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NUR225 Incivility in the Workplace Paper
NUR225 Incivility in the Workplace Paper
NUR 225 Incivility in Healthcare: How it Affects the Nurse and Healthcare Environment
Incivility is a rude or discourteous act. In nursing incivility and bullying are considered forms of violence and are not tolerated. The United States Department of Labor defines workplace violence as “an action (verbal, written or physical aggression) which is intended to control or cause, or is capable of causing, death or serious bodily injury to oneself or others, or damage to property” (Cybersecurity and Infrastructure Security Agency, n.d.). Bullying among co-workers, also called lateral violence, may not always be physical, but can cause emotional damage to the victim. The psychological effect this type of abuse has on the nurse can directly affect her ability to care for patients and put them at risk for unsafe events.
The healthcare metaparadigm includes person, health, environment, and nursing. The person component includes the patient as well as their spouse or other family members involved in care. The environment component includes the patient’s surroundings and how it effects their health, while the health component involves the patients’ wellness and access to health care. Finally, nursing involves safe patient care with a focus on clinical judgement to create the best patient outcomes. Incivility in the workplace can have an affect on all these components. The environment is affected, which will also have consequences for the person, health, and effective nursing.
Some hazing or bullying activities include giving a new nurse the heaviest patient assignment, giving them a hard time when they have questions, or even refusing to help them with patient care. Although harm to the patient isn’t the intent, the lack of teamwork and collaboration in lateral violence has a negative effect on the quality of patient care. It can create a negative and tense health care environment and takes the focus off the top priority, the patient. “Healthcare environments are particularly situated to foster bullies, because they are hierarchical in nature and tend to involve a great deal of change” (Zerwekh & Garneau, 2021, p. 604) Bullying is usually not a singular event, and in the nursing world typically those most likely to be targeted are new nurses, or those that appear weak and don’t speak up for themselves.
Incivility can lead to psychological problems such as post traumatic stress disorder (PTSD). PTSD is caused by trauma that can lead to flashbacks that create anxiety, as well as psychological and emotional stress in a person. “Re-experiencing includes intrusive and recurrent thoughts, images, and flashbacks of the violence; avoidance and numbing include feelings of detachment and persistent avoidance of memories that relate to the violence; and increased arousal can include insomnia, difficulty focusing, and hyper-vigilance (Giddens, 2017, p. 369). Avoidance, anxiety, and insomnia along with difficulty focusing can cause a disruption in the critical thinking involved with patient care. The nurse may find it difficult to process information, notice changes in a patients’ condition or may have a lack of necessary resources to provide care due to avoiding certain situations and co-workers.
NUR225 Incivility in the Workplace Paper Rubric
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Criteria
Introduction: Provides an introduction to incivility within the healthcare metaparadigm |
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15 points
• Presents minimum of 2 detailed paragraphs (a minimum of 5 in- depth sentences per paragraph) introducing incivility in the workplace within the healthcare metaparadigm • Information shows a strong understanding of clear, logical, and professional organization
• All information is relevant and accurate based on credible sources |
13 points
• Presents one detailed paragraph (a minimum of 5 in- depth sentences)
• Presents one paragraph lacking detail (<5 in-depth sentences) introducing incivility in the workplace within the healthcare metaparadigm • Information shows a satisfactory understanding of clear, logical, and professional organization • Majority of information presented is relevant and accurate based on credible resources provided; no more than 2 inaccuracies |
12 points
• Presents two paragraphs that are lacking detailed or in-depth description (<5 in- depth sentences per paragraph) introducing incivility in the workplace within the healthcare metaparadigm • Information shows a basic understanding of clear, logical, and professional organization • Most information presented is relevant and accurate based on credible resources provided; no more than 4 inaccuracies |
10 points
• Presents a vague or no introduction to workplace incivility within the healthcare metaparadigm, or presents only 1 paragraph lacking required in-depth sentences • Presents one paragraph that is lacking detail (<5 in-depth sentences) • Information shows a partial or very limited understanding of clear, logical, and professional organization • Information presented is irrelevant and/or includes multiple inaccuracies based on credible resources provided |
0 points
• No introduction to workplace incivility within the healthcare metaparadigm |
/ 15 |
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Criteria
Clinical Judgement: Identify how incivility impacts an individual nurses’ ability to use high level clinical judgment |
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15 points
• Presents a minimum of 2 detailed paragraphs (a minimum of 5 in- depth sentences per paragraph)
• Includes a minimum of 2 specific in-depth examples of how incivility in the workplace impacts the nurse’s ability to use high level clinical judgment
• Information presented in a clear, organized, and professional manner.
