J Korean Acad Nurs.  2013 Aug;43(4):453-467. 10.4040/jkan.2013.43.4.453.

Nurses' Experience of Incivility in General Hospitals

Affiliations
  • 1Department of Nursing, Mokpo National University, Muan, Korea.
  • 2Department of Nursing, Sunchon National Universtiy, Sunchon, Korea. kopark@sunchon.ac.kr
  • 3Department of Nursing, Dankook University, Cheonan, Korea.

Abstract

PURPOSE
This study was done to describe nurses' experience of incivility in hospitals and to consider nurses' work environment.
METHODS
Data were collected through in-depth interviews and analyzed using Colaizzi' phenomenological analysis methodology. Participants were seven experienced clinical nurses working on a general ward (2 nurses), or in an intensive care unit (2 nurses), emergency room (2 nurses), or operating room (1 nurse).
RESULTS
The incivility that nurses experienced was categorized as follows: 'being afflicted as a weak person', 'being treated as less than a professional', 'being overwhelmed by shock and anger', 'experiencing an untenable situation', 'struggling to survive', and 'pursuing professional growth'.
CONCLUSION
Behavior guidelines should be developed to reduce incivility, and incivility cases should be continuously monitored by the nursing department. Also, to handle incivility problems in clinical nursing areas, a reporting and counseling system and education programs are needed.

Keyword

Nurse; Anger; Hospital

MeSH Terms

Adaptation, Physiological
Adult
Anger
Attitude of Health Personnel
Emergency Medical Services
Female
Hospitals, General
Humans
Intensive Care Units
Interprofessional Relations
Interviews as Topic
Nursing Staff, Hospital/*psychology
Workplace

Cited by  2 articles

A Study of Desired Work Conditions of Nurses in Small-Medium Hospitals
Kwang-Ok Park, Jong Kyung Kim
J Korean Acad Nurs Adm. 2019;25(1):1-13.    doi: 10.11111/jkana.2019.25.1.1.

A Grounded Theory Approach on Nurses’ Experience with Workplace Bullying
Jiyeon Kang, Seonyoung Yun
J Korean Acad Nurs. 2016;46(2):226-237.    doi: 10.4040/jkan.2016.46.2.226.


