ESSAY: incivility

NR500 Week 7: Cultivating Healthful Environments

The assignment must be completed by Sunday, 11:59 p.m. (MT) at the end of Week 7. This assignment is worth 20% of your overall grade. See the details for this assignment below and in the Course Resources page in the Introduction & Resources Module.
Purpose
Master’s-prepared advanced practice nurses participate in and demonstrate fair and unbiased interactions within all workplace settings. As a member of the nursing profession, and a leader, you are encouraged to implement strategies that promote and cultivate cultures of civility, regardless of practice setting. The purpose of this assessment is to analyze the issue of incivility and apply best practices to cultivate healthful environments.

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.

In a four- to six-page written paper, address the following.
Define and explain the issue of incivility. Use scholarly nursing literature.
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.
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?
Describe three strategies for creating a healthful environment. Use scholarly nursing literature to support each strategy.
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.
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.
Preparing the paper
Submission Requirements

Application: Use Microsoft Word 2013™.
Length: The paper (excluding the title page and reference page) is at minimum four (4) pages and at maximum six (6) pages.
A minimum of four (4) scholarly nursing literature references must be used.
This assessment must be submitted to TurnItIn™, as required by the TurnItIn™ policy. A Similarity Index of less than 24%, which is the benchmark for CCN graduate nursing students. Any other level of similarity index level requires the student to revise the assessment before the due date and time. To allow sufficient time for revision, early submission of the assessment to TurnItIn™ is highly encouraged. The final submission will be graded by faculty. If a Turnitin™ report indicates that plagiarism has occurred, the Academic Integrity policy will be followed.
Submission: Submit your files: Last name_First initial_Assessment 5_Cultivating Healthful Environments.
Best Practices in Preparing the Project

The following are best practices in preparing this project.

Review directions thoroughly.
Follow submission requirements.
Make sure all elements on the grading rubric are included.
Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scientific writing.
Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used.
Ideas and information that come from scholarly nursing literature must be cited and referenced correctly.
A minimum of four (4) scholarly nursing literature references must be used.
Abide by CCN academic integrity policy.

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.

In a four- to six-page written paper, address the following.
Define and explain the issue of incivility. Use scholarly nursing literature.
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.
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?
Describe three strategies for creating a healthful environment. Use scholarly nursing literature to support each strategy.
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.
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.
Preparing the paper
Submission Requirements

Application: Use Microsoft Word 2013™.
Length: The paper (excluding the title page and reference page) is at minimum four (4) pages and at maximum six (6) pages.
A minimum of four (4) scholarly nursing literature references must be used.
This assessment must be submitted to TurnItIn™, as required by the TurnItIn™ policy. A Similarity Index of less than 24%, which is the benchmark for CCN graduate nursing students. Any other level of similarity index level requires the student to revise the assessment before the due date and time. To allow sufficient time for revision, early submission of the assessment to TurnItIn™ is highly encouraged. The final submission will be graded by faculty. If a Turnitin™ report indicates that plagiarism has occurred, the Academic Integrity policy will be followed.
Submission: Submit your files: Last name_First initial_Assessment 5_Cultivating Healthful Environments.
Best Practices in Preparing the Project

The following are best practices in preparing this project.

Review directions thoroughly.
Follow submission requirements.
Make sure all elements on the grading rubric are included.
Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scientific writing.
Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used.
Ideas and information that come from scholarly nursing literature must be cited and referenced correctly.
A minimum of four (4) scholarly nursing literature references must be used.
Abide by CCN academic integrity policy.

ANSWER

Incivility in Nursing

Introduction

Workplace violence, incivility, and bullying are prevalent concerns in the nursing environment. Although incivility has always been a source of workplace violence to most organizations, it has continued to get worse because it interferes with the learning and practice of healthcare professionals (Simpson, 2016).  Incivility often lead to physiological and psychological distress hence causing feelings of loss, failure, and isolation. If incivility is left unaddressed, it may advance into more aggressive behaviors or situations. The victims may experience symptoms such as sleeplessness, anger, exhaustion, stress, anxiety, depression, and embarrassment (ANA, 2015). This paper focuses on explaining the issue of incivility using scholarly nursing literature as well as addressing the effect of incivility on microsystem work environments, individuals, and the nursing profession. In addition, the paper provides a scenario of incivility, describes three strategies for creating a healthful environment, and provides strategies to implement in master’s-prepared advanced practice. The paper concludes by providing a summary on the issue of incivility and strategies to create healthful environments.

Issue of Incivility

The American Nurses Association (ANA) defined incivility as any undesirable behaviors directed toward another person that are intimidating, rude, disruptive, and hostile (ANA, 2015). Incivility manifest itself through insults, false accusations, overruling agreed decisions, undermining the credibility and other unprecedented behaviors such as negative eye contacts and emotions. Workplace violence and incivility may be contributed by demographics of employees such as differences in age, beliefs, norms, social status, level of education, experience, seniority, gender, and workplace informality such as adopting a casual working environment. The issue adversely affects the effectiveness of an organization in providing a healthy, safe, and respectful work environment. Luparell (2011) noted that incivility affects the psychological and physiological status of the affected individuals and if the problem is not solved on time, it may advance to more threatening behaviors like stress and anxiety (Luparell, 2011).

Incivility in the nursing environment has adverse implications on effectiveness and productivity of health care providers, patients’ safety and outcomes, and reputation of healthcare organizations. In addition, incivility is costly to an organization because it wreaks havoc on workplace morale and nurses’ relationships as well as contributing to low employee retention rate. For example, nurse practitioners who are subjected to abuse and harassment are likely to quit their jobs while lack of good relationships among the healthcare providers and the patients impacts patients’ safety and experience (Dambra & Andrews, 2014). Due to the increased effect of incivility in the healthcare sector, various stakeholders have reviewed and implemented a new code of conducts and guidelines to prevent the occurrence of incivility in health care facilities (Asghari, Abdollahzadeh, Ebrahimi, Rahmani & Vahidi, 2017). Some of the proposed changes include a clear definition of responsibilities to ensure accountability, establishing a zero-tolerance policy for violence, decreasing workload, creating a reporting system, embracing counselling programs, solving doctor-related problems, and improving practitioners’ skills.

Impacts of incivility on individual Incivility in the nursing environment affects the psychological status of the targeted person, which finally affects their self-worth an esteem. This results in cognitive and impairment judgment by the affected individual. In addition, persistent….