NR449 Evidence Based Practice Essays - Human Behavior, Behavior

NR449 Evidence Based Practice Gregory Deloache A. Clinical Question Whenever there are many different people working together, different attitudes and personalities can make for an interesting, and sometimes, conflict filled work environment. Being civil is one of life's easy tasks, however, incivility in the nursing environment has been recognized as a growing problem. According to the ANA, incivility is one or more rude, discourteous, or disrespectful actions that may or may not have a negative intent behind them. (ANA, 2016) This growing problem not only affects the patients whom the nurses care for, but also the nurses themselves. Nurses that experience incivility in the workplace statistically may experience higher stress and anxiety, act out those behaviors towards others, and shut down the communication necessary to provide effective care. The Joint Commission acknowledges that unresolved conflict and disruptive behavi or can adversely affect safety and quality of care . (The Joint Commission, 2008) The purpose of this paper is to bring awareness to nursing incivility in the workplace and to change these behaviors so that patient care can be optimal. (P): nurses experiencing incivility in the workplace. (I): increase education and sensitivity training. (C): have harsher punishments for incivility. (O): less incivility and bullying in the workplace amongst health care professionals. B. Levels of Evidence Incivility is defined as rude or impolite attitude or behavior by Webster's online dictionary. (Webster's, 2016) It has been recorded that new nurses quit within the first six months of working due to incivility and bullying by other nurses. This is a problem that can be, I believe, resolved or decreased by giving the healthcare professionals strategies for stress reduction, sensitivity counseling through workshops, and to work harder towards identifying and eliminating such behaviors. The purpose of this paper is to interpret the quantitative and qualitative articles identified to see whether they are or are not important to our group topic. The paper will compare and contrast the main components of the matrix table. C. Search Strategy While conducting research for this topic, correct terminology is important. Some search terms I used were "incivility", "qualitative", and "workplace bullying". These helped to narrow down my search from articles relating to this topic. The search engines I used were E BSCO and google scholar. The two articles I chose were " The nursing incivility scale: Development and validation of an occupation-specific measure " by AM Guidroz and JL Burnfield-Geimer and " Incivility and bullying in the workplace and nurses' shame responses " by DM Felblinger . I chose t hese two articles because they are credible and relevant to the PICOT question. Because these articles were written by medical professionals they are found to be reliable sources. They were also deemed credible, too, because statistics relating to nursing incivility were stated throughout. References to the ANA and The Joint Commission showed that intensive research was complete d when writing these two articles. I believe that these articles will be useful for this topic now and for any additional information needed in the future. D. Conclusion No one wants to work in a place where they feel uncomfortable or feel like they are being bullied. Being uncivil at work not only hinders necessary communication amongst nurses and staff, but also hinders adequate patient care. It is important to put aside any animosity for fellow co-workers so that quality care to the patients is provided. At the end of the day, we are there to care for and heal the patient. The more knowledge we can gain through increased education , the better we can prevent this from occurring. References: ANA. 2016. Incivility, Bu llying, and Workplace Violence. http://www.nursingworld.org/Bullying-Workplace-Violence Merriam-Webster. 2016. Incivility. http://www.merriam-webster.com/dictionary/incivility The Joint Commission Sentinel Event Alert. (20 08). Behaviors that undermine a culture of safety; Issue 40. www.jointcommission.org/assets/1/18/SEA_40.pdf QRCA. 2016. What is Qualitative Research? http://www.qrca.org/?page=whatisqualresearch