Civility within the workplace is an essential concept to success in healthcare. Understanding and implementing the concept is imperative, given that civility leads to improved safety of the patients and the staff. Medicine historically has been a male-dominated field, and nursing mostly female. The way we practiced was to serve physicians and take a secondary role; now, nursing is coming to the table as a part of the team.
The OR has been a backdrop for incivility; as the literature suggests, communication, education, and transparency begin to degrade the antiquated ideals that oppress nurses. These behaviors and inactions may result in psychological or physiological distress for the people involved and, if left unaddressed, may progress into unsafe or threatening situations.
Acts of incivility can take various forms, including:
A shared and sustained commitment to promoting civility and respect is necessary to prevent uncivil actions from escalating into threatening behaviors and to foster a culture of health and safety that translates into safe, civil work environments for nurses (Clarke, 2018).
Figure 3. Safe & Reliable Culture Maturity Model. By HealthCatalyst, 2019, https://www.healthcatalyst.com/insights/high-reliability-organizations-in-healthcare-framework. Copyright 2020 by Health Catalyst.
A commitment to a healthy, sustainable environment lies within nurses to have the confidence to speak and express the necessary changes for improvement. When nurses speak up and resolve issues, they report better patient outcomes, greater satisfaction in their workplace, and heightened organizational commitment (Clark, 2019). They can also take the lead in establishing team charters, instituting a commitment to coworkers and co-creating norms, or ground rules, of desired behavior. Nurses must also ensure that the organizational philosophy and shared values are predicated on a culture of respect, professionalism, and safety.
- What are your professional principles and values and how can you ensure they are upheld?