Effectiveness of educational intervention and cognitive rehearsal on perceived incivility among emergency nurses: a randomized controlled trial

Kousha, Shohreh and Shahrami, Ali and Forouzanfar, Mohammad Mehdi and Sanaie, Neda and Atashzadeh-Shoorideh, Foroozan and Skerrett, Victoria (2022) Effectiveness of educational intervention and cognitive rehearsal on perceived incivility among emergency nurses: a randomized controlled trial. BMC Nursing, 21 (1). p. 153. ISSN 1472-6955

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Abstract

Background
Witnessing or experiencing of incivility affected the nurses’ perception of the ethical climate and quality of their work life. The aim of this study was to investigate the effectiveness of educational intervention and cognitive rehearsal on perceived incivility among emergency nurses.

Method
This study was conducted as a randomized controlled parallel group clinical trial. Eighty emergency nurses participated in this study and were randomly assigned to intervention and control groups during December 2019—March 2020. Cognitive rehearsal program (include of definitions of incivility, ten common incivilities and appropriate practice methods for responding to each and role-plays) was delivered in five two-hour sessions over three weeks on different working days and shifts. The control group received only written information about what incivility is and how to deal with it before the implementation of intervention and one month after the completion of the training sessions, the demographic information form and the incivility scale were completed by the nurses.

Results
The results showed that there was a significant effect on overall incivility, general incivility, and supervisor incivility between the intervention and control groups. However, these significant reductions were seen in control group who received only written education. There were no significant differences in nurse's incivility towards other nurses, physician incivility, and patient/visitor incivility between the two groups.

Conclusion
The cognitive rehearsal program did not decrease perceived incivility among emergency department nurses in the short term.

Item Type: Article
Identification Number: https://doi.org/10.1186/s12912-022-00930-1
Dates:
DateEvent
1 June 2022Accepted
14 June 2022Published Online
Uncontrolled Keywords: incivility, nursing, workplace violence
Subjects: CAH02 - subjects allied to medicine > CAH02-04 - nursing and midwifery > CAH02-04-01 - nursing (non-specific)
Divisions: Faculty of Health, Education and Life Sciences > School of Nursing and Midwifery
Depositing User: Gemma Tonks
Date Deposited: 16 Jan 2023 16:05
Last Modified: 16 Jan 2023 16:05
URI: https://www.open-access.bcu.ac.uk/id/eprint/13882

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