NRS 493 Literature Evaluation Table

NRS 493 Literature Evaluation Table

NRS 493 Literature Evaluation Table

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Incivility in nursing affects nurse’s productivity and mental health resulting in potential patient safety concerns. There is a need to adopt a program that increase awareness of incivility as well as cognitive rehearsal techniques to decrease perceived instances of uncivil behavior.

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Criteria Article 1 Article 2 Article 3 Article 4
Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

 

Abdollahzadeh et al. Iranian Journal of Nursing and Midwifery Research. https://doi.org/10.4103/1735-9066.205966 Armstrong. Workplace Health & Safety. https://journals.sagepub.com/doi/pdf/10.1177/2165079918771106 Armstrong. Online Journal of Rural Nursing and Health Care. https://rnojournal.binghamton.edu/index.php/RNO/article/view/438/361 El-Amrosy et al. American Journal of Nursing. http://article.scinursingresearch.com/pdf/ajnr-7-6-21.pdf
Article Title and Year Published

 

How to Prevent Workplace Incivility?: Nurses’ Perspective. (2017) Management of nursing workplace incivility in the health care settings: A systematic review. (2018) A quality improvement project measuring the effect of an evidence-based civility training program on nursing workplace incivility in a rural hospital using quantitative methods.

(2017)

The Effect of Educational Intervention about Incivility on Psychological Wellbeing and Burnout among Nurses. (2019)
Research Questions (Qualitative)/Hypothesis (Quantitative)

 

Incivility has a negative impact. Which interventions are used to handle incivility in healthcare? A civility training program should increase the staff nurses’ ability to recognize workplace incivility, reduce workplace incivility in a nursing unit, and increase confidence to respond to workplace incivility when it occurs. Application of educational intervention about incivility will improve psychological wellbeing and decrease burnout among nurses.
Purposes/Aim of the Study Determining how to prevent workplace incivility from the nurses’ perspective. To critique and summarize the available evidence related to interventions to assist nursing staff working in health care settings to manage incivility.

To help nurses and health care leaders have ready access to the best available evidence to combat incivility.

To implement a civility training program that includes education about incivility, teambuilding exercises, and experiential learning activities.

 

To evaluate the effect of educational intervention about incivility on psychological wellbeing and burnout among nurses.
Design (Type of Quantitative, or Type of Qualitative)

 

Qualitative Qualitative Quantitative Quantitative
Setting/Sample

 

Thirty-four nurses (25 to 52 years old) from seven training hospitals in Tabriz, Iran. 10 studies derived from CINAHL, PubMed, Google Scholar, MEDLINE, and Cochrane Database of Systematic Reviews. The pilot project was open to all registered nurses, with an active license, hired to work on the evening shift from the closed wound care unit. Nine nurses participated.

 

50 nurses Menoufia Main university hospital.
Methods: Intervention/Instruments

 

The semi-structured interviews and field notes Keywords like nursing” along with “incivility,” “bullying,” “lateral violence,” and “horizontal violence,” were used to execute the search. Facilitated

educational

discussions

about the workplace,

teambuilding exercises, and experiential learning

activities

Incivility and questionnaires to collect data.

Educational intervention on nurse incivility and utilization of cognitive rehearsal. Questionnaire and Workplace Incivility Scale used to collect data.
Analysis

 

The interviews and notes were transcribed and the main themes and subthemes were abstracted. An inclusion and exclusion criteria helped in getting the right. Only interventional research studies were included in the review and critique. Data from the questionnaires were coded and analyzed using SPSS software. Data were collected, tabulated, statistically analyzed using an IBM personal computer with Statistical Package of Social Science (SPSS) version 20.
Key Findings

 

A comprehensive and systematic attempt is needed to prevent incivility. Incivility training programs that included education about workplace incivility and its effects, a form of training about how to communicate when conflict arises assertively, and practice actively responding to incivility scenarios, either through cognitive rehearsal or some form of role-playing, appear to be the most effective way to help nurse improve their self-efficacy, as it pertains to workplace incivility. There were no significant changes in the nurses’ experiences with incivility in their unit. Nurse confidence to establish and respond to incivility cases increased. Acts of incivility are devastating to nurses, affecting their performance, mental health, and intention to remain with an organization or even within the profession of nursing
Recommendations

 

Nurses should try to improve their skills; officials should try to show the real image and position of nurses and hospitals to the community. A particular program should be tested multiple times to get more specific recommendations about which program works best. Also, there needs to be more general research done about interventions to help nurses manage workplace incivility. Training sessions should be completed

away from the

nursing unit or department, so that there are

fewer distractions and more department members can participate at the same time.

 

To implement educational intervention about incivility throughout the organization to improve psychological well-being and decrease burnout among nurses
Explanation of How the Article Supports EBP/Capstone Project

 

The article indicates that a program on education and cognitive rehearsal is the most effective approach to reduce incivility in health care. it supports the Capstone project which aims at implementing similar programs. The article supports the use of an educational intervention to empower nurses in handling incivility.  The article also calls for multiple testing of an intervention to get more specific recommendations. The article shows that the proposed project is ideal. The study uses an education program just like the proposed Capstone project. The study indicates no significant changes in nurse’s experiences on incivility. The views can be used to generate a hypothesis. The study asserts that incivility negatively affects nurses. The author recommends the implementation of an educational intervention that resonates with the proposed project.

