1. Kimberly Silver DNP, RN Worcester State University
 INCIVILITY Training for Nursing Faculty to Foster Teamwork and Collaboration Between Student and Nursing Staff
Karen Manning
Laboure College
Kimberly Silver DNP, RN Worcester State University

2. Objectives To define incivility
To discuss the misconduct within nursing practice incorporating, Nursing Code of Ethic
To discuss nursing leadership’s role in the prevention and intervention of incivility
To practice communication techniques in confronting bullying behavior
To develop a prevention and intervention action plan to prevent incivility

3. Incivility - Definition
Any action that is rude, discourteous, offensive, intimidating, or hostile that interferes with the learning and/or practice environment
Evidence suggests that incivility on American college campuses, ranging from insulting remarks and verbal abuse to violence, is a serious and growing concern.

4. TYPES OF INCIVILITY
Lateral/Horizontal Violence: Acts that occur between coworkers, between students, between faculty, and between staff nurses and student.
Bullying/Vertical Violence: Acts done by a person in a position of authority

5. Lateral Violence

6. Nursing Students’ Perceptions
“I asked a question to clarify content and was yelled at and told if I did the reading I would know the answer”
“In front of my patient and the nurses on the unit my clinical instructor scolded me for not documenting vital signs before lunch”
“I was made to tell the staff nurse that I was not prepared today and that I would not be able to give medications”
“I asked the staff nurse a questions and she turned and mumbled, what are they teaching you in school”

7. Students Experience

8. Faculty’s Perceptions
“The student rolled her eyes when I explained a procedure to her”
“ After making out the assignment, a student nastily snapped stating, "I'm not here to do the aides work”
“I called and asked my faculty mentor for help and she told me she does not have time and when she was hired for her position she had to figure everything out on her own”
She constantly interrupted me during the Faculty meetings.

9. Incivility can be discreet
Arriving late for class/clinical.
Using cell phones/texting during class/clinical.
Sending an without a greeting.
Using harsh tones or body language, such as rolling eyes.
Dismissing or ignoring concerns, thoughts, or input.

10. Work Environment

11. What are the things that you can do when your students are on an “uncivil” clinical environment?
“Communication with staff, manager, and education is vital to decreasing Incivility.”

12. Measures to Address Incivility
Faculty to Faculty
Zero-tolerance expectations for abrasive behaviors
Clear communication
Self-reflection
Cooperate
Collaborate
Carefully select faculty
Refuse to be a victim
Monitor for bullying groups
Student to Faculty
Zero-tolerance expectations for abrasive behaviors
Clear communication
Shared involvement
Self-reflection
Criminal background checks
Act on warning signals
Faculty to Student
Zero-tolerance expectations for abrasive behaviors
Clear communication
Non-threatening environment
Shared involvement
Self-refection

13. Active Listening
Listen with the same basic courtesies you want to receive:
No interrupting
Reflect back understanding of views
Ask clarifying questions
Really listen, don’t respond until you have truly HEARD the other person
Use “I” messages

14. Communicate with Civility
Remember pleasantries
Don’t interrupt, ask if the person has time
Be open-minded
Say what you mean
Talk to people, not about people
Be aware of tone and volume
Be respectful, even in disagreement

15. Avoid Words That Promote Conflict
“ You should/you must…”
“ You lied…”
“ This is so typical of you…”
“ You always/you never…”
“ The problem is you…”
“ If you don’t do this, then I’ll…”
“ You’ll never change…”
“ You’re being hysterical/ unreasonable…”

16. Create a Culture of Civility in Nursing Programs
Faculty/clinical instructors identify and address incivility across the curriculum
Reward/reinforce civil behavior
Add Code of Ethics to clinical evaluation
Provision 1.5 requires nurses to treat colleagues, students, and patients with dignity and respect and that any form of harassment, disrespect, or threatening action will not be tolerated (ANA Code of Ethics)
Building in civility competencies
Active listening,
Conflict resolution skills, negotiation, dealing with difficult people,
Stress management

17. Civil Behavior Show respect Role Model
Show patience with others and yourself
Avoid sarcasm, put downs, offensive humor
Have a cooperative approach
Listen attentively with eye contact
Watch body language/personal space
Apologize when in the wrong
Give each other positive reinforcement
Accept and learn from mistakes
Adhere to proper etiquette

18. Email Is the message more effectively communicated in person?
Review before sending
Don’t forget pleasantries
Be aware of tone

19. Questions?