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1.
BMC Med Educ ; 23(1): 24, 2023 Jan 12.
Artigo em Inglês | MEDLINE | ID: mdl-36635675

RESUMO

Incivility in the workplace, school and political system in the United States has permeated mass and social media in recent years and has also been recognized as a detrimental factor in medical education. In this scoping review, we use the term incivility to encompass a spectrum of behaviors that occur across the continuum of medical education, and which include verbal abuse including rude or dismissive conduct, sexual and racial harassment and discrimination, and sexual and physical assault. We identified research on incivility involving medical students, residents and fellows, and faculty in North America to describe multiple aspects of incivility in medical education settings published since 2000. Our results reinforce that incivility is likely under-reported across the continuum of medical education and also confirmed incidences of incivility involving nursing personnel and patients, not emphasized in previous reviews. The authors suggest a zero-tolerance national policy if this problem is to be resolved.


Assuntos
Discriminação Psicológica , Educação Médica , Incivilidade , Humanos , Incivilidade/prevenção & controle , Instituições Acadêmicas , Estados Unidos , Local de Trabalho , Docentes de Medicina , Faculdades de Medicina , Estresse Ocupacional , Internato e Residência
2.
Nurs Sci Q ; 36(1): 21-23, 2023 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-36571309

RESUMO

Language provides an opportunity to understand, to bring meaning, and to disregard. Increased reports of incivility disrespect the basic dignity of persons whether these actions and language occur in or outside the workplace. The author of this article reviews the defining elements of civility and incivility and proposes a theoretically based humanbecoming approach.


Assuntos
Incivilidade , Respeito , Humanos , Idioma , Local de Trabalho
3.
Nursing ; 53(1): 45-50, 2023 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-36573870

RESUMO

ABSTRACT: Eighty-five percent of nurses report incivility in healthcare. Promoting a culture of civility-from nursing school to the workplace-is vital to ensuring healthy learning and work environments and ultimately safe patient care. This article presents a nursing program's journey in addressing incivility among the nurse faculty and the results achieved.


Assuntos
Incivilidade , Humanos , Incivilidade/prevenção & controle , Docentes de Enfermagem , Local de Trabalho , Instalações de Saúde
4.
Artigo em Inglês | MEDLINE | ID: mdl-36498283

RESUMO

Incivility is a growing concern for researchers and practitioners alike, yet we know little about how the team context is related to the way that employees respond to it. In this study, we examined the role of team mindfulness and its direct and buffering effects on individual-level promotion- and prevention-focused emotional coping. We also examined how these forms of coping were related to individual work engagement. In a temporally lagged study of 73 hospital teams (involving 440 team members), multi-level analyses showed that team mindfulness was directly negatively associated with individual-level prevention-focused emotional coping (behavioral disengagement, denial, and venting); however, it was not positively related to individual-level promotion-focused forms of coping (positive reframing and acceptance). In addition, a cross-level interaction effect was identified whereby team mindfulness reduced the positive relationship between incivility and venting, meaning there was less individual-level venting following incivility in the context of higher team mindfulness. These findings may have implications for work engagement, which was shown to be negatively related to venting and behavioral disengagement. Our findings are useful for managers of teams that regularly experience customer incivility as it uncovers how they can develop a team context that discourages ineffective coping responses.


Assuntos
Incivilidade , Atenção Plena , Humanos , Local de Trabalho/psicologia , Incivilidade/prevenção & controle , Adaptação Psicológica , Hospitais
5.
BMJ Open ; 12(11): e059146, 2022 11 02.
Artigo em Inglês | MEDLINE | ID: mdl-36323478

