Incivility at The Healthcare Workplace Essay Assignment Paper
The psychological safety of healthcare employees working in an uncivil setting is at risk due to incivility. Due to the nurses’ anxiety and tension over speaking up, this is dangerous for the patient’s safety and lowers the standard of nursing care provided. The epidemic of workplace disrespect has been addressed with several evidence-based solutions. The working atmosphere of the organization, which was evaluated and received a score of 87 (moderately healthy), is examined in this paper, along with some of these treatments and improvement ideas. Incivility at The Healthcare Workplace Essay Assignment Paper
Part 1: Work Environment Assessment
On a scale of 20 to 100, Clark’s Healthy Workplace Inventory scored 87. This indicates a generally healthy work environment for me. Members’ high levels of trust, transparent and clear communication, and staff that uphold the organization’s mission and vision are just a few of the factors that received excellent marks. Other aspects that received good marks included treating employees like assets, appreciating employees, and publicly recognizing individual success. Workload distribution received low marks, but employee salary and remuneration obtained an average rating.
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The fact that the workplace inventory score matched the organization’s degree of civility was a surprise in the results. I also anticipated that the company would receive top marks for competitive employee pay and remuneration. Treating employees properly and respecting them as vital assets is a concept I held prior to doing the assessment and which was validated. The two places received excellent ratings, which supported my suspicions. The examination yielded a score of 87, which indicates that the workplace is moderately healthy and courteous. To meet the criteria for a healthy department environment, the cleanliness and civility of the workplace can be addressed. Incivility at The Healthcare Workplace Essay Assignment Paper
The article by Clark et al. (2011) on dialogues that can assist organizations in fostering a culture of civility in the workplace by encouraging healthy talks, appreciating coworkers, and assisting in dispute resolution. In this essay from 2014, Griffin and Clark address several methods for managing incivility and how violence affects it. The article by Clark (2015) illustrates how transformative leadership may motivate staff to innovate and adapt to change to benefit an organization’s overall development. At my place of employment, the philosophy of transformative leadership has been crucial in fostering change, establishing a culture of civility, and reducing violence through effective communication. By employing transformational leadership techniques to resolve conflicts and address the assessment’s weak points, such as task distribution and competitive employee compensation, the theories outlined in the articles can be applied to enhance organizational health.
Part 2: Reviewing the Literature on the Interventional Concepts to Curb Workplace Incivility
According to Clark (2015), healthcare staff should learn to speak up when incivility occurs to reduce it in the workplace. This is the most efficient approach to combat this threat, she claims. Along with speaking up, she suggests that all staff members treat their coworkers and pupils with respect. She suggests three evidence-based strategies: (1) reflecting, probing, and committing (questioning oneself before responding to an unfriendly situation), (2) creating a safe zone (ensuring that the environment is secure when confronted by an unfriendly colleague to prevent an escalation), and (3) using the DESC model to structure a friendly exchange of ideas (Clark, 2015). According to Clark (2018), the acronym DESC stands for Describe (what occurred), Explain (how you felt), Share (what you would want to see happen in the future), and Compromise (by committing to the newer way). Incivility at The Healthcare Workplace Essay Assignment Paper
The proven methods for addressing incivility in the workplace, according to Clark et al. (2011), include (i) holding joint meetings to discuss civility, (ii) having clearly defined standards of conduct, (iii) providing ongoing training for staff on respectful interaction and dispute settlement, and (iv) facilitating positive role modeling by everyone, but especially nurse managers and supervisors.
In Clark (2018), the evidence-based methods for reducing rudeness at work are described as cognitive rehearsal (CR) and simulation (role play). Through coaching from a trained communicator, CR is a behavioral intervention that aims to prepare a healthcare worker, such as a nurse, for a potentially hostile encounter. Additionally, Griffin and Clark (2014) argue that cognitive rehearsal is the best way to deal with rudeness in the healthcare field. Incivility at The Healthcare Workplace Essay Assignment Paper
Applying Concepts to Improve Workplace Environment
As mentioned earlier, the ideas discussed in the articles are relevant to my organization’s evaluation, resulting in a score of only 75. This indicates that there is much opportunity for development and that my work environment is only somewhat healthy. As a result, my organization needs these ideas to grow. Therefore, the hospital could implement these theories by permitting open communication (such as a nurse feeling safe to report rude behavior right away with no fear that nothing will be done), incorporating the DESC model during conflict resolution training and education, creating a code of conduct and clear policy guidelines governing workplace behavior, and including cognitive rehearsal in ongoing instruction for employees.
