Nursing incivility issues in healthcare
Nursing incivility issues in healthcare
General instruction:
Locate a news story or other resource from the last six months regarding an issue in healthcare and answer all questions/criteria with explanations and detail.
Include the following sections:
- Application of Course Knowledge
- Summarize the issue and provide a link to the news story or resource.
- Discuss how the issue may impact nursing practice at the micro-, meso-, and macro-levels of the healthcare system.
- Analyze how healthcare policy impacts the issue.
- Propose one potential policy change that could help address or mitigate the issue.
Nursing incivility issues in healthcare
Summary of the Issue
Nursing incivility encompasses rudeness and discourtesy in the course of service provision, including teasing, abandonment of professional courtesy, and overlooking another’s worth as a person. This experience affects the well-being of the nurses in their workplace, and their increasing stress and emotional exhaustion influence the quality of care offered to patients and their health. Research carried out in four Saudi healthcare facilities analyzed how incivility experienced by nurses, stress levels, and patients’ conditions are connected; the results pointed to a connection between workplace abuse and high readmission rates. The study recommends that more should be done to enhance positive work climates.
Link to the article. https://doi.org/10.1186/s12912-024-01996-9
Impact on Nursing Practice at Micro-, Meso-, and Macro-Levels
On the micro-level, the people experiencing incivility include individual nurses. When subjected to this, they develop high levels of stress that may lead to burnout and poor quality of care for their patients. At the meso-level, incivility results in negative organizational outcomes such as compromised team cohesion, rising conflict, and staff attrition in the nursing divisions. This makes it difficult for communication to occur, directly impacting patient safety (Alsadaan et al., 2024). On the macro-level, organizations at the receiving end will experience reduced organizational efficiency and increased healthcare-related incidences due to diminished healthcare service delivery standards since the healthcare staff tends to be stressed owing to unpolite conduct by fellow caregivers.
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Healthcare Policy Impact
Currently, organizational policies within the healthcare setting underestimate the consequences of workplace incivility, and most of the attention is paid to production-related issues, as well as the safety of patients. However, the absence of specific policies restricting incivility fosters deleterious organizational climates that negatively impact nurse well-being and patient care outcomes. Insufficient systemic agents aimed at changing the civil culture and establishing positive relations within healthcare institutions may have to deal with various hidden costs of incivility, like staff turnover, lower coworker efficiency, and unsatisfied patients (Lewis, 2023). These gaps in policy significantly contribute to burnout and dissatisfaction amongst the nurses, the human capital that the sector dramatically relies on.
Proposed Policy Change
One of the policy implications would be protecting healthcare staff to ensure that they undergo conflict–resolution and communication programs with a particular focus on respect for each other. Such a policy would ensure that leadership was on the line to maintain healthy working environments and offer avenues for dealing with incivility. It would also entail periodic audits of workplace culture to evaluate the effectiveness of the policy (Shoorideh et al., 2021) nursing incivility issues in healthcare. Furthermore, if the core issues behind incivility are effectively managed, the instituted policy could foster increased job satisfaction, decrease stress levels among nurses, offer better patient care solutions, and create an overall competent healthcare system.
References
Alsadaan, N., Elsayed, M., & Alqahtani, M. (2024). From incivility to outcomes: Tracing the effects of nursing incivility on nurse well-being, patient engagement, and health outcomes. BMC Nursing, 23(1). https://doi.org/10.1186/s12912-024-01996-9
Lewis, C. (2023). The impact of interprofessional incivility on medical performance, service, and patient care: A systematic review. Future Healthcare Journal, 10(1), 69–77. https://doi.org/10.7861/fhj.2022-0092
Shoorideh, F. A., Moosavi, S., & Balouchi, A. (2021). Incivility toward nurses: A systematic review and meta-analysis. Journal of Medical Ethics and History of Medicine, 14(15). https://doi.org/10.18502/jmehm.v14i15.7670 nursing incivility issues in healthcare