RESUMO

OBJECTIVE: Fatigue is a common problem among nurses, and patient/visitor incivility is thought to lead to nurses' fatigue. However, the mechanism by which patient/visitor incivility leads to nurses' fatigue has not been well studied. The aim of this study is to examine whether the association between patient/visitor incivility and fatigue among Chinese nurses is mediated by emotional labour strategy. DESIGN: A cross-sectional study. METHODS: In November 2019, a stratified cluster sample of 1207 nurses from two hospitals in China was used to collect data on fatigue, patient/visitor incivility and emotional labour strategy through online questionnaires. Emotional labour strategy has three dimensions: surface acting (SA), deep acting and natural acting. Complete responses were provided by 1036 (85.8%) participants. Student's t-test, one-way analysis of variance, Pearson correlation analysis and the PROCESS procedure (A modeling macro installed in SPSS to analyse mediation.) were adopted to analyse the data. RESULTS: Patient/visitor incivility and SA were positively related to fatigue (p<0.01), while natural acting was negatively related to fatigue (p<0.01). SA played as a mediator in the association between patient/visitor incivility and nurses' fatigue (95% CI 0.047 to 0.113, p<0.05). CONCLUSION: Patient/visitor incivility could contribute to Chinese nurses' fatigue. When nurses were exposed to patient/visitor incivility, they were more likely to use the SA emotional labour strategy, which would lead to fatigue. Nursing administrators should be aware of the seriousness of nurses' fatigue.


Assuntos
Incivilidade , Enfermeiras e Enfermeiros , Recursos Humanos de Enfermagem no Hospital , Humanos , Estudos Transversais , Fadiga , Emoções , Inquéritos e Questionários , Recursos Humanos de Enfermagem no Hospital/psicologia
6.
Physiotherapy ; 117: 89-96, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-36257240

RESUMO

BACKGROUND: Incivility in healthcare teams is a widely recognised phenomenon. The impact of incivility is far-reaching with consequences for healthcare organisations, individuals and patient care. To date there has been little research into the effects of incivility on physiotherapists, with the extant literature focussed on nurses and physicians. PURPOSE: To explore the impact of incivility on physiotherapists working in the acute hospital setting METHODS: A qualitative design using Interpretative Phenomenological Analysis was used. Semi-structured interviews were conducted with a group of physiotherapists (n = 6). ANALYSIS: The transcripts were analysed using six-step analysis common to interpretative phenomenological analysis. Member checking was used to enhance the quality of the study. RESULTS: Two superordinate themes were identified. Superordinate theme one, impact of incivility on the professional self and superordinate theme two, impact of incivility on the emotional self were identified as novel. CONCLUSION AND IMPLICATIONS: The impact of incivility on physiotherapists, professionally and personally, should not be underestimated and further qualitative and quantitative research is required to identify and implement strategies which may mitigate the effects on individuals and the profession as whole. CONTRIBUTION OF THE PAPER: Key messages.


Assuntos
Incivilidade , Fisioterapeutas , Humanos , Fisioterapeutas/psicologia , Equipe de Assistência ao Paciente , Atenção à Saúde , Pesquisa Qualitativa
7.
J Nurs Adm ; 52(11): 584-590, 2022 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-36251982

RESUMO

OBJECTIVE: To examine the relationships between practice environment factors and nurse manager (NM) perceptions of workplace mistreatment (WPM). BACKGROUND: NMs have a unique perspective of business operations and care delivery and can offer insight into how WPM manifests in clinical settings at the leadership level. METHODS: Researchers used a cross-sectional correlational design using a nonexperimental causal technique. A convenience sample of 139 NMs completed a survey regarding their perceptions of organizational change, the practice environment, and WPM. RESULTS: NMs reported experiencing incivility (98%) and bullying (90%). Approximately 20% variance explained mistreatment by relationships with supervisors and budgeted resources ( F4,134 = 9.16, P = 0.000). CONCLUSIONS: Modifiable factors can be identified to prevent or reduce WPM.


