Cultivating Healthful Environments.

Analyze scholarly literature related to the issue of incivility and strategies for cultivating healthful environments. In a four- to six-page written paper, address the following. Define and explain the issue of incivility. Use scholarly nursing literature. Discuss the importance of this issue to nursing. Address the impact of incivility on individuals, microsystem work environments, and the profession of nursing. In this section, use at least three (3) different scholarly nursing literature in-text citations with matching references.Cultivating Healthful Environments.

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Provide a scenario (real or fictitious) of incivility in a practice setting. What was the impact on the individuals involved? How was the work environment affected? Describe three strategies for creating a healthful environment. Use scholarly nursing literature to support each strategy. Identify your selected specialty track (education, executive, family nurse practitioner, healthcare policy, or nursing informatics). Provide two examples of strategies you will implement in your master’s-prepared advanced practice role to cultivate a healthful work environment. Provide a conclusion. Include a summary on the issue of incivility, strategies to create healthful environments, specialty track, and how you will contribute to cultivating healthful environments in your future professional practice. Include a self-reflection.Cultivating Healthful Environments. Preparing the paper Submission Requirements Application: Use Microsoft Word 2013™. Length: The paper (excluding the title page and reference page) is at minimum four (4) pages and at maximum six (6) pages. A minimum of four (4) scholarly nursing literature references must be used. Submission: Submit your files: Last name_First initial_Assessment 5_Cultivating Healthful Environments. Best Practices in Preparing the Project The following are best practices in preparing this project.Cultivating Healthful Environments. Review directions thoroughly. Follow submission requirements. Make sure all elements on the grading rubric are included. Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scientific writing. Title page, body of paper, and reference page must follow APA guidelines as found in the current edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used. Ideas and information that come from scholarly nursing literature must be cited and referenced correctly. A minimum of four (4) scholarly nursing literature references must be used. Abide by CCN academic integrity policy.Cultivating Healthful Environments. Grading Criteria Category Points % Description Introduction 10 5% Introduction includes general statements on incivility and how this issue affects nursing work environments. Identify sections of the paper. Provide support from scholarly literature. Issue of Incivility 20 10% Define and explain the issue of incivility. Provide citations from scholarly nursing literature that support the definition and explanation of incivility. A dictionary may be used for ONLY for this section in addition to scholarly nursing literature. Importance to Nursing 40 20% Discuss the importance of incivility related to nursing. Address the impact of incivility on individuals, microsystem work environments, and the profession of nursing.Cultivating Healthful Environments. Provide support from at least three (3) different scholarly nursing literature sources. Storytelling 20 10% Provide a scenario (real or fictitious) of incivility in a practice setting. What was the impact on the individuals involved? How was the work environment affected? Creating a Healthful Environment 30 15% Describe three strategies for creating a healthful environment. Use scholarly nursing literature to support each strategy. Practice Application 40 20% Identify your selected specialty track (education, executive, family nurse practitioner, healthcare policy, or nursing informatics). Provide two examples of strategies you will implement in your master’s prepared-advanced practice role to cultivate a healthful work environment. Use scholarly nursing literature to support each example.Cultivating Healthful Environments. Conclusion 20 10% Provide a conclusion. Include a summary on incivility and the issues this creates; strategies to create healthful environments, specialty track, and how you will contribute to cultivating healthful environments in your future professional practice. Include a self-reflection. Self-reflection is written in first person. APA Format 10 5% Title page, body of paper, and reference page must follow APA guidelines as found in the current edition of the manual. This includes the use of headings for each section or topic of the paper (one deduction for each type of APA style error). Ideas and information that come from scholarly nursing sources must be cited and referenced correctly. A minimum of four (4) scholarly nursing references with matching in-text citations are used. Writing Mechanics 10 5% Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal written work as found in the current edition of the APA manual. Total 200 100% A quality assessment will meet or exceed all the above requirements. My specialty track is executive.Cultivating Healthful Environments.

Workplace incivility is a major problem in most healthcare facilities. It does disturb not only healthcare professionals enduring negative behaviour but also the quality of patient care. Incivility has numerous negative effects on workplace environments. According to Asghari et al. (2017), it increases the incidence of medical errors, decreases patient satisfaction, and heighten the costs of healthcare. In this essay, the author defines incivility, its importance to nursing, and its impact on individual nurses, work environments, and the overall profession. An example of incivility in a practice setting is outlined, and the impact it had on the parties involved and the work environment. Lastly, the paper discusses strategies of creating a healthful working environment and the strategies the author will implement in their role as a nurse executive to create a healthful working environment. Cultivating Healthful Environments.

The Issue of Incivility

Researchers have defined incivility in nursing in different ways. Zhang et al. (2018) define incivility as low-intensity aberrant behaviour with an abstruse intent to hurt the target, which ultimately violates policies that govern mutual respect among workers. Incivility, therefore, encompasses rude, belittling, and insulting behaviour from one employee to another. According to the American Nursing Association (ANA), incivility refers to any rude, discourteous, or disrespectful actions from one employee to another. It encompasses gossiping, refusing to assist co-workers, spreading rumours, expressing public criticism, use of condescending tones, or name-calling. While these behaviours mostly occur laterally among employees at the same professional level, they can also occur vertically between these behaviours are directed to subordinate workers. The American Nursing Association (2015) position statement on incivility maintains that all nurses must make a devotion to, and accept accountability for creating and endorsing healthy working environments characterized by interpersonal relationships. Cultivating Healthful Environments.

