Feb 23, 2024 Assignment: Cultivating Healthful Environments.
Assignment: Cultivating Healthful Environments.
Assignment: Cultivating Healthful Environments.
Mosadeghrad (2014) suggest that a variety of factors influence the quality of services provided by nurses in their routine practice. The incidents of incivility could be a major reason in this list. Therefore, it is extremely critical to further assess this issue so that adequate policy measures can be drafted to address this issue. According to Brown and Cummings (2013), there could be different names ad terms but incivility, violence, and bullying is often witnessed by practicing nurses. Therefore, the code of conduct for nursing has seen many revisions in light of this issue, as stated by Simpson (2016). The objective of this paper is to examine the incidents and issue of incivility against nurses and how to deal it effectively without braking the decorum. It also helps the healthcare professionals as well as the management to create a better environment for service delivery.
Issue of Incivility
Several academic researchers have defined the cases of incivility in nursing in different ways. According to American Nurses Association (2015), incivility refers to the act of behaving rudely and without curtesy with the hospital staff. For example, if an individual spreads rumors with the intention to create panic in the hospital complex. In another case, a colleague may refuse to support another to create nuisance in the hospital environment. According to Mosadeghrad (2014), since nurses work in an extremely stressful environment where situations swing between life and death, this incivility becomes an integral part of the business. Even with the best of efforts, the incidents cannot be completely eliminated.
Apart from this, there are many risks and hazards associated with the profession of nursing. Therefore, the nurses as well as patients could be extremely tired and frustrated and lead into behaviors that are classified as incivility. Equipped with these assumptions and knowledge, Lachman (2014) suggests that we need both, primary as well as secondary interventions to address this issue. With the help of primary interventions, the incidents can be prevented while secondary interventions are used to bring down the frequency of such incidents.
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Due to incivility, the relationship between nurses and patients, or fellow nurses may get impacted severely. As a result, there could be many conflicts that hamper the day to day work. The seminal paper by Wood (2016) suggests that due to incivility, the performance of nurses could go down significantly. As a result, the overall healthcare services become of low quality. Having learnt these massive impacts of incivility in the healthcare environment, it is extremely importance to find a solution to this problem so that the healthcare professionals may work in a normal manner.
Importance to Nursing
Lachman (2014) argues that the incidents of incivility in the healthcare environment have been increasing in the last few years, and it has brought down the quality of healthcare services. The nurses as well as patients, both have to bear the brunt of it. As the situation worsens on day by day basis, the sector would find it hard to maintain the quality, allocate resources intelligently, and maintain the desired level of patient outcomes. Due to the bad behavior that nurses see around them, they often end up either leaving their job or the industry altogether. Therefore, the turnover rate of nurses also becomes higher. Incivility makes the healthcare environment extremely stressful and impacts the psychology of nurses (Chamberlain College of Nursing, 2017). When nurses face constant conflicts, stressed environment, sleep deprivation, or embarrassment at workplace, they lack motivation to work at their full efficiency (Wood, 2016). Due to this increased activity, the nurses may also fall sick and remain absent from work. For a family nursing practitioner, such issues could trigger negative emotions. Brown and Cummings (2013) further elaborate on the ways in which negative emotions could impact the performance of family nurse practitioners.
Due to incivility and the associated poor performance, the nurses often receive bad ratings in performance appraisal. Such ratings often discourage them and the performance level and commitment further reduces. The emotional impact due to incivility could come out in the form of anger, isolation, or fear etc. (American Nurses Association, 2015).
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Incivility has other effects also, such as causing damage to the staff nurses. Gradually, increase in the incident of mistreatments provokes the people engaged with the matter and makes the situation intense. Simpson (2016) accepts that there are chances that nurses could get physically injured in the environment of violence. Such conditions take place when one person does not trust another person leading to misunderstandings, arguments and self-interest.
Storytelling
Initially, I had no idea about Incivility and its effects. It is when I started my career in nursing I came to know about Incivility in detail. I faced certain challenges in the start while dealing with the cases of patient’s family incivility. Though the subject of the topic is similar still the cases differ and so the way to handle them. During my job, I realized that the members of nurse team and physicians’ team can coordinate and work closely with each other. They together made a strong team and delivered a recognizable service to the patients admitted at a hospital provision.
I encountered many instants where everything could turn out as a huge fight. But the physicians and the nurses looking after that matter somehow managed to handle it smoothly. The matter was regarding the family patient who was supposed to move to the general ward from the ward of intense precaution. Whereas the one group was confident about the decision, another group was still in doubt. The physicians were sure that the patient is in a condition where he can have cared but the nurses were not sure and needed the help of physicians to deal with it (McCormack & McCance, 2017).