Assuntos
Bullying , Incivilidade , Enfermeiras Administradoras , Humanos , Local de Trabalho , Estudos Transversais , Bullying/prevenção & controle , Inquéritos e Questionários
8.
Br J Anaesth ; 129(5): 776-787, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-36075775

RESUMO

BACKGROUND: Speaking up with concerns is critical for patient safety. We studied whether witnessing a civil (i.e. polite, respectful) response to speaking up would increase the occurrence of further speaking up by hospital staff members as compared with witnessing a pseudo-civil (i.e. vague and slightly dismissive) or rude response. METHODS: In this RCT in a single, large academic teaching hospital, a single simulated basic life support scenario was designed to elicit standardised opportunities to speak up. Participants in teams of two or three were randomly assigned to one of three experimental conditions in which the degree of civility in reacting to speaking up was manipulated by an embedded simulated person. Speaking up behaviour was assessed by behaviour coding of the video recordings of the team interactions by applying 10 codes using The Observer XT 14.1. Data were analysed using multilevel modelling. RESULTS: The sample included 125 interprofessional hospital staff members (82 [66%] women, 43 [34%] men). Participants were more likely to speak up when they felt psychologically safe (γ=0.47; standard error [se]=0.19; 95% confidence interval [CI], 0.09-0.85; P=0.017). Participants were more likely to speak up in the rude condition than in the other conditions (γ=0.28; se=0.12; 95% CI, 0.05-0.52; P=0.019). Across conditions, participants spoke up most frequently by structuring inquiry (n=289, 31.52%), proactive (n=240, 26.17%), and reactive (n=148, 16.14%) instruction statements, and gestures (n=139, 15.16%). CONCLUSION: Our study challenges current assumptions about the interplay of civility and speaking up behaviour in healthcare.


Assuntos
Treinamento com Simulação de Alta Fidelidade , Incivilidade , Masculino , Feminino , Humanos , Segurança do Paciente , Recursos Humanos em Hospital , Simulação por Computador
9.
J Prof Nurs ; 42: 89-105, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36150883

RESUMO

BACKGROUND: Nursing students' first clinical experience can be a challenging. Reviews focused on student struggles about readiness, ethical decision making, gender discrimination, and challenges to transcultural care. However, no reviews synthesized students' struggles and strategies during their first clinical experience. PURPOSE: The purpose of this review was to develop an in-depth understanding of prelicensure nursing students' struggles and adaptive strategies during their first clinical experience. METHODS: A metasynthesis was conducted. Peer-reviewed qualitative studies were searched in CINAHL, PubMed, Scopus, Science Direct, and ProQuest Central. In total, 22 studies published from January 2010 to December 2021 were critically appraised and synthesized. Literature summary tables were used for data extraction and thematic synthesis for data synthesis. RESULTS: Nursing students encountered an array of affective and relational struggles from preparation to adaptation stage of their first clinical experience. Marginalization and incivility, powerlessness, and mentorship neglect were prominent struggles. Students used peer support, capacity building, and supportive resources as strategies to address their struggles. CONCLUSIONS: Prompt and early collaboration of multiple stakeholders such as nursing students, frontline nurses, clinical educators, nursing schools, and managers of clinical placement settings can facilitate a smooth transition of nursing students into their first clinical experience.


Assuntos
Bacharelado em Enfermagem , Incivilidade , Estudantes de Enfermagem , Humanos , Pesquisa Qualitativa , Estudantes de Enfermagem/psicologia
10.
J Nurs Manag ; 30(6): 1811-1822, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-36071562