Importance to Nursing

Bambi et al. (2019) assert that Incivility is crucial in nursing, as it significantly impacts the practice environment for all nurses. A culture of nursing incivility also affects the overall microsystem and work environments. It leads to reduced teamwork and cooperation between different workers or units, increased incidence of medical errors, and lower productivity among staff. These have detrimental effects on the overall productivity and efficiency of the health organization. Other effects of workplace incivility include diminished patient safety, increased sentinel events, and increased patient mortality (Shi et al., 2018). As a result, incivility increases the rates of turnover and absence from work for nurses. It negatively affects the organization’s reputation as well as the nurse-patient relationship. Individuals experiencing incivility, whether witnesses or targets, suffer various psychological, emotional, and somatic influences (Asghari et al., 2017). Crafting strategies to address workplace incivility is, therefore, crucial to ensure that nurses practice in safe environments where patient safety and quality of care are upheld. Cultivating Healthful Environments.

Example of Incivility in Practice Setting

In my previous work setting, I encountered a troubling example of work incivility, where a seasoned nurse in power directed demeaning actions to a new graduate nurse who was transitioning from a professional career business unit to the emergency department. While the new graduate nurse brought in to the organization years of experience, rich experiences, and an advanced degree, she made an early enemy with a seasoned nurse in power for unknown reasons. The seasoned nurse expressed actions such as bullying, gossiping, and criticism of the new nurse. In the end, the incidents of lateral violence drove out the new nurse out of the profession. Cultivating Healthful Environments.

Impact of the Nurse Involved

Unfortunately, the incidences of lateral violence adversely affected the nurse’s mental health as well as emotional wellbeing. Before leaving the profession, the nurse demonstrated signs of depression, such as fatigue, anxiety, depression, and other mental health illnesses. These negative emotions hampered the development of work capabilities for the involved nurse. Cultivating Healthful Environments.

Impact on the Work Environment

The disrespectful and uncivil behaviour of the senior nurse in a position of power had a detrimental impact on the broader practice setting. As the target new graduate nurse was emotionally affected, he was highly prone to make medical errors when attending the patients. The actions of the senior nurse also impacted the work environment by jeopardizing patient safety, increasing the rates of turnover, and adversely affecting the organization’s reputation. Cultivating Healthful Environments.

Strategies of Creating a Healthful Environment in Nursing

Creating a healthful working environment is a priority for all healthcare organizations. Various approaches can thus be executed to ensure that nurses practice in healthy settings.

Communication

Effective communication can be used to establish a healthy working environment. According to Kent et al. (2016), effective communication is the foundation of patient safety and collaboration. Communication creates healthy practice settings by preventing confusion, creating accountability, and providing a purpose that unites all workers. It defines organizational goals and allows workers to work together to achieve them. Cultivating Healthful Environments.

Appropriate Nurse Staffing

Appropriate staffing is another approach used in creating healthy working environments. Research links inadequate staffing to adverse patient outcomes (Halm, 2019). Inadequate staffing increases the workload for available nurses, ultimately increasing the incidence of burnout and emotional exhaustion. Therefore, ensuring that the organization has an adequate number of staff nurses is crucial in promoting healthy work settings.

Authentic Leadership

Authentic leadership affects the nursing workforce, the profession as a whole, as well as the practice environment for nursing staff. Establishing a healthy working environment for nurses is vital in maintaining an adequate workforce. The stressful and dynamic nature of nursing contributes to high rates of burnout, absenteeism, and escalating shortage of nurse staff. Gigol (2020) assert that leaders play a profound role in nurse retention by significantly shaping the nursing environment to improve practice outcomes for both patients and staff. Therefore, authentic leaders serve as the glue that holds together practice environments. Cultivating Healthful Environments.

Practice Application

My specialty track is a nurse executive. As a nurse executive, we are tasked with handling administrative tasks and ensuring that staff comply with organizational mission and vision by operating smoothly. The scope of practice for nurse executive encompasses hiring and training of staff, undertaking financial responsibilities, and resolving issues occurring within the organization. Cultivating Healthful Environments.

In mymaster’s prepared-advanced practice role as a nurse executive, I will use various approaches to foster a healthful working environment. First, I would employ a transformational leadership style that emphasizes the creation of a work environment where leaders and followers engage each other to improve the level of performance, motivation, and morale. Ali et al. (2015) assert that transformational leadership increases staff productivity and job satisfaction. Using this approach will humanize the practise environment for nurses.

Second, I would promote multi-level communication to foster a culture of transparency within the organization. Such an approach will allow members of each department to work together and interact with one another to improve patient safety (Norouzinia et al., 2015). This mechanism will encourage trust and create a culture of respect among workers. Cultivating Healthful Environments.

Conclusion

In summary, incivility is a global problem affecting healthcare organizations. Rude or discourteous actions directed to nursing staff negatively impact healthcare organizations. Among the individuals affected, the consequences of incivility are emotional trauma, anxiety, and depression. Incivility affects nursing environments by threatening the culture of patient safety, increasing the occurrence of adverse events, and damaging the organization’s reputation. Various strategies can be employed to create healthful working environments. These include appropriate staffing, effective communication, and authentic leadership. As a nurse executive, I would foster healthful working environments by using transformational leadership and multi-level communication. Cultivating Healthful Environments.