Incivility can be defined as any behavior that subjects an intimidation or undermining of another person or group; in the nursing field when directed towards coworkers, also known as lateral violence, it can often be perceived as a form of bullying (Armstrong, 2018). Unfortunately, nurses often experience incivility whether it is from another colleague, doctor, etc. An experience that first came to mind is that of when I first began my nursing career. I was taking care of a patient who had a minor procedure and needed closer observation for a few days. The patient had been unable to sleep the previous night and asked for something that could aid her with sleep. It was early in the shift (night) so I went ahead and talked to my provider. It had gotten later in the shift, past midnight, and I still had not received any orders for my sweet patient. I proceed to make contact with my provider and instead of pulling me to the side, they decided to try and belittle me in front of their colleagues and educate me on why I should have advocated for my patient many hours ago and not almost half way through the shift; that now if they were to order something for the patient that she will now be drowsy on day shift and that would be my fault. Little did the provider know that I am a very vocal and straightforward person and not one to be “bullied” although I was a new nurse. See, you can always get your point across and be powerful and heard without ever raising your voice. I proceeded to let the provider know that I took advocating for my patient very seriously and make it priority, which is why I consulted them hours earlier, however, I had not received any new orders which is why I was following back up with them.
Too often exposure to workplace incivility has the potential to alter a nurse’s behavior, which then could cloud their thought process and can unfortunately result in patient harm (Alshehry et al., 2019). Our patients are our top priority and for this reason we must have a clear mind and a safe work environment. This is why it is so important for nurses to stand up for themselves and also for others. Personally, I have a habit of “taking care” of my co-workers, which is how I adopted the nickname “work mom.” I find it hard to stand by and watch other be subjected to to this type of behavior. I try not to overstep but I always let my orientees know that I am always there and will be if they ever need me.
For my situation, I used PMI’s Project Life Cycle. As a result, I commenced to having a conversation with my nurse manager, letting him know the situation and how it was handled. I also voiced concern for other nurses who may have similar situations and may not feel as comfortable letting someone know. We proposed new ideas that would create a more comfortable open door policy and established “safe talks” that would allow for concerns and issues to be voiced. After a few months of this small change, feedback submitted, and nurses now felt more comfortable with voicing concerns of incivility without the fear of retaliation, especially with new graduates.
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