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Incivility Toward Nursing Students in Clinical Rotations

Measuring the Incidence and Testing Interventions

Tecza, Bonnie M., MSN, RN, CPN; Boots, Brenda K., MSN, RN, CPN; Mains, Brandi C., MSN, RN, CPN; Dryer, Lisa D., MBA, MSN, RN, CPN; Oertle, Dena L., MSN, RN, CPN; Pontius, Camie J., MBA, MSN, RN, CPN; Cantu, Chelcia L., MSN, RN; Olney, Adrienne, MS; McElroy, Susan, PhD, RN, NEA-BC; Teasley, Susan, MBA, MSN, RN, NE-BC, CCRC

Journal of Nursing Administration: November 2018 - Volume 48 - Issue 11 - p 585–590
doi: 10.1097/NNA.0000000000000684

OBJECTIVE The purpose of this study was to measure nursing student perceptions of incivility in the clinical learning environment and test interventions that improve these perceptions. The secondary aim was to further test the reliability of the Nursing Student Perception of Civil and Uncivil Behaviors (NSPCUB) tool.

BACKGROUND Incidence of incivility in nursing is well documented in the literature; however, there are few evidence-based interventions to combat this phenomenon.

METHODS NSPCUB was administered to 314 nursing students. Data were used to develop hospital-wide and unit-specific interventions. After implementation of the interventions, the survey was administered to 410 students.

RESULTS There was a statistically significant mean increase for 7 of the 12 survey items, hospital-wide, and the findings reenforced NSPCUB as a highly reliable tool.

CONCLUSIONS This instrument can be used by nurse executives to measure perceptions of incivility, identify areas for improvement, and implement interventions.

Author Affiliations: Nursing School Clinical Managers (Mss Tecza and Boots), Clinical Instructors (Mss Mains, Dryer, Oertle, Pontius, and Cantu), Research Advisor/Data Analyst (Ms Olney), and Senior Director (Dr McElroy), and Program Director (Ms Teasley), Patient Care Services Research Children’s Mercy, Kansas City, Missouri.

The authors declare no conflicts of interest.

Correspondence: Ms Tecza, 2401 Gilham, Kansas City, MO 64108 (

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