Incivility Within Hospital Metaparadigm

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Introduction

Interpersonal conflict is a major setback in the healthcare industry, impacting physicians’ well-being and patient treatment quality. Incivility can manifest as unpleasant and disrespectful behavior, rumor-mongering, or refusing to assist a coworker. Individually, workplace incivility can reduce individuals’ job engagement and impede job effectiveness. It is quite obvious that occupational stress impedes the profession of nursing, lowering healthcare outcomes and nurses’ well-being. Some examples of workplace incivility include writing a harsh and degrading message, gossiping about somebody behind their back, and harassing someone emotionally (Brown, 2017). Other instances may include denigrating workers by statements, gestures, or demonstrated actions, making charges about professional competency, publicly reprimanding and insulting others, and using nonverbal messages.

Within the medical metaparadigm, incivility relates to unpleasant, bullying, aggressive, and disrespectful workplace actions that impact workplace conditions and can result in serious discomfort (Brown, 2017). Incivility is usually done intentionally by health workers, staff, and some patients. On the one hand, Incivility includes unfair treatment among employees, mocking each other, and discouraging other health workers. On the other hand, Incivility can be displayed when health workers are aggressive and can cause physical harm, racism, or sexual harassment. In the health care metaparadigm, nurses with poor and uncivil behavior cannot produce effective patient care (Brown, 2017). They shout at patients and threaten them, reducing the effectiveness of connecting with them to offer maximum patient care. Hence it is necessary to provide the hospital setup with adequate awareness of Incivility and its effects.

The Consequences of Incivility on the Nurse’s Capacity to Utilize Clinical Reasoning

Clients and health care personnel subjected to emotional, mental, and behavioral distress are the persons most affected by belligerence. These stress-causing actions of Incivility reduce the effectiveness of the nurses and their ability to offer patient care (Brown, 2017). When a nurse has emotional and psychological stress, they tend to get insomnia or headaches, which affects the nurses’ health and competence. Nurses under stress also have reduced commitment to their work and have reduced work drive, which reduces their productivity. As a result of the psychological distress, the nurses tend to make poor judgments and can lead to an overdose of patients, unnecessary procedures done, or inadequate administration of patient care (Brown, 2017). Hence, the stress in the hospital setup affects the nurses’ clinical judgment and effectiveness.

Assessing and Defining the Problem of Workplace or Medical Setting Incivility

High stress, exhaustion, and heavy workload are all common causes of Incivility. Nearly 70% of care service organizations in the United States do not have initiatives or procedures in place to handle occupational stress or violence (Yan & Li, 2017). In the hospital, nurses’ behavior and communication greatly affect how patient care is administered. Some nurses are rude and shout at patients, not considering the privacy and the communication relations they should have with patients, which causes them to reduce the efficiency of patient care. When a nurse is uncivil, they cause unnecessary misdiagnosis or do not get the correct history from the patient to get the correct diagnosis, reducing their competence.

A clinician who has been a subject of incivility has poorer self-esteem and lower job efficiency, which affects their workforce. When a nurse speaks brutally to a patient seeking medical attention, this is an example of nurse incivility in healthcare. 2017 (Yan & Li). The patient may exclude information that could be helpful in the diagnosis because of the harsh treatment they get from the uncivil nurses. Another instance is a patient who is supposed to undergo surgery. When the nurse is preparing the patient for theatre, they gets overwhelmed by the low self-confidence and treatment of Incivility from her colleagues and gives an overdose. The patient with the overdose may get unwanted side effects which include permanent paralysis (Yan & Li, 2017). This inconveniences the patients and reduces the effectiveness of the nurses causing the nurse to get suspended or fired, which leads to depression and can cause the nurse to lose their jobs.

How Interpersonal Conflict Affects Workplace or Healthcare Communication

Nurse incivility has hampered interaction between health personnel, patients, and nurses. Appropriate and effective communication is essential in evaluating the effectiveness of patient care management and collaboration in a health care facility. It also fosters therapeutic dialogue between the doctor and the patients. A therapeutic connection is formed due to healthy communication (Yan & Li, 2017). Nurses’ Incivility breeds misunderstanding and hostility among workers, particularly among healthcare personnel. These unproductive relationships can have a significant impact on the patient’s caregiving since they are the ones who suffer as a result of inadequate drug administration or bad care administration (Yan & Li, 2017). Nurses should be trained about the effects of improper communication in hospital situations and how it affects their goals and productivity in inpatient care. They should be taught to respect one another and to focus on patient-centered caregiving.

Ongoing Approaches Being Implemented by Organizations to Reduce Incivility in the Place of work or Hospital Sites

Interventions that should be implemented include setting up departmental meetings at the hospital to educate and remind health personnel about the repercussions of incivility and how they may improve efficient communication connections. The hospital setup can also include measures that should be implemented to treat patients and communicate effectively with colleagues (Yan & Li, 2017). This will help the health workers to relate with each other respectfully and reduce the assaults among them. Reduced cases of Incivility will increase the competence of the health workers, and good quality patient-centered care will be provided to the patients.

Conclusion

Incivility in the health care setting is detrimental and causes great loses and mistakes. Nurses should ensure that they have respect for each other and be able to accept correction. The other workers that are correcting should do it with respect considering the feelings and mental health of the recipient. The nurses should communicate effectively with the patients and create an ample environment for them to express their feelings and how their health is doing without fear of judgment. Incivility should be reduced by the measurements set by the hospital organization to help in the effectiveness of the nurses and the health care professionals. The nurses and the doctors should also communicate with their therapists or friends to reduce the depression that is accompanied by pressure in the health facility.

References

Brown, J., T. (2017). The ethical dimensions of Incivility in nursing education. Nursing & Healthcare International Journal, 1(3). Web.

Yan, Y., & Li, J. (2017). Beyond Incivility in the workplace: Using civility interventions to proactively deescalate workplace incivility. Advances in Psychological Science, 25(2), 319. Web.

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