• All information is relevant and accurate based on credible resources provided |
Possible Score
13 points
• Presents one detailed paragraph (a minimum of 5 in- depth sentences)
• Presents one paragraph lacking detail (<5 in-depth sentences)
• Provides 2 brief examples of how incivility in the workplace impacts the nurse’s ability to use high level clinical judgment
• Information shows a satisfactory understanding of clear, logical, and professional organization.
• Majority of information presented is relevant and accurate based on credible resources |
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12 points
• Lacks 1 specific and detailed paragraph (<5 in- depth sentences)
• Lacks 1 specific in-depth example of how incivility in the workplace impacts the nurse’s ability to use high- level clinical judgment
• Information shows a basic understanding of clear, logical, and professional organization
• Most information presented is relevant and accurate based on credible resources provided; no more than 4 inaccuracies |
Possible Score
10 points
• Presents 1 paragraphs (<5 in- depth sentences) that lacks 2 specific in-depth examples of how workplace incivility impacts nurses’ ability to use high- level clinical judgment
• Presents 2 paragraphs that are lacking the 5 in- depth sentences and 2 in-depth examples
• No more than 6 inaccuracies within information presented as related to accuracy based on credible resources provided |
New Level
0 points
• No paragraphs provided with in- depth examples to identify how specifically the selected patient safety issue impacts nurse’s need to high level clinical judgment
• > 6 inaccuracies within information presented as related to accuracy based on credible res provide |
Criter
/ 15 |
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New Level |
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provided; no more than 2 inaccuracies |
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Common Issues: Analyzes and identifies the issues that occur with workplace or clinical site incivility |
15 points
• Identifies a minimum of 2 common issues that occur with workplace or clinical site incivility
• Provide minimum of 3 in-depth sentences for each common issue identified. Explains how and why each common issue negatively affects the workplace or clinical site |
13 points
• Identifies a minimum of 2 common issues that occur with workplace or clinical site incivility
• Lacks 1 in-depth sentence for each common issue identified. Explains how and why each common issue negatively affects the workplace or clinical site |
12 points
• Identifies only 1 common issue that occur with workplace or clinical site incivility
• Lacks 2 in-depth sentences for each common issue identified. Explains how and why each common issue identified negatively affects the workplace or clinical site |
10 points
• Identifies only 1 common issue; Lacks the 3 in- depth sentences for each common issue explaining how and why each common issue identified negatively affects the workplace or clinical site |
0 points
• No common issues provided that occur with workplace or clinical site incivility |
/ 15 |
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Communicatio n: Discuss how the workplace or clinical site communicatio n is/was affected due to incivility |
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New Level |
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15 points
• Provides a minimum of 2 detailed paragraphs (minimum of 5 in- depth sentences) that provide a thorough examination of how workplace or clinical site communication is/way affected related to incivility |
13 points
• Presents 1 detailed paragraph (a minimum of 5 in- depth sentences)
• Presents 1 paragraph lacking detail (<5 in-depth sentences) that provide a satisfactory examination of how workplace or clinical site communication is/was affected related to incivility |
12 points
• Presents 2 paragraphs that are lacking detailed or in-depth description (<5 sentences per paragraph) that provide a basic examination of how workplace or clinical site communication is/was affected related to incivility |
10 points
• Examination provides a limited or no examination of how workplace or clinical site communication is/was affected related to incivility
• Presents only 1 paragraph that is lacking detail (<5 in-depth paragraph) |
0 points
• Does not discuss how workplace or clinical site communication is/was affected related to incivility |
/ 15 |
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Criteria
