Physician Mediated Workplace Incivility Against Nurses: An Integrative Review
Overview
This integrative review examines physician-mediated workplace incivility directed at nurses and its detrimental effects on both nursing staff and patient outcomes. The study synthesizes research from multiple databases to demonstrate correlations between physician incivility and decreased communication, increased nurse stress, medication errors, and compromised patient care. The paper applies Social Ecology Theory as a framework to understand interpersonal workplace dynamics and proposes interventions for fostering positive hospital cultures.
What this literature review covers
- Chapter 1: Workplace Incivility Against Nurses - covers etiology, consequences, historical and theoretical perspectives, and research questions
- Chapter 2: Methods and Results - describes search strategy, data analysis, critical critique, and findings across themes including hospital violence, patient care impacts, and bullying forms
- Chapter 3: Research Translation and Implementation - addresses feasibility analysis and application of change theories including Lippitt's Seven-Step Theory and IOWA Model
Preview
Physician Mediated Workplace Incivility Against Nurses: An Integrative Review
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Abstract
Physician mediated workplace incivility targeted at nurses has the potential to create detrimental patient outcomes. Incivility in nursing was first recognized in 1983, when it was acknowledged that nurses were seen as subordinate to physicians (Roberts, 2015, p. 36). As the years continued, there was an increase in violence against nurses, causing those in authority to intervene and find ways to eradicate workplace violence (Fink-Samminik, 2016). The effects of workplace incivility on patients has not been well documented. The aim of this integrative review is to evaluate the detrimental effects of workplace incivility on nurses and the care they provide. Databases searched included CINAHL, Medline (Ebsco), and Health Source: Nursing/Academic (Ebsco). Analysis of data was accomplished through the creation of a thematic and summary chart, as well as by reading, discussing, and critiquing research that met inclusion criteria. Inclusion criteria included articles that discussed physician mediated incivility towards nurses, the physical and psychological effects of workplace incivility on nurses, and workplace incivility’s impact on patient care. Upon completion of data analysis and synthesis, the results of this review show that physician incivility correlates with decreased physician-nurse communication, increased nurse physiological stress, and poor patient outcomes. The Social Ecology Theory provides a conceptual framework for this study as the model explains the personal and environmental factors that contribute to poor relationships within the hospital setting.