RESUMO

AIM: This study aims to investigate the experiences and insights of nurse educators in order to acquire a better understanding of the nature and various factors associated with workplace violence, which could lead to the establishment of future actions and recommendations to eliminate or reduce aggression, abuse, incivility and any other forms of violence in the health sector. BACKGROUND: Workplace violence is one of the social phenomena that have not been fully explored in various settings such as educational institutions and health care facilities. A worker who has experienced violence could provide valuable insights that could help to better understand and sustainably protect an individual, a group or an organization from workplace violence and its unfavourable consequences. METHODS: Qualitative description is used in this phenomenological study. A total of 18 nurse educators who met the inclusion criteria were enrolled as the study participants in a government university located in the Eastern Region of Saudi Arabia. Purposive sampling method was used in the recruitment. In addition, a semi-structured interview guide was employed to explore the participants' experiences and insights from February to June 2021. Data were analysed using Colaizzi's methods, and a consolidated criteria for reporting qualitative research checklist was utilized to report the study's results. RESULTS: The participants' narratives generated three major themes, namely, the 'Triple-A': (1) 'acquaint', (2) 'analyse' and (3) 'act', to better understand workplace violence themes. CONCLUSION: The 'Triple-A: Acquaint, analyse, and act' workplace violence themes can serve as a simple guide to better understand the nature and different factors associated with workplace violence: 'acquaint' illustrates self-awareness; 'analyse' pertains to the recognition to possible indications and signals; and 'act' depicts an individual's proactiveness and responsiveness to workplace violence and conceivably catalyses the decrease of this social hazard's prevalence. IMPLICATION FOR NURSING MANAGEMENT: Leaders and managers in the nursing field should prioritize their participation in developing creative strategies and their implementation of policies to manage and mitigate violence in the workplace, such as initiating ongoing education (acquaint), creating robust procedures for reporting and referral (analyse), establishing support networks, listening to victims' experiences and promoting respect to individual differences (act).


Assuntos
Incivilidade , Violência no Trabalho , Docentes de Enfermagem , Humanos , Arábia Saudita , Local de Trabalho
11.
J Nurs Manag ; 30(7): 3496-3518, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-36056563

RESUMO

AIMS: We aim to evaluate the frequency and outcomes of workplace incivility in healthcare for nursing management. BACKGROUND: Incivility in the workplace is a significant problem that is important to nurse managers, as it goes directly against the fundamental values and ethics of providing high-quality care to patients. The Joint Commission (2021) and the American Nurses Credentialing Center have called on healthcare organizations to identify and intervene in the problem of workplace incivility. EVALUATION: Studies included in this scoping review were those that measured and analysed the frequency and outcomes of workplace incivility in healthcare. Four databases were searched, and 28 articles were reviewed. Evaluation was based on general quality, including study characteristics, instruments, and statistical analyses. KEY ISSUES: Studies used a quasi-experimental design, and most focused on the Registered Nurse population. The Workplace Incivility Scale was the most commonly used instrument to measure workplace incivility frequency. The most frequently studied work-related outcomes were burnout, satisfaction, and turnover. CONCLUSIONS: Although the frequency of workplace incivility in healthcare is not clear, its consequences are substantial. Multiple studies have revealed significant relationships between workplace incivility and work-related outcomes that are important to nurse managers. Research is needed on non-nursing healthcare professionals, and validation studies are needed on instruments used to measure workplace incivility frequency. IMPLICATIONS FOR NURSING MANAGEMENT: The findings of this review can help nurse managers better understand the phenomenon, frequency, and impact of workplace incivility in the healthcare setting and move toward addressing the problem of workplace incivility among nurses and other healthcare professionals.


Assuntos
Esgotamento Profissional , Incivilidade , Humanos , Local de Trabalho , Reorganização de Recursos Humanos , Atenção à Saúde
12.
Enferm. foco (Brasília) ; 13(n.esp1): 1-7, set. 2022. ilus, tab
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1396991

