nurses’ engagement. Design/methodology/approach Data was collected from 580 nurses working in a Public Hospital in the metropolitan area of Lisbon. Self-report questionnaires measuring civility, structural empowerment and engagement were administered. Hayes’ PROCESS macro for mediation analysis in SPSS was used to test the hypothesised model. Findings Results demonstrated that civility and structural empowerment were positively associated (r = 0.491, p < 0.01) also showing a positive influence on nurses’ engagement (r = 0.492, p < 0.01; r = 0.485, p < 0.01, respectively). Civility was found to partially mediate the association between structural empowerment and engagement (ß = 0.315, 95% CI [0.222, 0.417], 5,000 bootstrap resamples). Practical implications Findings from this study may be used for health-care employees and organisations, implying that when nurses perceive themselves as structurally empowered at work within a respectful environment, they experience an enhanced sense of community and involvement in their organization. Originality/value To the best of the authors’ knowledge, this is the first attempt in exploring the relationship of combined workplace civility, structural empowerment and engagement in a sample of Portuguese nurses. Future research could substantially increase our understanding of how civility contributes to a positive workplace.

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Civility in Health Care: A Moral Imperative

Cited by 3 publications

References 30 publications

What Went Right? A Mixed-Methods Study of Positive Feedback Data in a Hospital-Wide Mortality Review Survey

What Went Right? A Mixed-Methods Study of Positive Feedback Data in a Hospital-Wide Mortality Review Survey

Championing Civility in the Clinical Learning Environment: Evaluation of a Novel Training Program

Relationship between structural empowerment and work engagement in the health-care sector in Portugal: the mediating role of civility

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