1. Debra Scott, MSN, RN, FRE
Executive Director
Nevada State Board of Nursing
2. Learning Objectives
Define incivility and civility
Define workplace conflict
Explore strategies to enhance civility and
encourage a healthy and productive work
atmosphere
3. Incivility vs. Civility
Incivility: “rude or disrespectful behavior that
demonstrates a lack of regard for others.” (Rau-Foster M.
Workplace civility and staff retention. Nephrol Nurs J.
2004;31(6):702)
Civility: authentic respect for others that requires time,
presence, the will to engage in genuine discourse and
intention to seek common ground. (Clark, 2010)
4. What is the result of letting
incivility run rampant?
Workplace bullying…on a continuum from open
physical assault or violence, threatening behaviors,
verbal abuse to more subtle, even masked behaviors
such as backbiting, blaming, disparaging, and
exclusionary treatment meant to do harm
to another or others
5. Characteristics of Incivility and
Bullying
Intentional
Occurs over a prolonged period of time
Real or imagined imbalance of power
Depends on the culture of the workplace
6. Incidence
Worker surveys:
o 4/5 state that a lack of respect and courtesy
is a serious problem
o 3/5 state that “it’s getting worse”
o 25% of companies report bullying is present
in their work environments
7. Nursing
97% of nurses report verbal abuse
1/3 express intent to leave positions due to
bullying
Over half say that bullying comes from
colleagues, not supervisors
80% of nurses report that they have
experienced at some time in their career
50% of nurses are victims of disruptive
behavior and 90% have witnessed it
(Brunt, 2011; Hutchinson, Jackson & Vickers, 2010;Clark & Olender, 2011)
8. The Culture
Not just simple conflict
Gradually evolves
Persistent
Systematic
Toxic work environment: Victims, Victimizers, and
witnesses
Stress
9. The Victim
New to profession
New to position, newly assigned
New to the system
Could be above average, talented, energetic (+ attention
from the boss)
10. The Perpetrator
o Underlying low self-esteem
o Sense of powerlessness
o Fear of change
o Has been the victim in the past
11. Common Forms:
May be Covert or Overt
Nonverbal innuendos
Verbal affronts
Undermining activities
Withholding information
Sabotage
Infighting
Failing to respect privacy
Scapegoating
Shunning
Alliances and cliques that foster incivility
12. What can it do?
Impacts productivity
Increased turnover
Decrease job satisfaction
People just don’t want to come to work—
increased “sick” time
Agency becomes paralyzed
13. Leadership’s Responsibility
Awareness
Zero tolerance
Exemplary communication
Responsiveness
Visibility and presence
Role-modeling, mentoring, coaching
Support
Create a culture of regard
Offering esteem and recognition of the significance
Valuing individual’s unique contributions
Empowering employees
Facilitation of goal attainment
14. Fostering Civility in the Work
Environment
o Teamwork and collaboration
o Educational/professional development in
communication
o Conflict management
o Examine root causes for conflict
o Acknowledgements for advancements and
efforts
o Providing for a culture of safety
15. Actions to Take
o Educate all team members
o Hold team members accountable
o Develop/implement policies and procedures
o Develop a process for addressing disruptive behaviors
o Then—be consistent and persistent—provide the
tools for sustaining a healthy and productive
workplace
16. Leadership’s Ultimate
Responsibility
Successful leaders need to remember that
establishing the right environment isn’t
part of the job. It is the job.”
(Doucette JN. Create a great work culture. American Nurse Today. 2009;4(6):13-14)