RESUMO

Objetivo: Identificar as evidências sobre comportamentos destrutivos manifestados ou presenciados por profissionais em centro cirúrgico. Métodos: Revisão integrativa da literatura, realizada nas bases de dados Literatura Latino-Americana em Ciências da Saúde, Medical Literature Analysis and Retrieval System Online e Base de Dados da Enfermagem, em novembro e dezembro de 2019, aos pares, sem recorte temporal, em português, inglês e espanhol. Na busca, foram utilizados termos e descritores, combinados entre si por meio dos operadores booleanos AND e OR. Resultados: Foram localizados 230 artigos. Após eliminação de duplicidades, aplicação dos critérios de inclusão e exclusão, e leitura, obteve-se amostra de 10. Da análise dos estudos, emergiram três categorias temáticas: Categoria 1 ­ Comportamentos destrutivos; Categoria 2 ­ Repercussões dos comportamentos destrutivos; Categoria 3 ­ Dispositivos para minimizar ambientes hostis. Conclusão: os comportamentos destrutivos têm repercussões organizacionais, laborais e pessoais, caracterizando um desrespeito sistêmico que causa danos tanto aos profissionais como aos pacientes. (AU)


Objective: Identify evidence of inadequate behavior manifested by professionals in the surgical center. Methods: An integrative literature review, carried out in the Latin American Literature in Health Sciences, Medical Literature Analysis and Retrieval System Online and Nursing Database databases, in November and December 2019, in pairs, without time frame, in Portuguese, English and Spanish. In the search, terms and descriptors were used, combined with each other through the Boolean operators AND and OR. R. Results: 230 articles were located. After elimination of duplicates, application of inclusion and exclusion criteria, and reading, a sample of 10 was obtained. From the analysis of the studies, three thematic categories emerged: Category 1 ­ destructive behavior; Category 2 ­ repercussions of inadequate behavior; Category 3 ­ devices for minimizing hostile environments. Conclusion: Inadequate behavior has organizational, labor and personal repercussions, and characterizes systemic disrespect that causes damage to both professionals and patients. (AU)


Objetivo: Identificar evidencias de conducta inadecuada manifestada por profesionales en el centro quirúrgico. Métodos: Revisión integradora de la literatura, realizada en las bases de datos de Literatura Latinoamericana en Ciencias de la Salud, Sistema de Análisis y Recuperación de Literatura Médica en Línea y Base de Datos de Enfermería, en noviembre y diciembre de 2019, en pares, sin marco temporal, en portugués, inglés y español. En la búsqueda se utilizaron términos y descriptores, combinados entre sí mediante los operadores booleanos AND y OR. R. Resultados: Se localizaron 230 artículos. Luego de eliminación de duplicados, aplicación de criterios de inclusión y exclusión y lectura, se obtuvo una muestra de 10. Del análisis de los estudios surgieron tres categorías temáticas: Categoría 1 - comportamiento destructivo; Categoría 2: repercusiones de un comportamiento inadecuado; Categoría 3: dispositivos para minimizar entornos hostiles. Conclusión: La conducta inadecuada tiene repercusiones organizativas, laborales y personales, y caracteriza la falta de respeto sistémica que causa daño tanto a los profesionales como a los pacientes. (AU)


Assuntos
Incivilidade , Centro Cirúrgico Hospitalar , Pessoal de Saúde
13.
Vet Rec ; 191(7): e2030, 2022 10.
Artigo em Inglês | MEDLINE | ID: mdl-36002792

RESUMO

BACKGROUND: Workplace incivility is a workplace stressor with varying effects according to the status of the target and instigator. This study sought to examine veterinary staff's experiences of incivility from clients, co-workers and senior colleagues. METHOD: An online mixed-measures survey gathered data from UK veterinary staff (n = 252, primarily veterinarians and nurses). Quantitative scales were used to collect data on incivility frequency, burnout, mental health, job satisfaction, turnover intention and key coping responses. Qualitative data expanded on preferred coping strategies. RESULTS: The impact of uncivil behaviour varied according to the source of the incivility and the status of the target. Senior colleague incivility predicted veterinarian turnover intention, whereas client incivility predicted burnout. Similarly, senior colleague incivility predicted job satisfaction for veterinary nurses. Seeking support was the most frequently reported coping strategy. The qualitative data illustrated strategies focused on calming the situation and management of self. LIMITATIONS: The data are based on self-reports and are subject to social desirability bias. The sample is limited to UK veterinary staff. CONCLUSION: Veterinary staff are at risk of experiencing incivility, with varying impacts across job roles and incivility sources. A proactive system approach to incivility is recommended, encompassing support and procedural changes.