Part 3: Recommendation of Evidence-Based Strategies
The use of cognitive rehearsal (Clark, 2018; Griffin & Clark, 2014) and the use of the DESC model to facilitate civil conversations (Clark, 2018; Clark, 2015) are two strategies that are supported by the evidence-based literature above, and that can be used to help the assessed organization improve. The tactics of (1) reflecting, exploring, and committing (Clark, 2015); and (2) simulation or role-play (Clark, 2018) can also be used to strengthen successful behaviors. According to Chafetz et al. (2020), these would be useful in any healthcare work environment. Not only will these strategies assist the shortcomings, but they will bolster practices already addressed. Incivility at The Healthcare Workplace Essay Assignment Paper
Conclusion
In the healthcare industry, there are numerous environmental issues at work. The majority of these issues need solutions that can only be practical after thorough, in-depth analysis. Different assessment methods are employed for this. Employees in the healthcare industry who operate in an uncivil environment run the danger of psychological harm. This is risky for the patient’s safety and decreases the level of nursing care offered because the nurses are afraid and tense about speaking up. As this paper demonstrates, many evidence-based methods have been used to combat the epidemic of workplace disrespect.
References
Chafetz, L. A., Forsythe, A. M., Kirby, N., Blackmore, C. C., & Kaplan, G. S. (2020). Building a culture of respect for people. NEJM Catalyst Innovations in Care Delivery, 1(6). https://catalyst.nejm.org/doi/abs/10.1056/CAT.19.1110
Clark, C. M. (2015). Conversations to inspire and promote a more civil workplace. American Nurse Today, 10(11), 18–23. https://www.americannursetoday.com/wp-content/uploads/2015/11/ant11-CE-Civility-1023.pdf
Clark, C. M. (2018). Combining cognitive rehearsal, simulation, and evidence-based scripting to address incivility. Nurse Educator, 44(2), 64-68. https://doi.org/10.1097/NNE.0000000000000563
Clark, C.M., Olender, L., Cardoni, C., & Kenski, D. (2011). Fostering civility in nursing education and practice. JONA: The Journal of Nursing Administration, 41(7/8), 324–330. https://doi.org/10.1097/nna.0b013e31822509c4
Griffin, M., & Clark, C. M. (2014). Revisiting cognitive rehearsal as an intervention against incivility and lateral violence in nursing: 10 years later. Journal of Continuing Education in Nursing, 45(12), 535–542. https://doi.org/10.3928/00220124-20141122-02
You completed my previous assignment. See attached. I work in an emergency department.
Please see attached rubric for grading purposes, need 2 of resources below and 2 outside scholar resources. Incivility at The Healthcare Workplace Essay Assignment Paper
Review the Resources and identify one change that you believe is called for in your organization/workplace.
This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment you submitted in Module 4. It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas.
Reflect on how you might implement this change and how you might communicate this change to organizational leadership.
The Assignment (5-6-minute narrated PowerPoint presentation):
Change Implementation and Management Plan Incivility at The Healthcare Workplace Essay Assignment Paper
Create a 5- or 6-slide narrated PowerPoint that presents a comprehensive plan to implement changes you propose.
Your narrated presentation should be 5–6 minutes in length.
Your Change Implementation and Management Plan should include the following:
An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)
A description of the change being proposed
Justifications for the change, including why addressing it will have a positive impact on your organization/workplace
Details about the type and scope of the proposed change
Identification of the stakeholders impacted by the change
Identification of a change management team (by title/role)
A plan for communicating the change you propose
A description of risk mitigation plans you would recommend to address the risks anticipated by the change you propose Incivility at The Healthcare Workplace Essay Assignment Paper
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In the slides please add speaker notes so I can narrate. You do not have to narrate.
Resources:
Broome, M., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). New York, NY: Springer.
Chapter 4, “Practice Model Design, Implementation, and Evaluation†(pp. 99–154)
Cullen, L., & Adams, S. L. (2012). Planning for implementation of evidence-based practiceLinks to an external site.. Journal of Nursing Administration, 42(4), 222–230.
Pollack, J., & Pollack, R. (2015). Using Kotterâ€
s eight stage process to manage an organizational change program: Presentation and practiceLinks to an external site.. Systemic Practice and Action Research, 28(1), 51-66.
Seijts, G. H., & Gandz, J. (2016). Transformational change and leader characterLinks to an external site.. Business Horizons, 61(2), 239-249.
Tistad, M., Palmcrantz, S., Wallin, L., Ehrenberg, A., Olsson, C. B., Tomson, G., …Eldh, A. C. (2016). Developing leadership in managers to facilitate the implementation of national guideline recommendations: A process evaluation of feasibility and usefulness. International Journal of Health Policy and Management Download International Journal of Health Policy and Management, 5(8), 477–486. doi:10.15171/ijhpm.2016.35. Retrieved from http://www.ijhpm.com/article_3183_5015382bcf9183a74ef7e79b0a941f65.pdf Incivility at The Healthcare Workplace Essay Assignment Paper