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The Say "No" to Nursing Incivility campaign provides evidence-informed solutions to:
· Decrease nursing incivility
· Alleviate nursing burnout
· Minimize nursing turnover
· Create an environment where nurses can deliver safe, high-quality patient care.
Adverse working conditions, such as lateral violence in nursing, can lead to nursing burnout and mental health issues among nurses. These conditions can also contribute to patient errors and high turnover rates. It is crucial to address these issues and create a work environment where nurses and other healthcare providers can flourish.
The Say "No" to Nursing Incivility campaign provides evidence-based resources for nursing leaders to improve the workplace environment. Three interventions are available, each offering training and resources that can be provided directly, or public health instructors can train your educational staff on how to use the resources for your employees.
· Identify the factors contributing to lateral violence and develop strategies to mitigate them before, during, and after events that could influence the outcomes.
· Conduct a detailed assessment of specific incidents of lateral violence, including analyzing the involvement of nurses, the availability and use of mitigation and control measures, and the institutional response and outcomes.
· Evaluate your organization in various aspects, such as staff, culture, and environment, to create an action plan tailored to your department's specific needs.
· Understand workplace violence and incivility and their consequences
· Actively engage nurses in practical and effective learning activities to address incivility, including cognitive rehearsal response techniques, lectures providing information on lateral violence, interactive group discussions, case studies, and team-building techniques
· Offer nursing leaders and nurses a toolkit containing resources to improve communication, assertiveness, and self-care skills.
· Develop a Civility Plan that reinforces your hospital’s mission and commitment to fostering a positive working environment and facilitating sustainable change.
· This plan will proactively encourage your team to remain accountable and mindful of civility and supportive working values.
· It will also involve setting long-term goals to ensure nursing support, measurement, and organizational improvement.
The definition of workplace incivility
· Civility and empathy
· Respectful behavior at work
· Clarifying the norms for acceptable workplace conduct
· Skill-building for positive interpersonal communication and conflict resolution
· Team building communication discussions/activities.
· Characteristics of incivility
· Self-reflection, self-awareness, and kind and compassionate training
· Constructive criticism versus bullying
· Giving feedback
· Receiving feedback
· When feeling misunderstood
· When experiencing burnout
· When anger overflows into work relationships
· Changing our thoughts versus not being able to control the situation.
· Forni’s (2002) Rules for Civility
· Pay attention to others and yourself
· Acknowledge others
· Listen
· Be inclusive
· Don’t speak ill or gossip
· Accept and give praise
· Respect other's opinions
· Respect other people’s time and space
· Apologize earnestly
· Asking for Support
The Toolkit equips nurse leaders with the Clark Workplace Civility Index, an anonymous 20-question Likert scale from 1 to 5. This tool is designed to evaluate incivility in nursing units and provides you with a clear understanding of the current situation.
· Suggested solutions when feeling misunderstood
· Suggested solutions when feeling burnout
· When anger over flows into work relationships
· How to give and receive feedback
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