Peer Accountability Program to Combat Nurse Incivility

ECU Author/Contributor (non-ECU co-authors, if there are any, appear on document)

Roy Hudson (Creator)

Institution

East Carolina University (ECU )

Web Site: http://www.ecu.edu/lib/

Abstract: "Incivility within the nursing profession is a topic of serious concern and requires immediate interventions. This quality improvement project utilized an evidenced-based approach to implement a program directed at nurse led incivility. The Professional Accountability Program (PAP) was implemented in 26 units in two urban hospitals to empower staff to address uncivil interactions , promote teamwork , and support a shared governance model. The PAP utilized peer coaches to intervene in episodes of low intensity incivility incidents where a nurse is the alleged offender. The project was evaluated utilizing the Clark Workplace Civility Index (CWCI) survey and trending of incidents. The findings included three of the 26 units (12%) increased one civility index measurement after implementation of the program , two units (8%) decreased by one level , and 21 units (80%) remained at baseline. All units scored at ""Moderately Civil€ or above. Trending analysis demonstrated that Hospital 2 increased reporting >300% during the PAP. Lastly , there were 20 incidents that utilized peer coaching with only one requiring escalation to human resources. The PAP challenges nurses , aided by a peer coach , to alter negative behaviors to support an environment free from incivility. Future work is required to address the stainability and long term effects of the PAP."

Additional Information

Publication

Other

Language: English

Date: 2019

Keywords

Civility; incivility; bullying; nurse bullying; lateral violence; peer review; peer feedback; coaching; peer coaching; accountability; peer accountability; professional accountability; Clark Workplace Civility Index; CWCI

Subjects

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