Assuntos
Esgotamento Profissional , Incivilidade , Adaptação Psicológica , Animais , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/psicologia , Satisfação no Emprego , Inquéritos e Questionários , Local de Trabalho/psicologia
14.
Nurs Ethics ; 29(6): 1466-1475, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-35724428

RESUMO

In a healthcare setting, a multitude of ethical and moral challenges are often present when patients and families direct uncivil behavior toward clinicians and staff. These negative interactions may elicit strong social and emotional reactions among staff, other patients, and visitors; and they may impede the normal functioning of an institution. Ethics Committees and Clinical Ethics Consultation Services (CECSs) can meaningfully contribute to organizational efforts to effectively manage incivility through two distinct, yet inter-related channels. First, given their responsibility to promote a humane, respectful, and professional climate, many CECSs and Ethics Committees may assist institutional leadership in evaluating and monitoring incivility policies and procedures. Second, when confronted with individual incidents of patient/family incivility, Ethics Consultants can and often do work with all stakeholders to address and mitigate potentially deleterious impacts. This manuscript presents an overview of the multifaceted ethical implications of incivility in the healthcare environment, discusses the inherent qualifications of Ethics Consultants for assisting in the management of incivility, and proposes specific mitigating actions within the purview of CECSs and Ethics Committees. We also invite healthcare organizations to harness the skills and reputation of their CECSs and Ethics Committees in confronting incivility through comprehensive policies, procedures, and training.


Assuntos
Consultoria Ética , Incivilidade , Atenção à Saúde , Eticistas , Ética , Comissão de Ética , Ética Institucional , Humanos
15.
J Christ Nurs ; 39(3): 174-178, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35665423

RESUMO

ABSTRACT: Incivility continues to create challenging work environments for healthcare workers. Nurses who experience incivility related to patient concerns or treatment often must confront power differentials and the fear of consequences if they speak up on behalf of the patient. This case report of a family's labor and delivery experience demonstrates the potential of harm to patients and long-term consequences of workplace incivility for the patient and the nurse. Moral courage and biblical insights to strengthen nurses' commitment to speak up for patients are discussed.


Assuntos
Incivilidade , Pessoal de Saúde , Humanos , Local de Trabalho
16.
J Nurs Adm ; 52(6): 359-364, 2022 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-35608978

RESUMO

OBJECTIVE: To test the instrument, Nursing Student Perception of Civil and Uncivil Behaviors (NSPCUB) in newly licensed nurses' (NLNs') to create a credible measure of NLNs' perceptions of civil/uncivil behaviors by RNs. BACKGROUND: Uncivil behaviors in the workplace result in poor morale, absenteeism, and turnover. When targeted toward NLNs, the outcome of these behaviors can affect not only a job but a future career. METHODS: A convenience sample of NLNs from 3 cohorts completed the modified NSPCUB-NLN 12-item survey. Exploratory factor analysis and reliability statistics were conducted. Concurrent validity was evaluated. RESULTS: Exploratory factor analysis identified passive and active incivility subscales with high reliability (overall Cronbach's α = 0.917). Participants expressing positive experiences scored higher than those with negative experiences (P < 0.0001), supporting instrument validity. CONCLUSIONS: This study demonstrated that the NSPCUB-NLN is a valid and reliable instrument for use with NLNs. This will assist nurse leaders in evaluating unit cultures for incivility, guiding interventions for a healthy work environment.


