Question

1) What can a nurse manager do to prevent such behavior on their unit?

1b) How can a nurse manager intervene when conflict arises on the unit?

2) What factors have encouraged uncivil behavior in the profession of nursing?

2b) What policies can be put in place by an institution to encourage a civil working environment?

Answer 1

1)Nurse manager is responsible for creating safe and healthy environment that supports the work of the health care team and contribute to patient engagement.

Always she should watch the staffs in action and how they are interacting each other .

Conduct staff survey ,No need to listen to the gossip.

Conduct meeting. Educate the staff about appropriate behaviour

She can set clear expectations with the nursing team about which behavior is acceptable and which are not acceptable.

2)Nursing manager needs skills in managing conflict in health care environment. Conflict means a disagreement through which the parties involved perceive to threat to their needs, interests, and concerns.

First Nurse manager should find out the reason to get conflict .

Next she should discuss the matter with both parties (who are involved in conflict)

Give a particular amount of time to speak about their issue.

They are not ready to comprise means nurse manager can take decisions  to resolve the conflict.

3)uncivility is a common issue in nursing staff in health care setting. The main reason are stress, long working hours and burnout. It will affect patient safety. Heart burnout due to inappropriate behavior from patient, doctor and senior staff.

2b)1)we can  establish a strict zero tolerance policy for violence ,when the health care setting are built of these standards uncivility becomes a less of risk .

Can conduct educational and counselling programmes.

Create a reporting system for uncivility cases and closely monitor those incidents.

Educate the leaders to act as a role model of appropriate behaviour.