Student Registered Nurse Anesthetists Perceptions of Uncivil Behavior in the Clinical Education Environment

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
Daniel Michael Lorden (Creator)
Institution
The University of North Carolina at Greensboro (UNCG )
Web Site: http://library.uncg.edu/
Advisor
Laurie Kennedy-Malone

Abstract: Background: The impact of uncivil behavior in clinical nursing education is significant and has been demonstrated to affect the learning experience of nursing students, as well as patient safety and outcomes. Purpose: The study objective was to provide information on how Student Registered Nurse Anesthetists perceive incivility they encounter in the clinical education environment utilizing the Revised Uncivil Behavior in Clinical Nursing Education tool. Methods: Data was gathered via a voluntary, online, quantitative survey with recruited participants. The Uncivil Behavior in Clinical Nursing Education Tool was developed into a Qualtrics survey with the addition of 4 new questions developed by the researcher. Participants were recruited via the Facebook group titled “The Nurse Anesthesiologist Group for CRNAs and RRNAs.” Results: Ninety-five participants completed the survey. Thirty-three percent of respondents identified male and 67% identified as female. Eighty-one percent of respondents reported as age 35 or younger while 19% described their age as 36 or older. Participants had an average of 5±2.9 years of critical care nursing experience. When identifying their year in graduate anesthesia training, the majority (72%) of students identified as 3rd year, followed by 26% in 2nd year, and 2% in 1st year. In all instances, the average response to questions from the tool demonstrate uncivil behavior by preceptors against students is “occasional” to “often”. In all instances, responses to the researcher-generated questions demonstrate significant impact of uncivil behavior on patient safety, student burn-out, and long-term selection of employment. This data is noteworthy given the universal challenges facing the nursing profession today. Recommendations and Conclusion Student Nurse Anesthetists perceive a significant amount of uncivil behavior in the clinical environment. Snide comments about SRNAs are the most common type of uncivil behavior. The data captured in this survey demonstrated that uncivil behavior is perceived more frequently as students progress in their program. Perception of uncivil behavior impacts patient safety by altering students' willingness to speak up in the clinical environment. Additionally, uncivil behavior by preceptors exacerbates the recruitment challenges faced today by hospitals and anesthesia groups. This study underscores the importance of civility training by employers that serve as clinical sites for the education of SRNAs. Future studies of this phenomenon could assess larger group sizes, improve sampled geographic diversity, or investigate the viability of implementing surveys or metrics to evaluate/improve students’ perceptions of site and preceptor incivility.

Additional Information

Publication
Other
Language: English
Date: 2023
Keywords
incivil, Incivility, student nurse anesthetist, SRNA, CRNA, preceptor, uncivil, tool, rude, discourteous, clinical education

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