Current Health Initiatives: Identify current initiatives that organizations are implementing to decrease incivility within the workplace or clinical site |
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New Level |
Criterion Score |
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15 points
• Identifies a minimum of 3 current health initiatives that healthcare organizations are implementing to decrease incivility within the workplace or clinical site • Provides a thorough examination, using a minimum of 2 in- depth sentences, for each initiative with a strong emphasis on how it relates to incivility in the workplace or clinical site |
13 points
• Lacks 1 of the required current health initiatives that healthcare organizations are implementing to decrease incivility within the workplace or clinical site • Provides 2 brief sentences, for each initiative with a satisfactory emphasis on how it relates to incivility in the workplace or clinical site |
12 points
• Lacks 2 of the required current health initiatives that healthcare organizations are implementing to decrease incivility within the workplace or clinical site • Lacks 2 in-depth sentences for each initiative with a basic emphasis on how it relates to incivility in the workplace or clinical site |
10 points
• Lacks 2 of the required current health initiatives that provides limited to no details explaining each initiative related to incivility in the workplace or clinical site • Provides limited or no details explaining each initiative related to incivility in the workplace or clinical site |
0 points
• No required current health initiatives that organizations are implementing to decrease incivility within the workplace or clinical site
• No detailed sentences relating each of the current health initiatives and emerging issues to the selected patient safety issue |
/ 15 |
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Criteria
Conclusion: Provides a concluding paragraph with an emphasis on the paper’s key points |
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New Level |
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5 points
• Provides a minimum of 5 in- depth sentences as a conclusion paragraph that summarizes all the important key points within the paper |
4 points
• Lacks 1 in-depth sentence as a conclusion paragraph that summarizes al the important key points within the paper |
3 points
• Lacks 2 in-depth sentences as a conclusion paragraph that summarizes most of the important key points within the paper |
2 points
• Lacks 3 in-depth sentences as a conclusion paragraph that summarizes most of the key points within the paper
• Provides 5 sentences but all sentences are lacking in-depth detail |
0 points
• Does not provide a conclusion paragraph, consisting of 5 in- depth sentences; summary of key points is absent or incomplete |
/ 5 |
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APA formatting and citations: Provides APA 7th Edition formatted paper with a minimum of 2 resources |
10 points
• A minimum of 2 research articles/resources used (submitted with assignment)
• Resources/references cited/listed using appropriate APA formatting with no errors noted |
9 points
• A minimum of 2 research articles/ resources used (submitted with assignment)
• 2-4 APA formatting/citation errors noted |
8 points
• One research article/resource used (submitted with assignment)
• 4-6 APA formatting/citation errors noted |
7 points
• No research article/resource used (submitted with assignment)
• 6-8 APA formatting/citation errors noted |
0 points
• No research article/resource used (submitted with assignment)
• Resources not accessible as cited with incorrect or missing DOI’s. URLs, matching titles, publications, and author(s)
• > 8 APA formatting/citation errors noted |
/ 10 |
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Criteria
Mechanics, Usage, Grammar, Spelling (MUGS): Follow general writing rules and standards |
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New Level |
Criterion Score |
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10 points
• Accurately uses terminology
• 2 or less MUGS errors |
9 points
• Accurately uses terminology
• No more than 4 MUGS errors |
8 points
• Occasional but minimal, inaccurate use of terminology
• No more than 6 MUGS error |
7 points
• Frequent inaccurate use of terminology
• No more than 8 MUGS errors |
0 points
• Inaccurate use of terminology
• >8 MUGS errors noted |
/ 10 |
Overall Score Level 5 90 Points
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