 Evaluating the Impact of Workplace Incivility on Staff Nurses Productivity and Patient Satisfaction

Answer

• Evaluating the Impact of Workplace Incivility on Staff Nurses Productivity and Patient Satisfaction
• Student’s Name
• Institutional Affiliation
• Clinical Problem
• Workplace incivility has been a global challenge for years.
• In a national survey performed in 2014 by the Workplace Bullying Institute revealed 72% aware of the issue, 21% witnessed, and 27% experienced the challenge
• It is imperative to address the issue as its impacts are adverse and diverse including lack of patient satisfaction and psychological issues (Armstrong, 2018).
• Literature findings reveal major challenges related to workplace incivility including negative patient outcome and organizational financial issues (Berry, Gillespie, Gates, & Schafer, 2012).
• There is a significant relationship between workplace incivility and post-traumatic stress among nurses.
• Research Questions

Main Question

• How does workplace incivility impact the productivity of staff nurses and patient’s satisfaction?

Additional Questions

• What is the impact on nurses dealing with anxiety and burnout as a result of workplace incivility?
• Incivility in the workplace: What are the financial effects as a problem for nurses?
• How does workplace incivility impact the productivity of staff nurses and patient’s satisfaction?
• Literature Search Plan
• The search was guided by the problem statement, topic, and study questions.
• Main databases involved in the search included CINAHL, OVID, ProQuest, EBSCOhost, Google Scholar, and Medline Complete
• Studies were published within the last one decade (2008-2018)
• The search terms included bullying, disruptive behavior, education, horizontal violence, incivility, lateral violence, patient satisfaction productivity, and workplace
• The restrictions included peer-reviewed, authored by nurses with appropriate credentials (DNP, PhD), foreign studies outside the United States, relevant to the United States, and include only primary reports of individual research studies.
• Key Methodologic Features-Quantitative
• The search for quantitative studies was informed by the research questions and problem statement.
• Databases used for completing the search included OVID, CINHAL, ProQuest, EBSCOhost, Medline Complete, and Google Scholar.
• Besides the search words, the author's name was included thus multiple studies obtained for meeting the problem statement.
• Revisions and updates were done on the search approach to expand the search window.
• Key revisions included the question where the study was based on the inpatient facility, and search years being 2013-2018.
• Key Methodologic Features-Quantitative
• The search settled for four most relevant articles.
• The search was done for studies within the last 5 years with the oldest being 2013 while the newest being 2018
• The countries of search varied to include the United States and Canada
• The theories used in the studies were specified where applicable including the Complex Adaptive Systems in the study by Oyeleye et al. (2013)
• The dependent and independent variables differed in the studies. The relationship between the various variables was examined including burnout and stress, incivility and stress, and burnout and incivility.
• Key Methodologic Features-Quantitative
• Different study designs were included such as quantitative non-experimental, cross-sectional study, exploratory correlational approach and pre and post intervention (Furst, 2018; Laschinger, 2014; Nikstaitis & Simko, 2014; Oyeleye et al., 2013).
• The sample size was also large and varied from 38-641 which included students, patients and nurses.
• The sampling approach also varied including random and convenience strategies.
• The data collection approach was also diverse to include questionnaires, Likert scale, and email survey.
• Key Methodologic Features-Quantitative

Strengths

• Large sample size (Oyeleye et al., 2013)
• Effective research methodologies including cross-sectional study
• Diverse variables including burnout and stress (Oyeleye et al., 2013)
• Reliable, precise, and consistent nurse’s perceptions.

Limitations

• A sample including students enrolled on associated degree nursing only (Oyeleye et al., 2013)
• Limited diversity among the respondents to include non-Hispanics and low response rate (Oyeleye et al., 2016).
• High incivility across all dimensions since not all nurses who met the criteria participated.
• Use of cross-sectional data thus precluded the cause and effect attribution (Laschinger, 2014).
• Key Methodologic Features-Qualitative
• Study years were within the last one decade (2008-2018)
• Countries of study varied including the United States although the implications had to be applicable to the US Abdollahzadeh et al., 2017; Starbek, Johnson, & Dawson, 2015; Chapman, Perry, Styles, & Combs, 2009).
• The dependent and independent variables depended on the study and its focus. While the independent included workplace incivility, the dependent included stress, burnout, and quality patient outcome (Vassey, DeMarco, Gaffney, & Budin, 2009; Kerber et al., 2015).
• Study designs and sample varied according to the research.
• Key Methodologic Features-Qualitative

Study Strengths

• Comprehensive data collection
• Evaluating diverse variables including patient satisfaction, bullying, education, and nursing violence.
• Effective treatment and interventions.
• Sufficient sample sizes
• Proposal for future studies

Study Limitations

• Inconsistencies in the coding
• Wide themes and categories thus high generalization
• Summary
• The selected qualitative and quantitative studies support the problem statement and assist in responding to the research questions
• In all the articles, the reliability, strengths, and quality are reflected.
• Drawing from the research, workplace incivility is a major challenge that requires profound interventions.
• Both qualitative and quantitative studies confirm the adverse effects of workplace incivility including poor patient satisfaction, stress among the nurses, and limited patient safety and quality.
• Other variables as established in the studies include burnout, leadership, and turnover which have a relationship with incivility.
• Future studies should be directed on addressing this issue through workforce education.