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Incivility in nursing: Implementing a quality improvement program utilizing cognitive rehearsal training

机译:护理中的缺乏:利用认知排练培训实施质量改进计划

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Abstract Background Workplace incivility can be a factor in unhealthy work environments. Addressing unit culture improves job satisfaction and organizational commitment. Aim The purpose of this quality improvement program was to educate nurses to identify and respond to hospital incivility. Setting A community hospital in the Northeastern United States. Participants—A convenience sample of nurses. Methods A quality improvement program was conducted, which included an incivility education module and cognitive rehearsal training. The nursing incivility scale (NIS) was used to evaluate the effectiveness of the educational module. Participants completed the NIS before, immediately after, and 1 month after the program. Cognitive rehearsal training included role playing using scripted responses to uncivil behavior. Results A one‐way repeated measures analysis of variance was conducted to compare total score and eight subscale scores on the NIS before, after, and 1 month after implementation of the intervention. There was a statistically significant difference for effect of total time as well as for five of the eight subscales. Conclusions Incivility programs can provide nurses with the needed tools to identify uncivil behaviors and react in a proactive, professional manner; this promotes a safe working environment for nurses and their patients.
机译:摘要背景工作场所不幸是不健康的工作环境中的一个因素。解决单位文化提高了工作满意度和组织承诺。旨在提出这种质量改进计划的目的是教育护士来识别和回应医院的缺乏。在美国东北部设立社区医院。参与者 - 护士的便利样本。方法进行了质量改进计划,其中包括逍遥教育模块和认知排练培训。护理生存率规模(NIS)用于评估教育模块的有效性。参与者在计划后立即完成了NIS,并在计划后1个月。认知排练培训包括使用脚本响应对非否通知行为的角色。结果进行了一行的反复措施分析,以比较在实施干预后的NIS之前的NIS总分和八个次级分数。对于总时间的影响以及八个分量中的五个,存在统计学上的显着差异。结论速度计划可以提供所需工具的护士,以确定未经透明的行为,并以积极的专业方式作出反应;这促进了护士及其患者的安全工作环境。

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