Educational Intervention Improves Communication Abilities of Nurses Encountering Workplace Incivility

Abstract

Background: As the issues of incivility, lateral and horizontal violence, and bullying continue in nursing, strategies are needed to address these disruptive behaviors. Educational activities raise awareness of these issues and can improve the ability to reduce the frequency and overall impact of incivility. Method: This study used a pretest/posttest quasiexperimental mixed-methods design to improve dialogue and interpersonal engagement and to create behavioral change. The Workplace Civility Index (WCI) was used to measure interventional success. Results: WCI scores improved significantly ( p < .00001) for the experimental group postintervention. In contrast, the WCI scores decreased significantly for the control group ( p = .000227). Within the experimental group, all participants noted the successful use of a positive conflict management strategy after the educational intervention. Conclusion: Although further research is recommended, this study provided evidence to support the efficacy of an asynchronous provider-directed, learner-paced e-learning educational activity in decreasing incivility and increasing perceived comfort level during critical conversations between nurses. [ J Contin Educ Nurs . 2020;51(3):138–144.]

A Systematic Review: Effectiveness of Interventions to De-escalate Workplace Violence against Nurses in Healthcare Settings

“…Of these, four were RCTs, ten used a quasi-experimental design and twelve applied pre and post-study design. Only four studies [ [17] , [18] , [19] , 42 ] used both quantitative and qualitative components.…”

“…Most studies included in this review were conducted in developed countries. Fourteen of the included studies were conducted in the United States [ 15 , 16 , 18 , [20] , [21] , [22] , [23] , [24] , [25] , [26] , [27] , [28] , [29] , 42 ]. Three were conducted in Australia [ 17 , 30 , 31 ], two were carried out in Canada [ 32 , 38 ], two in South Korea [ 34 , 43 ], one in Taiwan [ 42 ], and one in Sweden [ 35 ].…”

“…Fourteen of the included studies were conducted in the United States [ 15 , 16 , 18 , [20] , [21] , [22] , [23] , [24] , [25] , [26] , [27] , [28] , [29] , 42 ]. Three were conducted in Australia [ 17 , 30 , 31 ], two were carried out in Canada [ 32 , 38 ], two in South Korea [ 34 , 43 ], one in Taiwan [ 42 ], and one in Sweden [ 35 ]. The remaining studies were conducted in developing countries such as Jordan [ 36 ], Turkey [ 37 ], and Pakistan [ 19 ].…”

“…However, the standalone sessions did not all focus on targeting the same category of WPV. Out of the 10 studies, five were intended to help counter verbal and physical abuse [ 15 , 21 , 31 , 36 , 42 ], a type of WPV where the primary perpetrators are patients and their relatives. One study [ 31 ] addressed sexual abuse, which is primarily inflicted by male patients and physicians.…”

“…One study [ 31 ] addressed sexual abuse, which is primarily inflicted by male patients and physicians. Finally, the remaining studies focused on workplace aggression [ 19 ], and workplace bullying/incivility [ 16 , 26 , 37 , 42 ], types of WPV, which tend to be perpetrated among staff members and by nurse managers. Beyond these differing points of focus, the training sessions also varied in length.…”