There are some ethics to be followed in Nursing out of which one is to treat with respects to other professionals working with you. There is a major reason behind it. Take an example, if the patient is in a critical condition and professionals tend to have different opinions during operation can lead to the patient into danger. Therefore, professionals need to understand the sensitivity of the situation and act accordingly in the operation theatre. Admiring of each other’s opinion is required for the patients’ safety. As such, the respect of the ideas from both parties involves ensuring that the patients were well cared for.
Creating a Healthful Environment
The health organizations are regulated effectively through implementing the certain strategy like a flow of effective communication. The first strategy that should be employed for the creation of a healthful environment is ensuring that there is effective communication. On this, Lachman (2014) states that effective communication can be a key to solve any disputes or misunderstandings in a healthcare center or anywhere. opines that communication will help in the resolution of possible issues that may occur in the healthcare profession. Additionally, it also keeps the members concerned informed on activities taking place.
Another strategy explained is coordination. The hospitality is all about caring and goes under manpower. Hence, all the people concerned with each other need to coordinate with each other for smooth operations. Understanding its importance, Brown and Cummings (2013) concludes that if organization aims to achieve the success they should know keep the team spirit allow which is always ready to come front to help each other. Such environment is a boom when it comes to providing training to new employees.
The third strategy is employees engagement. Though the leaders are tending to know for effective decision making due to the experience they acquired, they show involve other unit members in decision making. Also, everyone differs and so does their thought, one can never know when the great idea can come from. The practice of engaging everyone in the course motivates everyone making them feel important. Hence, they also feel appreciated and give their best in every work they take into account. Through research, Mosadeghrad (2014), stated that engaging everyone is a stepping stone to achieve company’s vision and mission involvement in decision making. Involving others in the process of decision making is filled with advantages like the transparency of activities, exchange of ideas, and elimination of disputes and so on.
Practice Application
My role is the family nurse and my responsibilities at work include managing the illness of the patient taken admission in the healthcare and carrying out the physical tests as per procedure. I have been also honored with the task of specialty diagnosis which is meant to looking after the family members for their health for their entire life. We often get a call for meetings between employers and employees. During the meeting, we discuss the activities, critical condition and everything related to patients. The meetings bring clarity among everyone about tasks, its goal and etc. Also, the feeling of engagement motivates us to work effectively.
Conclusion
Through this paper, we get to know about the role and responsibilities of a practitioner of the family nurse. They have curtained aligned tasks to be performed for maintaining the standards set by hospitals in regard to caring of patients. Additionally, they have to go through certain situations like among the members of the unit. Incivility refers to an offensive and bad-mannered behavior which often give rise to a corrupt culture. It affects the people working in an organization and indirectly affects their working pattern. Hence, healthy environment is very important for smooth working. It can be achieved through various well-defined strategies mainly employee engagement and effective communication. Communicating with each member and asking for their opinion for decision making brings the number of benefits to an organization.
References
American Nurses Association. (2015). Incivility, bullying, and workplace violence. American Nurses Association.
Brown, P., & Cummings, G. (2013). Factors influencing intentions to stay and retention of nurse managers: a systematic review. Journal of Nursing Management, 21(3), 459-472.
Chamberlain College of Nursing. (2017). Mission, philosophy, program outcomes. Retrieved fromhttps://www.chamberlain.edu/docs/default-source/academics-admissions/catalog.pdf
Lachman, V. D. (2014). Ethical issues in the disruptive behaviors of incivility, bullying, and horizontal/lateral violence. Medsurg nursing, 23(1), 56.
McCormack, B. & McCance, T. (2017). Person-centred practice in nursing and health care. Theory and practice (2nd ed.). Oxford: Wiley Blackwell.
Mosadeghrad, A. M. (2014). Factors influencing healthcare service quality. International journal of health policy and management, 3(2), 77.
Simpson, K. R. (2016). Incivility, bullying, and workplace violence: new recommendations for nurses and their employeeers from the American Nurses Association. MCN: The American Journal of Maternal/Child Nursing, 41(1), 68.
Wood, R. M. W. (2016). Workplace bullying between registered nurses: Occurrence and perceived effects on work productivity (Doctoral dissertation, Villanova University).
Criteria for Content
Reflect on the issue of incivility. Think of an experience in which you were directly involved or witnessed incivility in the workplace. Analyze scholarly literature related to the issue of incivility and strategies for cultivating healthful environments.
