Incivility Discussion Board Assignment

Make sure you have read the Incivility Case Study document pdf. Answer must be 200 words at least in total.
In your discussion groups:
Based on the case study, as well as your own experiences, answer each of the following questions:
How would you feel and respond if you were the new graduate nurse in the case study?
What would be the best way to address the more seasoned nurse?
Incivility can be defined as “the exchange of seemingly inconsequential inconsiderate words and deeds that violate conventional norms of workplace conduct”. Based on this definition answer each of the following questions:
In what ways does incivility present itself in the medical field?
How do you think incivility could effect patient care?

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Workplace incivility (WI) continues to hamper professional nursing practice, patient care, and the health of nurses who encounter this phenomenon in their workplace. This article provides an exemplar of WI experienced by a new nurse when a more seasoned nurse uses humiliation, intimidation, and angry verbal abuse to accuse the novice nurse in the presence of coworkers and patients that she failed to provide essential nursing care to a challenging patient. Nurses are reminded that open communication among coworkers will help minimize the occurrence of WI, encourage a supportive milieu in the unit, and ensure the safety of patients, family, and staff.

Rachele E. Khadjehturian, RN, MSN, FNP-BC, is the program director of the New Graduate Nurse Residency Program at New York-Presbyterian University Hospital of Columbia and Cornell in New York, NY. The author takes full responsibility for the content of the article. The author did not receive honoraria for this work. No financial relationships relevant to the content of this article have been disclosed by the author or editorial staff. Khadjehturian can be reached at rad9037@nyp.org, with copy to editor at CJONEditor@ons.org.

Digital Object Identifier: 10.1188/12.CJON.638-639

N urse-to-nurse workplace incivility (WI) continues to hamper profes- sional nursing practice, patient

care, and the overall health of nurses who encounter this phenomenon in their workplace. The literature presents other terms used to describe this phenomenon, including horizontal abuse, bullying, vertical abuse, and nurses eating their young (Ceravolo, Schwartz, Foltz-Ramos, & Castner, 2012; Embree & White, 2010; Farrell & Shafiei, 2012; Hutchinson, Vick- ers, Wilkes, & Jackson, 2010; Sheridan- Leos, 2008). In addition, strong evidence exists demonstrating WI contributes to increased turnover rates, diminished job satisfaction, and decreased patient safety because of poor communication among workers (Center for American Nurses, 2008; Johnson & Rea, 2009; Joint Com- mission, 2008; Sheridan-Leos, 2008). One study reported that nursing units normalized WI when the supervisor was the source of the abuse (Hutchinson et al., 2010). Notably, in a study conducted by Ceravolo et al. (2012), nurses in units that normalized WI often were not aware of their destructive actions because the behavior was so widely accepted.

The purpose of this discussion is to raise readers’ awareness of the continua- tion of WI in nursing and to outline tips to address this type of destructive behav- ior in a prompt and proactive manner. For the purpose of this article, WI has been defined as a consistent behavior used to degrade or control another’s be- havior, including individuals or groups (Farrell, 1997, 1999).

Case Study The following case study is an exem-

plar of nurse-to-nurse WI experienced by a new RN. In this situation, a more seasoned nurse used humiliation, in- timidation, and angry verbal abuse to accuse a novice nurse, in the presence of coworkers and patients, that she failed to provide essential nursing care to a chal- lenging patient.

Nurse X was hired at her first nursing job as a new graduate nurse onto a busy inpatient oncology unit at a prestigious academic medical center. She had no previous healthcare experience, and her bachelor’s degree in nursing was a sec- ond degree for her. She had completed