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theses

Purpose of the Project This DNP project evaluated the effectiveness of a professional comportment seminar in managing instances of incivility. Incivility is evidenced by subtle disruptive behaviors such as passive aggression or by overt forms of disruptive behavior such as yelling and berating. Incivility among nurses increases turnover, decreases retention, and creates unsafe patient conditions. A 3-part workshop was developed in response to identified barriers identified and offered at an urban medical center. Methodology This educational series used a pretest and posttest design. Participants completed the Healthy Workforce Disruptive behavior survey (HWI-DBS) to measure witnessed and experienced incivility. Participants also completed the General Self-Efficacy (GSE) tool before and after the workshops to determine skills acquisition in managing incivility.
Results There was a total of 41 preintervention participants who broadly acknowledged personal experiences in witnessing and experiencing incivility Before the seminar, nurses identified frequent barriers to professional comportment, which shaped the training. Participants were noted to have witnessed more acts of incivility than actually experiencing instances of incivility (z = -3.058, p=0.002). When compared to demographics, incivility was noted across all age groups as a universal concept. After the seminar, nurses (n = 6) had increased scores on skills acquisition (z=-2.381, p=0.015). The small sample size was a marked limitation.
Implications for Practice These results suggest that leaders should ensure that incivility training is mandated for staff to allow a greater impact on decreasing incivility. In addition, leaders must conduct frequent assessments measuring incivility to determine the best timing and offering of educational support.

http://dissertations.umi.com/RBHS:10198

D.N.P.

Includes bibliographical references

Includes vita

doi:10.7282/t3-13q9-d429

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