Reference

1. Adams A. Bullying at work: How to confront and overcome it. London: Virago;1992.
2. Andersson LM, Pearson CM. Tit for tat? The spiraling effect of incivility in the workplace. Acad Manage Rev. 1999; 24(3):452–471.
3. Ceravolo DJ, Schwartz DG, Foltz-Ramos KM, Castner J. Strengthening communication to overcome lateral violence. J Nurs Manag. 2012; 20(5):599–606. http://dx.doi.org/10.1111/j.1365-2834.2012.01402.x.
4. Colaizzi PF. Psychological research as the phenomenologist views it. In : Valle RS, King M, editors. Existential phenomenological alternatives for psychology. New York, NY: Oxford University Press;1978. p. 48–71.
5. Cortina LM, Magley VJ, Williams JH, Langhout RD. Incivility in the workplace: Incidence and impact. J Occup Health Psychol. 2001; 6(1):64–80.
6. Dion MJ. The impact of workplace incivility and occupational stress on the job satisfaction and turnover intention of acute care nurses. Storrs, CT: University of Connecticut;2006. Unpublished doctoral dissertation.
7. Farrell GA. From tall poppies to squashed weeds: Why don't nurses pull together more? J Adv Nurs. 2001; 35(1):26–33.
8. Felblinger DM. Incivility and bullying in the workplace and nurses' shame responses. J Obstet Gynecol Neonatal Nurs. 2008; 37(2):234–241. http://dx.doi.org/10.1111/j.1552-6909.2008.00227.x.
9. Gilin Oore D, Leblanc D, Day A, Leiter MP, Spence Laschinger HK, Price SL, et al. When respect deteriorates: Incivility as a moderator of the stressor-strain relationship among hospital workers. J Nurs Manag. 2010; 18(8):878–888. http://dx.doi.org/10.1111/j.1365-2834.2010.01139.x.
10. Gopalkrishnan P. Workplace incivility and employee strain reactions: The moderating effects of perceived organizational support and job insecurity. Bowling Green, OH: Bowling Green State University;2011. Unpublished master's thesis.
11. Guba E, Lincoln Y. Effective evaluation: Improving the usefulness of evaluation results through responses and naturalist approaches. San Francisco, CA: Jossey-Bass;1985.
12. Hong SH. A phenomenological study of the caring in nursing science. Res Philos Phenomenol. 2011; 50:213–241.
13. Hutton S, Gates D. Workplace incivility and productivity losses among direct care staff. AAOHN J. 2008; 56(4):168–175.
14. Hutton SA. Workplace incivility: State of the science. J Nurs Adm. 2006; 36(1):22–27.
15. Im SB, Kim SY, Ko Y, Lee MY. Clinical nurses' perceptions on nursing organizational culture and differences in their perceptions according to age groups. J Korean Clin Nurs Res. 2012; 18(2):215–227.
16. Johnson PR, Indvik J. Slings and arrows of rudeness: Incivility in the workplace. J Manag Dev. 2001; 20(8):705–714.
17. Kassab M, Kenner C. Simulation and neonatal nursing education. Newborn Infant Nurs Rev. 2011; 11(1):8–9.
18. Kim BH, Kim KJ, Park IS, Lee KJ, Kim JK, Hong JJ, et al. A comparison of phenomenological research methodology: Focused on giorgi, colaizzi, van kaam methods. J Korean Acad Nurs. 1999; 29(6):1208–1220.
19. Kwon HJ, Kim HS, Choe KS, Lee KS, Sung YH. A study on verbal abuse experienced at medical centers. Clin Nurs Res. 2007; 13(2):113–124.
20. Leiter MP, Price SL, Spence Laschinger HK. Generational differences in distress, attitudes and incivility among nurses. J Nurs Manag. 2010; 18(8):970–980. http://dx.doi.org/10.1111/j.1365-2834.2010.01168.x.
21. Lewis PS, Malecha A. The impact of workplace incivility on the work environment, manager skill, and productivity. J Nurs Adm. 2011; 41(1):41–47. http://dx.doi.org/10.1097/NNA.0b013e3182002a4c.
22. Lim S, Cortina LM, Magley VJ. Personal and workgroup incivility: Impact on work and health outcomes. J Appl Psychol. 2008; 93(1):95–107. http://dx.doi.org/10.1037/0021-9010.93.1.95.
23. Luparell S. Incivility in nursing: The connection between academia and clinical settings. Crit Care Nurse. 2011; 31(2):92–95. http://dx.doi.org/10.4037/ccn2011171.
24. McNamara SA. Incivility in nursing: Unsafe nurse, unsafe patients. AORN J. 2012; 95(4):535–540. http://dx.doi.org/10.1016/j.aorn.2012.01.020.
25. Miller L, Reesor K, McCarrey M, Leikin L. Nursing burnout. Empl Assist Q. 1995; 10(4):29–52.
26. Patton MQ. Qualitative evaluation and research methods. 2nd ed. Thousand Oaks, CA: Sage Publications;1990.
27. Randle J. Bullying in the nursing profession. J Adv Nurs. 2003; 43(4):395–401.
28. Smith LM, Andrusyszyn MA, Spence Laschinger HK. Effects of workplace incivility and empowerment on newly-graduated nurses' organizational commitment. J Nurs Manag. 2010; 18(8):1004–1015. http://dx.doi.org/10.1111/j.1365-2834.2010.01165.x.
29. Laschinger HK, Grau AL, Finegan J, Wilk P. New graduate nurses' experiences of bullying and burnout in hospital settings. J Adv Nurs. 2010; 66(12):2732–2742. http://dx.doi.org/10.1111/j.1365-2648.2010.05420.x.
30. Spence Laschinger HK, Leiter M, Day A, Gilin D. Workplace empowerment, incivility, and burnout: Impact on staff nurse recruitment and retention outcomes. J Nurs Manag. 2009; 17(3):302–311. http://dx.doi.org/10.1111/j.1365-2834.2009.00999.x.
31. Stanley KM, Martin MM, Nemeth LS, Michel Y, Welton JM. Examining lateral violence in the nursing workforce. Issues Ment Health Nurs. 2007; 28(11):1247–1265. http://dx.doi.org/10.1080/01612840701651470.
32. Yi MS, Choi KS, Son HM, Eun Y. Understanding nursing practice through qualitative research. Seoul: Koonja Publishing Inc;2005.
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