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Workplace incivility in hospitals: a significant barrier to patient safety and care quality

Por: Ben Natan · M.

Commentary on: Freedman B, Li WW, Liang Z, Hartin P, Biedermann N. The prevalence of incivility in hospitals and the effects of incivility on patient safety culture and outcomes: A systematic review and meta-analysis. J Adv Nurs. Published online March 21, 2024. doi:10.1111/jan.16111

Implications for practice and research

  • Practice: Implement anti-incivility programmes, including training and policies, to improve teamwork, communication and management support, thereby enhancing patient safety culture (PSC).

  • Research: Investigate mediating factors such as conflict handling, psychological resilience and self-efficacy to understand their impact on the relationship between incivility and patient safety, guiding effective intervention development.

    •  Context

    Workplace incivility, characterised by low-intensity deviant behaviour, undermines mutual respect,1 particularly in nursing where it includes behaviours like blame-shifting and gossiping. Its prevalence in healthcare negatively impacts PSC by reducing communication and teamwork quality and increasing patient harm.2 Understanding and addressing incivility...
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