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Civility Training for Nursing Students Made Easy: A Pilot Project

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Primary Author:</td>
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Anthony Delos Reyes, DNP, RN, BC</td>
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Co-Principal Investigators/Collaborators:</td>
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<p align="left">N/A</p>
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Organization:</td>
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South Seattle College</td>
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Abstract</h2>
<h3>
Purpose</h3>
<p>The purpose of the project was to provide nurse educators with a ready-to-use tool that offers civility training to nursing students and to assess the impact of the tool&rsquo;s effect on nursing students&rsquo; perceptions on incivility.&nbsp;</p>
<h3>
Background</h3>
<p>Uncivil behaviors committed by nursing students can result in a negative learning environment, hostility, violence, and medical errors. If unaddressed in nursing school, these behaviors may also extend to incivility in the nursing workforce. Regulatory agencies, such as the American Association of Colleges of Nursing, the Institute of Medicine, the Joint Commission, and boards of nursing have recognized the positive impact of civility on patient and staff outcomes. With that said, they have recommended the implementation of strategies to support it. Unfortunately, many nursing instructors feel powerless and are underprepared when it comes to managing the rising problem of incivility in nursing education.&nbsp;</p>
<h3>
Materials &amp; Methods</h3>
<p>A convenience sample of seven nursing students in a single clinical cohort from a community college within an urban city participated in this pilot project in October 2013. A pretest/posttest design was used. Participants completed the pretest (Incivility in Nursing Education [INE] Survey &copy;), online civility training module (&quot;Civility, You, and Mizzou&quot; &copy;), and posttest (INE Survey). The INE Survey measured the nursing students&rsquo; perceptions of uncivil student and faculty behaviors and their perceived frequency. Cronbach &alpha; range for the tool is 0.85 to 0.96.&nbsp;</p>
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Results</h3>
<p>After completion of the module, there was a positive change (range of 14-29%) in student perception levels for uncivil behaviors listed on the INE Survey. Additionally, participants report that the module increased their knowledge on civility and it also provided them with helpful strategies to prevent and deal with incivility.</p>
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Conclusion</h3>
<p>Findings of this study provide supportive evidence for the need of effective civility training approaches. Adopting the useful, ready-to-use civility module, provides nurse educators with a valuable resource that fosters a culture of safety and civility in academic settings.</p>
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Bibliography</h3>
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<li>
Altmiller, G. (2012). Student perceptions of incivility in nursing education: Implications for educators. Nursing Education Perspectives, 33(1), 15-20.</li>
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American Association of Colleges of Nursing. (2008). Essentials of baccalaureate education for professional nursing practice. Retrieved from http://www.aacn.nche.edu/education-resources/BaccEssentials08.pdf</li>
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Clark, C. M. (2008). Faculty and student assessment of and experience with incivility in nursing education. Journal of Nursing Education, 47(10), 458-465.</li>
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Clark, C. M. (2009). Faculty field guide for promoting student civility in the classroom. Nurse Educator, 34(5), 194-197.</li>
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Clark, C. M. (2011). Pursuing a culture of civility: An intervention study in one program of nursing. Nurse Educator, 36(3), 98-102.</li>
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Clark, C. M., Olender, L., Cardoni, C., &amp; Kenski, D. (2011). Fostering civility in nursing education and practice: Nurse leader perspectives. Journal of Nursing Administration, 41(7/8), 324-330.</li>
<li>
Hall, J. M. (2004). Dispelling desperation in nursing education. Nursing Outlook, 52(3), 147-154.</li>
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Hode, M. G., &amp; Stanley, N. (2013). Civility, you and Mizzou. Retrieved from http://civility.missouri.edu/education/civility-you-mizzou/index.htm#pag...
<li>
Institute of Medicine. (2011). The future of nursing: Leading change, advancing health. Washington, DC: The National Academies Press.</li>
<li>
The Joint Commission. (2008). Sentinel event alert, issue 40: Behaviors that undermine a culture of safety. Retrieved from http://www.jointcommission.org /sentinel_event_alert_issue_40 _behaviors_that_undermine_a_culture_of_safety/</li>
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Lashley, F. R., &amp; De Meneses, M. (2001). Student civility in nursing programs: A national survey. Journal of Professional Nursing, 17(2), 81-86.</li>
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Luparell, S. (2004). Faculty encounters with uncivil nursing students: An overview. Journal of Professional Nursing, 20(1), 59-67.</li>
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Luparell, S. (2011). Incivility in nursing: The connection between academia and clinical settings. Critical Care Nurse, 31(2), 92-95.</li>
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Pearson, C., &amp; Porath, C. (2009). The cost of bad behavior: How incivility is damaging your business and what to do about it. New York, NY: Penguin Group.&nbsp;</li>
<li>
Reed. K. (2010). The seventh annual HealthGrades patient safety in American hospitals study. Retrieved from http://www.visimobile.com/wp-content/uploads/2012/05 /Patient</li>
<li>
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<li>
Robertson, J. E. (2012). Can&#39;t we all just get along? A primer on student incivility in nursing education. Nursing Education Perspectives, 33(1), 21-26.</li>
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<p>&copy; Improvement Science Research Network, 2012</p>
<p>The ISRN&nbsp;published this as received and with permission from the author(s).</p>

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