1. In a four- to six-page written paper, address the following.
a. Define and explain the issue of incivility. Use scholarly nursing literature.
b. Discuss the importance of this issue to nursing. Address the impact of incivility on individuals, microsystem work environments, and the profession of nursing. In this section, use at least three (3) different scholarly nursing literature in-text citations with matching references.
c. Provide a scenario (real or fictitious) of incivility in a practice setting. What was the impact on the individuals involved? How was the work environment affected?
d. Describe three strategies for creating a healthful environment. Use scholarly nursing literature to support each strategy.
e. Identify your selected specialty track (education, executive, family nurse practitioner, healthcare policy, or nursing informatics). Provide two examples of strategies you will implement in your master’s-prepared advanced practice role to cultivate a healthful work environment.
f. Provide a conclusion. Include a summary on the issue of incivility, strategies to create healthful environments, specialty track, and how you will contribute to cultivating healthful environments in your future professional practice. Include a self-reflection.
attachmentnr500_assessment_5_cultivating_healthful_environments_guidelines_and_rubric_3.docx
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.I do not accept assignments that are two or more weeks late unless we have worked out an extension.As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me:Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
Unfortunately, like you stated many times the acts of incivility in nursing not only impact the individual but the unit and patients as well. Incivility, is a form of bullying that leaves the individual being bullied feeling alone, afraid to ask questions, and helpless. For the nursing unit incivility can cause frustration and division within the unit. Nurses being bullied will move on to other nursing units, find a new organization to work for, or quit the nursing profession all together. Incivility, bullying, and workplace violence are part of a larger complex phenomena, which includes a constellation of harmful actions taken and those not taken in the workplace (ANA, 2015), that needs to be recognized and stopped. Staff nurses and leaders within the environment must build an environment of trust, respect, teamwork, and education to eliminate incivility behaviors that have been long known behavior in nursing practice.
Reference:
American Nurses Association. (2015). Incivility, bullying, and work place violence [Position Statement]. Retrieve from file:///C:/Users/User/Downloads/PosStat-Endorsed-ANA-Incivility-Bullying-Violence.pdf
Incivility or workplace violence can take many different forms including bullying, naming calling, rumors, gossiping, racial or ethnic slurs or physical violence (Chamberlain, 2022; ANA, 2015). A recent experience that I was directly involved with was between two nurses who worked together on the same shift, both of which felt that they were being bullied by the other. Nurse A felt as if Supervisor Nurse B would assign her to the “challenging” wing purposefully because she is friends with the other nurses and assigns them to a lighter caseload. Supervisor Nurse B felt as if Nurse A was spreading rumors that she was being treated unfairly and approached Nurse A about the concerns. During this heated discussion an argument ensued and both Nurses acknowledged to cussing and calling one another names. I was at the building at the time and the staff called me to the unit. Even when I arrived the Nurses voices were raised, and inappropriate language used.
As their Director of Nursing, I felt disappointed in the lack of professionalism both nurses showed. I felt thankful that no one was seriously injured. I could feel the negative energy amongst the team as the word spread of the argument, which took place at shift change where even more staff were present. There were also feelings that I failed to teach proper communication and problem-solving skills. For myself, there was self-reflection that took place to see what I could’ve done to prevent this from occurring. This was a simple misunderstanding that could’ve easily been resolved had both nurses showing each other dignity, respect, and kindness. Having respectful relationships is a framework for civility, promoting diversity and open and honest communication (Chamberlain, 2022).
As a result of this verbal altercation the nurses were escorted from the unit, and both placed in separate conference rooms. The HR Director and I interviewed the nurses and collected their statements. We then interviewed the other witnesses and collected their statements. Both nurses received a 3-day unpaid suspension and final written warning upon conclusion of the investigation for violating our workplace etiquette and respect policy. HR came to the community at the next all staff meeting and conducted a team building exercise with all staff.
This negatively affected the work environment because it took nurses away that were needed on the floor to care for the residents, and it created a toxic environment for all staff to work in. Incivility can also lead to burnout amongst team members and further turnover within the organization (Zhou et al., 2019).
This situation could have been prevented by using appropriate conflict resolution methods. Abiding by standards and codes of conduct, development of negotiation and conflict resolution skills cultivate a culture of civility (Lachman, 2015). Enforcing zero tolerance policies, providing nurses education, and immediately addressing acts that violate company policy are important in creating a culture where incivility is not tolerated (Chamberlain, 2022). I also feel regular ice breaker exercises, “When Dealing with Me”, and team building activities are important in creating a positive culture in the workplace.
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