Vidant Health, Greenville, North Carolina.
Vidant Medical Center, Greenville, North Carolina.
J Nurs Manag. 2019 Oct;27(7):1505-1511. doi: 10.1111/jonm.12836. Epub 2019 Sep 4.
Examine the presence and various sources of incivility among nursing staff working within an academic medical centre utilizing the Nurse Incivility Scale (NIS).
Evidence suggests various forms of negative behaviour including incivility exist among nurses. Established consequences of these behaviours include increased employee turnover rates, decreased job satisfaction, decreased productivity and increased absenteeism.
A descriptive survey design was used which included the NIS instrument to measure the presence of incivility within the nursing workforce and specific sources of these behaviours among 414 nurses in an academic medical centre.
Hospital nurses working within the intensive and intermediate care unit experienced significantly greater incivility from patients and families than other participants within the study [F (3, 413) 8.62, p = .001]. No other significant differences existed in sources of incivility between various levels of direct care.
Nursing staff working within high-risk areas for incivility such as the intensive care and intermediate care units may require additional interventions to reduce perceptions of incivility from patients/families.
Findings suggest further research is necessary to develop targeted interventions for nurses practicing within intensive care and intermediate units to alleviate the perceived burden of incivility from patients/families.
利用护士不礼貌量表（NIS）检查在学术医疗中心工作的护理人员中不礼貌行为的存在及其各种来源。
有证据表明，护士中存在各种形式的负面行为，包括不礼貌行为。这些行为的既定后果包括员工离职率增加、工作满意度降低、生产力下降和旷工增加。
采用描述性调查设计，包括 NIS 工具，以衡量学术医疗中心 414 名护士中不礼貌行为的存在及其行为的特定来源。
与研究中的其他参与者相比，在重症监护和中级护理病房工作的医院护士经历了来自患者和家属的不礼貌行为显著增加[F（3, 413）= 8.62, p =.001]。在直接护理的不同层次之间，不礼貌行为的来源没有其他显著差异。
在高风险的不礼貌行为区域（如重症监护和中级护理病房）工作的护理人员可能需要额外的干预措施，以减少患者/家属对不礼貌行为的看法。
研究结果表明，需要进一步研究，为在重症监护和中级病房工作的护士制定有针对性的干预措施，以减轻患者/家属感知到的不礼貌行为的负担。