Assuntos
Incivilidade , Estudantes de Enfermagem , Humanos , Reprodutibilidade dos Testes , Inquéritos e Questionários , Local de Trabalho
18.
Nurse Educ Pract ; 62: 103320, 2022 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-35500414

RESUMO

AIM: This study examined the frequency of incivility for undergraduate nursing students and the relationship between staff nurse incivility and nursing students' sense of belonging. Factors between program semester and students' body mass index (BMI) to staff nurse incivility and students' sense of belonging were assessed. BACKGROUND: Sense of belonging enhances belonging development to the profession. However, no studies address the relationship between incivility and nursing students' sense of belonging. METHODS: A cross-sectional design assessed the relationship between staff nurse incivility and undergraduate nursing students' sense of belonging to the nursing profession. An online survey was administered to 123 pre-licensure junior and senior undergraduate nursing students from February 1, 2021, to May 5, 2021. Correlation coefficient, descriptive statistics, Fisher r-to-z transformation, 95% confidence intervals were calculated. RESULTS: Staff nurse incivility inversely correlated with undergraduate nursing students' sense of belonging (rs=-.358; p <.001). American Indian or Alaskan Native students reported the highest mean frequency of incivility (1.25 ± .421). There were no significant differences in correlations based on semester or BMI. CONCLUSION: Staff nurse incivility is inversely associated with sense of belonging in students. Further research is needed to test interventions mitigating the effects of incivility on belonging.


Assuntos
Bacharelado em Enfermagem , Incivilidade , Estudantes de Enfermagem , Estudos Transversais , Humanos , Inquéritos e Questionários
19.
J Occup Health Psychol ; 27(3): 317-338, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35533110

RESUMO

The present study proposes and examines a theoretical Dual Path Model of Experienced Workplace Incivility using meta-analytic relationships (k = 246; N = 145, 008) between experienced incivility and frequent correlates. The stress-induced mechanism was supported with perceived stress mediating the meta-analytical relationship between experienced incivility and occupational health (i.e., emotional exhaustion and somatic complaints). The commitment-induced mechanism was also supported with affective commitment to the organization mediating the relationship between experienced incivility and organizational correlates (i.e., job satisfaction and turnover intentions). However, these paths were not able to explain the strong relationship between experienced and enacted workplace incivility. Moderating analysis revealed that the experienced-enactment link is stronger between coworkers, in comparison to incivility experienced from supervisors; experienced incivility is more strongly related to organizational correlates, when incivility is enacted by supervisors in comparison to coworkers, and in human service samples when compared to samples comprised of mixed occupations. We discuss theoretical and practical implications as well as directions for future research. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Assuntos
Incivilidade , Saúde do Trabalhador , Emoções , Humanos , Reorganização de Recursos Humanos , Local de Trabalho/psicologia
20.
J Occup Health Psychol ; 27(4): 392-410, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35511559

RESUMO

Workplace incivility is generally viewed as a deleterious interpersonal stressor. Yet, alternative theories suggest that incivility may have instrumental implications for some targets. Applying signaling theory, we study client-provider relationships in a health care context to unpack linkages between incivility enacted by organizational outsiders and work creativity responses by employee targets. We argue that providers leverage information from client incivility to provide more creative care over time. In Study 1 (N = 186), results suggest that clients may use incivility to signal perceptions of poor treatment quality to providers. In Study 2 (N = 416), results from topic modeling of qualitative data show that providers observe client incivility and believe it can contain valuable information about client satisfaction. In Study 3 (N = 503), providers reported their experiences of client incivility and creativity (incremental and radical) in client care over five waves of data to capture the incubation time that providers may need to reflect on instances of incivility. Employing trait-state-occasion modeling, our findings show that episodic (i.e., higher than normal) client incivility had positive lagged relationships with incremental and radical provider creativity, suggesting that time is needed for providers to process the information contained in the client incivility signal and creatively modify treatment plans. Theoretical and practical implications for workplace incivility and creativity are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).


Assuntos
Incivilidade , Humanos , Local de Trabalho
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