Kimberly Silver DNP RN Worcester State University INCIVILITY Training for Nursing Faculty to Foster Teamwork and Collaboration Between Student and Nursing Staff To define incivility To discuss the misconduct within nursing practice incorporating Nursing Code of Ethic ID: 692495
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Karen ManningLaboure CollegeKimberly Silver DNP, RNWorcester State University
INCIVILITY Training for Nursing Faculty to Foster Teamwork and Collaboration Between Student and Nursing StaffSlide2
To define incivilityTo discuss the misconduct within nursing practice incorporating, Nursing Code of EthicTo discuss nursing leadership’s role in the prevention and intervention of incivilityTo practice communication techniques in confronting bullying behaviorTo develop a prevention and intervention action plan to prevent incivilityObjectivesSlide3
Any action that is rude, discourteous, offensive, intimidating, or hostile that interferes with the learning and/or practice environmentEvidence suggests that incivility on American college campuses, ranging from insulting remarks and verbal abuse to violence, is a serious and growing concern.Incivility - DefinitionSlide4
TYPES OF INCIVILITYLateral/Horizontal Violence: Acts that occur between coworkers, between students, between faculty, and between staff nurses and student.Bullying/Vertical Violence: Acts done by a person in a position of authoritySlide5
Lateral ViolenceSlide6
“I asked a question to clarify content and was yelled at and told if I did the reading I would know the answer”“In front of my patient and the nurses on the unit my clinical instructor scolded me for not documenting vital signs before lunch”“I was made to tell the staff nurse that I was not prepared today and that I would not be able to give medications”“I asked the staff nurse a questions and she turned and mumbled, what are they teaching you in school”Nursing Students’ PerceptionsSlide7
Students ExperienceSlide8
“The student rolled her eyes when I explained a procedure to her”“ After making out the assignment, a student nastily snapped stating, "I'm not here to do the aides work”“I called and asked my faculty mentor for help and she told me she does not have time and when she was hired for her position she had to figure everything out on her own”She constantly interrupted me during the Faculty meetings.Faculty’s PerceptionsSlide9
Arriving late for class/clinical. Using cell phones/texting during class/clinical.Sending an e-mail without a greeting. Using harsh tones or body language, such as rolling eyes. Dismissing or ignoring concerns, thoughts, or input. Incivility can be discreetSlide10
Work EnvironmentSlide11
What are the things that you can do when your students are on an “uncivil” clinical environment?“Communication with staff, manager, and education is vital to decreasing Incivility.”Slide12
Measures to Address Incivility
Student to Faculty
Zero-tolerance expectations for abrasive behaviors
Clear communication
Shared involvement
Self-reflection
Criminal background checks
Act on warning signals
Faculty to Faculty
Zero-tolerance expectations for abrasive behaviors
Clear communication
Self-reflection
Cooperate
Collaborate
Carefully select faculty
Refuse to be a victim
Monitor for bullying groups
Faculty to Student
Zero-tolerance expectations for abrasive behaviors
Clear communication
Non-threatening environment
Shared involvement
Self-refectionSlide13
Listen with the same basic courtesies you want to receive: No interrupting Reflect back understanding of views Ask clarifying questions Really listen, don’t respond until you have truly HEARD the other person Use “I” messages Active Listening Slide14
Remember pleasantries Don’t interrupt, ask if the person has timeBe open-minded Say what you meanTalk to people, not about peopleBe aware of tone and volume Be respectful, even in disagreement Communicate with CivilitySlide15
Avoid Words That Promote Conflict “ You should/you must…” “ You lied…” “ This is so typical of you…” “ You always/you never…” “ The problem is you…” “ If you don’t do this, then I’ll…” “ You’ll never change…” “ You’re being hysterical/ unreasonable…” Slide16
Faculty/clinical instructors identify and address incivility across the curriculumReward/reinforce civil behavior Add Code of Ethics to clinical evaluationProvision 1.5 requires nurses to treat colleagues, students, and patients with dignity and respect and that any form of harassment, disrespect, or threatening action will not be tolerated (ANA Code of Ethics)Building in civility competenciesActive listening, Conflict resolution skills, negotiation, dealing with difficult people, Stress managementCreate a Culture of Civility in Nursing ProgramsSlide17
Show respect Role ModelShow patience with others and yourselfAvoid sarcasm, put downs, offensive humor Have a cooperative approach Listen attentively with eye contact Watch body language/personal space Apologize when in the wrongGive each other positive reinforcementAccept and learn from mistakesAdhere to proper email etiquetteCivil BehaviorSlide18
Is the message more effectively communicated in person? Review before sendingDon’t forget pleasantries Be aware of tone EmailSlide19
Questions?
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