Incivility and Clinical Performance, Teamwork, and Emotions: A Randomized Controlled Trial. Issue 1 (January 2020)

• Record Type: Journal Article
• Authors: Johnson, Susan L.; Haerling, Katie A.; Yuwen, Weichao; Huynh, Van; Le, Chi
• Is Part Of: Journal of nursing care quality. Volume 35:Issue 1(2020)
• Publication Date: 2020-01
• Subjects: cardiopulmonary resuscitation -- incivility -- medical errors -- nurses -- randomized controlled trial; Nursing -- Standards -- Periodicals; Nursing audit -- Periodicals; Health facilities -- Safety measures -- Periodicals; Nurse administrators -- Periodicals; 610.73
• DOI: 10.1097/NCQ.0000000000000407
• Languages: English
• ISSNs: 1057-3631

Abstract

Abstract : Background: Incivility has been identified as a common occurrence in health care settings. While anecdotal evidence exists that these behaviors negatively impact patient care, more robust evidence is lacking. Purpose: This randomized controlled trial investigated the effects of exposure to incivility on clinical performance, teamwork, and emotions. Methods: Teams of nurses were randomly assigned to a control or experimental group. The experimental group was exposed to incivility. Both groups were then prompted to perform basic life support on a high-fidelity manikin. Teams were scored on cardiopulmonary resuscitation (CPR) performance and teamwork. Individuals completed measures of affect and a cognitive test. Results: There were no differences in CPR, cognitive or teamwork scores, or emotional state. However, 66% of the experimental group had a major error in their CPR performance. None of the control groups made the same error. Conclusions: These findings support anecdotal evidence that exposure to incivility may contribute to errors in clinical performance. Abstract : Supplemental Digital Content is Available in the Text.