Incivility in the Emergency Department

Abstract

Uncivil behavior leads to low self-esteem, anxiety, sleep disturbance, recurrent nightmares, and depression. This article looks at the perception of incivility among emergency department nurses and the leadership required to implement evidence-based strategies to address this growing problem.

The impacts of organizational culture and neoliberal ideology on the continued existence of incivility and bullying in healthcare institutions: A discussion paper

“…Moreover, there are physiological and psychological effects of bullying that are difficult to ignore. Some physiological health effects of bullying include insomnia, gastrointestinal discomfort, musculoskeletal problems, hypertension, chest pain, palpitations, headaches, and worsening of chronic illnesses [ 10 , 11 , 32 ]. The psychological effects of bullying victimization include anxiety, phobias, panic attacks, depression, loss of libido, post-traumatic stress disorder, and suicidal ideation [ 30 , 33 ].…”

“…Incivility and bullying are the most prevalent types of violence that occur in the workplace [ 10 ]. Incivility is defined as low intensity deviant behaviour by the perpetrator with the ambiguous intent to harm the victim and destroy mutual respect in the workplace [ 11 ]. Uncivil behaviours may involve intimidation, discourtesy, and rudeness.…”

Incivility through the continuum of nursing: A concept analysis

“…Within the literature reviewed, two main themes were identified as antecedents: a culture of incivility and power gradient. A culture of incivility is the presence of negative behaviors in academia and the workplace with or without policies against uncivil behaviors, lacking collaboration, or demonstrating ineffective communication to promote change . In the work and academic environments, a lack of positive role models exist who demonstrate civil interactions .…”

“…The described demeaning actions were mainly verbal. In the literature, demeaning actions included rude, sarcastic remarks, passive‐aggressive statements, belittling language, and gossiping …”

“…By incorporating psychosocial distress instead of psychological distress, a new definition is created that provides a holistic perspective of the consequences of incivility on the individual. Psychosocial distress diminishes an individual's satisfaction in the workplace leading to a turnover . Psychosocial consequences in the literature include impaired self‐confidence, impaired self‐esteem, and an impaired social image or sense of belonging …”