A Paragraph Introducing Incivility within Healthcare Meta Paradigm

Besides nursing being a career committed to helping those in need of help, most nurses end up becoming victims of abuse and violence at their different workplaces on a daily basis. Disrespect, harassment, and brutality is a significant problem which most of the nurses go through each day at work.  However, incivility and bullying are the most widespread challenges faced by nurses. Incivility is the act of being rude and disrespectful to somebody especially your colleague at work when one has a positive intention behind them. Harassment, on the other hand, can be defined as the act of hurting or harming a person physically or emotionally and cause embarrassment to the individual. Such actions, whether physically delivered or verbally delivered should not be tolerated at all whether by patients or by other colleagues. Incivility has a lot of effects on the affected, not only on the well-being of the nurse affected but also on the aspect of taking care of the patients.

Current Initiatives to Decrease Incivility within the Workplace

After considerable research was done on incivility, the researchers found out that action was urgently required to reduce the cases of incivility. This, therefore, brought about the need of involving nurses, officials, and people as the clients in this process to get a better understanding of the problem. The researchers, however, realized that nurses required to improve their communication and nursing skills. However, the quality of nursing education should be, and the teaching of communication skills also should be done during their period of in-service training courses. Rather than that,new methods of taking care of patients should also be introduced in hospitals. The public should even be educated on the hospitalization process, and the actual image of the nurses be revealed to them too to reduce and prevent the issues of workplace incivility. This issue should not only be considered locally but also at the national level. Most researches done show that cases on the nurses’ perspective are usually frequent and therefore their opinions should be assessed.

How Incivility Impact an Individual Nurse Ability to Use Clinical Judgment

In most cases, victims of workplace incivility especially new nurses are likely to get nervous. Increased nervousness can lead to the increase of long-term stress at work thus leading to poor performance. Nevertheless, most of the new nurses with high resistance to workplace incivility do not fall into it as victims.

Incivility and harassment at workplaces can easily lead to harming of the victims’ sense of self-confidence and feeling unworthy. This easily results in physical health problems like headaches, lack of enough sleep and other problems. These problems are usually caused by prolonged stress, nervousness and being irritated. Some of the researches done show that this problems can lead to traumatic stress disorders which is also known as depression. Such problems may seriously affect the clinical judgment of the victims thus causing to poor performance of the nurses.

Similar researches have been done on the impacts of incivility at work place for new nurses on medication for patients. It was realized that seven percent (7%) had led to an error on the medication given to the patients. Other researches also show that there was an increase in the errors related to security of the patient due to frequent intake of wrong medication. This can sometimes lead to the fall of the patient. Delayed administration of medication is also brought about by incivility at work place.

This research therefore shows that if no action is taken to reduce the cases of workplace incivility, then nurses will not have confidence in themselves thus causing a great effect on the quality of service and care given to the patients.  This could easily cause deaths and poor performance of the institution itself thus losing patients who had built their trust in them. It could also lead to less job satisfaction thus discouraging new nurses from moving on with their jobs. This therefore causes destruction of most nurses’ careers.

Few paragraphs analyzing and identifying the issues that occur with workplace or clinical sites civility.

Most researchers therefore advocate that when new nurses work in environments are friendly and civil interpersonal relationships are built they are less likely to suffer from workplace incivility and experience job burn-out. Reduced workplace incivility also helps in building the self-confidence of new nurses. It is also important to reduce workplace incivility so as to enable the nurse provide an environment which is healthy to work in.  Whenever new nurses are empowered, it is always possible for them to demonstrate great job satisfaction and commitment.

Most researches also show that there is always a high statistical difference among new nurses depending on the support given to them by fellow colleagues and the supervisors too. Highly beneficial relationships among colleagues at work is likely to increase the commitment of new nurses who may end up feeling inferior among other senior colleagues if treated otherwise. Therefore most researchers suggest that empowered structures should be put in place so that the new nurses are able to feel engaged and committed. This is usually mostly common with the newly graduated nurses who are mostly at the bottom of the hierarchy of the organization and whose knowledge is less and also have less experience in their career. Whenever new nurses are empowered psychologically, they are able to adopt and cope with any issues that bring about stress at their places of work. This therefore shows that whenever employers provide civil working environments, the intention of the new nurses of staying in the organization is increased and become more satisfied with their work. In addition to that, the nurses also gain more power and energy to work in the organization. They also become more loyal and productive thus bringing in a lot of change in the organizations success.

Few paragraphs discussing how the clinical site or workplace was affected due to incivility

`On the other hand, workplace incivility also has a great effect on the organizational level. Victims of workplace incivility are likely to be isolated from fellow colleagues. Victims and those who witness workplace incivility may react in a manner that is likely to ruin the resources of the organization and also put at risk the development of the organization.I addition to that, workplace incivility can affect ones social factors and lead to the development of an aggressive behavior thus provoking workplace violence. Workplace incivility interferes with the nursing professional practice thus leading to the decrease of the patients care and also affect the health of the nurses’ themselves. This therefore shows us that the ability of new nurses to do their work as expected is highly influenced by the workplace environment and support from the work organization.

Therefore it is necessary that a good environment for working in should be built and good care is also necessary for them to work accordingly. Most of the researches carried out show that most of the new nurses decide to make nursing a career due to personal desires and passion to become a nurse. This expectations are easily alleviated by incivility. This expectations have the power to promote the nurses participation in this profession of nursing which can improve the performance of the nurses at work. Workplace incivility can cause a lot of damage to the organization.

Few paragraphs identifying current initiatives to decrease incivility within the workplace

There are three prevention strategies which are usually prevented at every level. They include primary, secondary and tertiary. Primary prevention strategy aim at educating new nurses and other measures building and improving the point out and to reduce the risks of workplace incivility. Primary prevention is also purposed at improving both professional and interpersonal relationships. Secondary prevention is usually aimed at reducing harm whenever any incidences of workplace incivility has come up whereas tertiary prevention strategies are usually aimed at reducing the effects or consequences which come up in the occurrence of such an incidence. Within the secondary and tertiary strategies the employer referred to here is usually the agencies, corporations, the health care organizations and the employers of nurses or those that contract registered nurses. However, those nurse leaders in charge of the nurses’ education are also usually include in the definition of an employer. Apart from that, most of the researchers suggest that ethical environments should be created and other colleagues, students, co-workers, and employees should be treated right with dignity, respect, and kindness too. This therefore means that the organization will no longer tolerate any kind of violence from any kind of sources.Evidence based strategies also been put in place to reduce and prevent occurrence of incivility,and bullying at any professions place of work and to promote the safety and wellbeing of nurses. It also helps in bringing out good results at the healthcare sector. Even though this strategies were recommended for the registered nurses only, other professions too can use them to reduce the occurrence of incivility at their workplaces.

Therefore most of the researchers advice and suggest that all registered nurses and employers should work together to bring up and build a respectful culture, which is civil and free form workplace incivility.

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