Building Confidence, Diminishing Stress: A Clinical Incivility Management Initiative for Nursing Students.

Objective: The aim of this study was to evaluate the effectiveness of an interactive program designed to reduce nursing students' perceived stress and improve self-efficacy and readiness to professionally address incivility during clinical practice. Background: Incivility in clinical settings advers...

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Publicado en:Nursing Reports Vol. 14; no. 3; pp. 2485 - 2499
Autores principales: Kim, Younglee, Kim, Yeon Sook, Nwamu, Henrietta, Lama, Anne
Formato: research tables/charts Journal Article
Publicado: MDPI Sep2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2024
      vid: 14
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      pub: MDPI
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        atl: Building Confidence, Diminishing Stress: A Clinical Incivility Management Initiative for Nursing Students.
      aug:
        au:
          Kim, Younglee
          Kim, Yeon Sook
          Nwamu, Henrietta
          Lama, Anne
        affil: Department of Nursing, California State University San Bernardino, 5500 University Parkway, San Bernardino, CA 92407, USA
      sug:
        subj:
          Students, Nursing Psychosocial Factors
          Stress, Psychological Therapy
          Self-Efficacy Education
          Incivility Prevention and Control
          Clinical Competence Education
          Education, Nursing
          Outcomes of Education
          Confidence
          Human
          Multimethod Studies
          Student Experiences
          Pretest-Posttest Design
          Comparative Studies
          Academic Medical Centers California
          California
          Data Analysis Software
          Paired T-Tests
          Questionnaires
      ab: Objective: The aim of this study was to evaluate the effectiveness of an interactive program designed to reduce nursing students' perceived stress and improve self-efficacy and readiness to professionally address incivility during clinical practice. Background: Incivility in clinical settings adversely impacts learners, educators, institutions, and healthcare systems, undermining safety and the teaching–learning process. Despite its increasing global prevalence, effective interventions remain largely unexplored. Methods: Our mixed-methods study, conducted from March to April 2024, involved senior baccalaureate pre-licensure nursing students (N = 35) from a California State University. The three-week, one-hour-per-week, interactive clinical incivility management program was developed through an extensive literature review. Pre- and post-intervention differences were assessed using a 10 min self-administered online survey that included the Uncivil Behavior in Clinical Nursing Education (UBCNE; 12 items), Perceived Stress Scale (PSS; 10 items), General Self-Efficacy Scale (GSE; 10 items), and a sample characteristics questionnaire (11 items). A one-hour face-to-face focus group (n = 11) then provided qualitative data on personal experiences of clinical incivility. Quantitative data were analyzed using SPSS version 27, while qualitative data were analyzed using Colaizzi's method. Results: Clinical incivility prevalence was 71.4% (n = 25 out of 35). No statistically significant differences were found in UBCNE, PSS, and GSE scores between pre- and post-intervention. However, professional responses to clinical incivility significantly improved after the intervention (t = −12.907, p < 0.001). Four themes emerged from the qualitative data: (a) uncivil behaviors or language from nurses, (b) emotional discouragement and low self-confidence, (c) resource and personnel shortages at clinical sites for education, and (d) the necessity for interventions to manage clinical incivility. Conclusions: Nursing schools and clinical agencies should collaborate to establish monitoring systems, enhance communication, and implement evidence-based policies and interactive interventions to prevent and manage clinical incivility experienced by nursing students from clinical sites.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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