Kousha Shohreh, Shahrami Ali, Forouzanfar Mohammad Mehdi, Sanaie Neda, Atashzadeh-Shoorideh Foroozan, Skerrett Victoria
Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Emergency Medicine, School of Medicine, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
BMC Nurs. 2022 Jun 14;21(1):153. doi: 10.1186/s12912-022-00930-1.
Witnessing or experiencing of incivility affected the nurses' perception of the ethical climate and quality of their work life. The aim of this study was to investigate the effectiveness of educational intervention and cognitive rehearsal on perceived incivility among emergency nurses.
This study was conducted as a randomized controlled parallel group clinical trial. Eighty emergency nurses participated in this study and were randomly assigned to intervention and control groups during December 2019-March 2020. Cognitive rehearsal program (include of definitions of incivility, ten common incivilities and appropriate practice methods for responding to each and role-plays) was delivered in five two-hour sessions over three weeks on different working days and shifts. The control group received only written information about what incivility is and how to deal with it before the implementation of intervention and one month after the completion of the training sessions, the demographic information form and the incivility scale were completed by the nurses.
The results showed that there was a significant effect on overall incivility, general incivility, and supervisor incivility between the intervention and control groups. However, these significant reductions were seen in control group who received only written education. There were no significant differences in nurse's incivility towards other nurses, physician incivility, and patient/visitor incivility between the two groups.
The cognitive rehearsal program did not decrease perceived incivility among emergency department nurses in the short term.
Our research was registered on clinicaltrials.gov.
IRCT20200714048104N1 , first registration 16/07/2020.
目睹或经历不文明行为会影响护士对道德氛围和工作生活质量的认知。本研究旨在调查教育干预和认知演练对急诊护士感知到的不文明行为的有效性。
本研究作为一项随机对照平行组临床试验进行。80名急诊护士参与了本研究，并于2019年12月至2020年3月期间被随机分配到干预组和对照组。认知演练项目（包括不文明行为的定义、十种常见的不文明行为以及针对每种行为的适当应对方法和角色扮演）在三周内的五个不同工作日和班次进行，每次时长两小时。对照组在干预实施前仅收到关于不文明行为是什么以及如何处理的书面信息，在培训课程结束后一个月，护士们完成了人口统计学信息表和不文明行为量表。
结果显示，干预组和对照组在总体不文明行为、一般不文明行为和上级不文明行为方面存在显著差异。然而，仅接受书面教育的对照组也出现了这些显著下降。两组在护士对其他护士的不文明行为、医生的不文明行为以及患者/访客的不文明行为方面没有显著差异。
认知演练项目在短期内并未降低急诊科护士感知到的不文明行为。
我们的研究已在clinicaltrials.gov上注册。
IRCT20200714048104N1，首次注册于2020年7月16日。
Zotero 插件