 

 

Criteria Article 5 Article 6 Article 7 Article 8
Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

 

 Roberts et al. Nurse Educator. https://stti.confex.com/stti/nerc18/webprogram/Paper89910.html Smith et al. Journal of Nursing Management. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5851800/ Touzet et al. BMJ Open. https://bmjopen.bmj.com/content/9/9/e031054 Warner et al. Nursing Management. DOI: 10.1097/01.NUMA.0000475622.91398.c3
Article Title and Year Published

 

Peer training using cognitive rehearsal to promote a culture of safety in health care. (2018). Association of the nurse work environment with nurse incivility in hospitals. (2018) Impact of a comprehensive prevention program aimed at reducing incivility and verbal violence against healthcare workers in a French ophthalmic emergency department: an interrupted time-series study. (2019). Decreasing workplace incivility. (2016)
Research Questions (Qualitative)/Hypothesis (Quantitative)

 

Cognitive rehearsal training enhances the ability to recognize and respond to incivility. What are the relationships between the nurse work environment, particularly the nurse manager ability, leadership, and support of nurses, and staffing and resource adequacy with coworker incivility among registered nurses working in hospitals? A comprehensive prevention program prevents incivility and verbal violence against healthcare workers. Interventions aimed at reducing incivility in the workplace are beneficial to nurses, healthcare organizations, and patients.
Purposes/Aim of the Study To increase nursing students’ awareness of incivility, provide communication techniques to respond appropriately, and reinforce positive behaviors that promote a culture of safety. To determine whether nurse coworker incivility is associated with the nurse work environment. To assess the impact of a comprehensive prevention program aimed at preventing incivility and verbal violence against healthcare professionals working in the ophthalmology ED (OED) of a university hospital. To provide training to elevate staff and management’s awareness of incivility and its consequences, and decrease the instances of perceived incivility.
Design (Type of Quantitative, or Type of Qualitative)

 

Quantitative. Quantitative Quantitative Quantitative
Setting/Sample

 

Students from one nursing program in the southeast. A convenience sample of 283 nurses was recruited from 5 acute care hospitals within one U.S. Southwestern healthcare system All patients admitted to the OED and those accompanying them and the OED team present during the day shift. 99 staff from an inpatient unit of a 60-bed orthopedic surgical specialty hospital located in the Midwestern United States
Methods: Intervention/Instruments

 

Effectiveness of a one-hour interactive and student peer-led civility

NRS 493 Literature Evaluation Table
NRS 493 Literature Evaluation Table

training was compared to a three-hour didactic/interactive training provided by a nursing incivility expert.

Donabedian’s structure-process-outcome model was used to frame this study. The program was designed to address long waiting times and lack of information. It combined a computerized triage algorithm linked to a waiting room patient call system, signage to assist patients to navigate in the OED, educational messages broadcast in the waiting room, presence of a mediator, and video surveillance. Management and staff were trained on incivility, cognitive rehearsal techniques, and the use of visual cue cards.

Pre and post-survey were executed before and after the training.

Analysis

 

Descriptive statistics were evaluated using both survey results to compare responses between groups on both survey items. Sample distribution for coworker incivility was assessed for normality using the Shapiro Wilk statistic. A pre-post analysis to compare rates before and during the implementation of the prevention program using the χ2 test was executed for all outcomes. Data were analyzed using a software program. Outcome measures included the change in awareness of uncivil behavior and the change in the frequency of perceived instances of incivility.
Key Findings

 

Results of descriptive, inferential, and qualitative statistics support these two training methods for incivility. The nurse work environment was significantly related to coworker incivility. There was a significant reduction in self-reported incivility or verbal violence by healthcare workers following the implementation of a comprehensive prevention program. General incivility was reduced after training on incivility and cognitive rehearsal techniques.
Recommendations

 

Perpetual peer training after initial expert training may provide an expert system for civility training cost-effectively with the added benefit of self-perpetuating high-quality student outcomes. Nurses’ work environments warrant the attention of hospital administrators to achieve civil workplaces where nurses can focus on patient care. Emergency departments should develop a comprehensive primary prevention program that integrates various environmental and patient-oriented components (organizational, educational, relational, and security). A program that raises awareness of incivility, provides cognitive rehearsal techniques and resources and incorporates management can help decrease the perceived instances of uncivil behavior.
Explanation of How the Article Supports EBP/Capstone

 

Training on cognitive rehearsal helps in creating a zero-tolerance program. The study proposes a similar training. The article calls for the creation of civil workplaces to allow nurses to focus on patient care. a probable way of enhancing civility is through nurse empowerment as proposed by the project. Education is a component of the comprehensive prevention program.  It is therefore essential to educate health workers to handle incivility. The study implemented similar interventions proposed by the capstone project. It offers a blueprint to follow when implementing the project.