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Where Do You Think You Are? A Grounded Theory Study of the Critical Factors Triggering the Existence and Fueling the Persistence of Incivility in Nursing

Samson-Mojares, Roselle Ann; Chin, Claudette R.; Colvin, Mary K.; Umadhay, Tony

doi: 10.1097/01.NEP.0000000000000397

BACKGROUND Incivility in health care settings was first identified in 1976. The Institute of Medicine has called for a safer health care environment, and the Joint Commission emphasizes that disruptive behavior compromises patient safety. Incivility in nursing is a topic of interest, yet it had not been explored as a social process.

AIM The purpose of this study was to acquire an understanding and develop a theory to address incivility in nursing.

METHOD Twenty-nine RNs were interviewed based on Charmaz’s constructionist grounded theory.

RESULTS Four categories emerged (neglecting, alienating, relinquishing, and finding oneself) that developed into the theory of self-positioning.

CONCLUSION To understand incivility in nursing, one must, immersed within the institution, profession, and society, find and position the self. It is only then that we can address the health and well-being of RNs, provide quality care, and ensure patient safety.

About the Authors The authors are faculty at Barry University College of Nursing and Health Sciences, Miami Shores, Florida. Roselle Ann Samson-Mojares, PhD, RN, is an assistant professor, Undergraduate Program. Claudette R. Chin, PhD, ARNP, is an assistant professor, Graduate Program. Mary K. Colvin, PhD, RN, CNE, is an associate professor and the program director, Undergraduate Program. Tony Umadhay, PhD, CRNA, ARNP, is an associate dean. This study was funded by the Florida Nurses Foundation, 2014 Undine Sams and Friends Research Grant Fund, and a Sigma Theta Tau International-Lambda Chi Chapter 2016 Research Grant. The authors are grateful to the RNs who volunteered to be part of this study. For more information, contact Dr. Samson-Mojares at

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The authors have declared no conflict of interest.

© 2019 Lippincott Williams & Wilkins, Inc.
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