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An Integrative Review of Cybercivility in Health Professions Education

De Gagne, Jennie C. PhD, DNP, RN-BC, CNE; Choi, Min BSN, RN; Ledbetter, Leila MLIS; Kang, Hee Sun PhD, RN; Clark, Cynthia M. PhD, RN, ANEF, FAAN

doi: 10.1097/NNE.0000000000000264
Feature Articles

Although incivility in higher education has been widely described, little evidence exists regarding incivility among health professions students in online environments. This study aims to integrate literature on cybercivility in health professions education. The extent to which health professions students and faculty experience cyberincivility, the direct and indirect effects and actions taken after cyberincivility, and themes that guide facilitation of cybercivility are discussed. Efforts to prevent cyberincivility can be achieved through focused education on cybercivility, development of clear policies related to its consequences, and formulation of guidelines for both student and faculty behavior online.

Author Affiliations: Assistant Professor, School of Nursing (Dr De Gagne); Master’s in Nursing Student, School of Nursing (Ms Choi); Research and Education Librarian, Medical Center Library (Ms Ledbetter), Duke University, Durham, North Carolina; Professor (Dr Kang), Red Cross College of Nursing, Chung-Ang University, Seoul, South Korea; Nurse Consultant (Dr Clark), ATI Nursing Education, Leawood, Kansas, and Professor Emeritus, Boise State University, Idaho.

The authors declare no conflicts of interest.

Correspondence: Dr Kang, Red Cross College of Nursing, Chung-Ang University, 84 Heukseok-Rd, Dongjak-Gu, Seoul 156-756, South Korea (

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Accepted for publication: February 11, 2016

Published ahead of print: March 28, 2016

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