NURS 6053 Discussion – Week 7 WORKPLACE ENVIRONMENT ASSESSMENT
Sample Answer for NURS 6053 Discussion – Week 7 WORKPLACE ENVIRONMENT ASSESSMENT Included After Question
How healthy is your workplace?
You may think your current organization operates seamlessly, or you may feel it has many issues. You may experience or even observe things that give you pause. Yet, much as you wouldn’t try to determine the health of a patient through mere observation, you should not attempt to gauge the health of your work environment based on observation and opinion. Often, there are issues you perceive as problems that others do not; similarly, issues may run much deeper than leadership recognizes.
There are many factors and measures that may impact organizational health. Among these is civility. While an organization can institute policies designed to promote such things as civility, how can it be sure these are managed effectively? In this Discussion, you will examine the use of tools in measuring workplace civility.
To Prepare:
- Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).
- Review and complete the Work Environment Assessment Template in the Resources.
By Day 3 of Week 7
Post a brief description of the results of your Work Environment Assessment. Based on the results, how civil is your workplace? Explain why your workplace is or is not civil. Then, describe a situation where you have experienced incivility in the workplace. How was this addressed? Be specific and provide examples.
A Sample Answer For the Assignment: NURS 6053 Discussion – Week 7 WORKPLACE ENVIRONMENT ASSESSMENT
Title: NURS 6053 Discussion – Week 7 WORKPLACE ENVIRONMENT ASSESSMENT
The summary of my work environment assessment was that a few qualities the organization does have would be opportunities for career advancement, there are endless ways to learn and grow within the organization, and there is mutual trust and respect among the multidisciplinary teams. The organization holds regular conferences that employees can attend, and a significant amount of time and money goes into training employees in the area where they are hired to make them experts in their field. The organization promotes teamwork and building trust among the staff members to promote safe and competent patient care.
The areas of improvement are as follows: shared vision, employee satisfaction, competitive salaries/benefits, and employees recommending the organization to others. The area of shared vision needs to be emphasized as most of the employees do not know what the organization’s core values are. This leads to individuals providing care with different motivations in mind. Employee satisfaction used to be high until recently with the pandemic. Staff ended up working long hours without a choice and pay increases ended up being lower than the average, causing employees to seek employment elsewhere and/or leave the healthcare field completely. Since all the above have occurred staff have not been satisfied with the organization and have stated that they would not recommend the organization as a great place to work as they once did in the past.
How Civil is my workplace?
Overall, my workplace is very civil. The areas that need improvement are superficial compared to the areas in which the organization has strengths. The organization allows individuals to work in a calm and trusting environment. Providers, nurses, HUCs, and PCAs are all treated with respect and can work together. All team members can ask questions and not feel inferior but instead are treated with respect knowing that asking questions is a way to provide safe and competent care. The organization does need to improve the area of salaries and compensation. Unfortunately, the organization does not pay as much as other organizations, and compensation for certifications is not given when other organizations offer compensation. This can and does lead to some conflicts among managers and employees at times. Most employees recognize that no workplace is perfect and choose to remain silent about the issue. I believe the DESC model would be beneficial to resolve this conflict (Clark, C., M., 2015). The DESC model stands for D: Describe the specific situation, E: Express your concerns, S: State other alternatives, and C: Consequences stated. This model is used to address conflicts (Clark, C., M., 2015).
Situation of incivility
A situation of incivility in the workplace that I have experienced was when a provider told a nurse to administer morphine to a patient when it was the wrong dose. The instructions were given over the phone so to be fair the provider could not see the actual medication and/or the box with the label on it. The RN continued to explain that the dosing was not correct and refused to administer the medication until it was verified. The provider ended up coming to the facility to verify the medication before it was administered. It turned out that the pharmacy made a mistake and sent the wrong dose to the patient. The provider apologized and thanked the RN for being so thorough. This just goes to show how mutual respect, open communication, and being an advocate for your patient can literally save their lives. If the nurse had not felt comfortable and/or had respect from the provider this situation could have turned out way differently. It is imperative that leaders emphasize the importance of trust and conflict resolution so patients can receive safe care (Walden University, LLC, 2009a). Conflicts are unavoidable but can be limited by leaders emphasizing positive working environments that encourage mutual respect for others on the team (Piryani, R. & Piryani, S., 2019).
References
Clark, C. M. (2015). Conversations to inspire and promote a more civil workplace. American Nurse Today, 10(11), 18-23. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2015/11/ant11-CE-Civility-1023.pdfLinks to an external site.
Walden University, LLC. (2009a). Working with Groups and Teams [Video file]. Baltimore, MD: Author.
Piryani, R. & Piryani, S. (2019). National Library of Medicine (NIH). Conflict Management in Healthcare 16(41) p. 481-482. Retrieved from https://pubmed.ncbi.nlm.nih.gov/30739920/Links to an external site.
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A Sample Answer 2 For the Assignment: NURS 6053 Discussion – Week 7 WORKPLACE ENVIRONMENT ASSESSMENT
Title: NURS 6053 Discussion – Week 7 WORKPLACE ENVIRONMENT ASSESSMENT
All healthcare professionals should continually assess the treatment we deliver and the working atmosphere we create to ensure patients receive effective medical interventions. Clark (2015) shared six criteria established for establishing and supporting safe working environments by the American Association of Critical Care Nurses — professional communication, practical cooperation, efficient decision, adequate staffing, positive recognition, and genuine leadership. We must aim to follow these expectations to ensure that our patients are well-looking after in safe workplaces. It examines the findings of a work-related inventory evaluation that I have completed personally, discusses the literature on the elements that can influence my organizational environment, and provides evidence-driven solutions. That can help build inter-professional, more excellent teams in the place of work.
It will be necessary to integrate evidence-based methods to increase civility and coordination in our curriculum. Our program policies will be focused on evidence-based standards, which will provide a solid framework for all team members to adopt. It would be beneficial to implement techniques that have been proven successful in other environments to develop better the areas where our program is falling short. New tactics will help us strengthen our program’s civility and collaboration if we keep reviewing and analyzing it.
Summary of Results – Clark Healthy Workplace Inventory
I have conducted an inventory of work atmosphere assessments to ascertain the present health and civility level in my workplace. According to the Clark safe workplace inventory, my workplace climate civility score was 62 percent, a barely healthy environment (Clark, 2015). Clark (2015) said that people and families within companies could use this inventory of the workplace as an evidentiary tool to raise awareness, evaluate an institution’s perceived health, identify opportunities for improvement, and celebrate and strengthen areas of power. While my understanding of the existing degree of organizational civility may only be considering in this inventory, this method offered helpful insight into the places where our initiative is likely to be short and the areas where improvements could be introduced.
Identify Two Things That Surprised You About the Results. Also Identify One Idea That You Believed Prior To Conducting the Assessment That Was Confirmed.
The level of interpersonal conflict in my curriculum and the lack of skills I had to contribute to safe workplace statements were two items that shocked me with my inventory and evaluative performance. The detrimental effect of colleague experiences on our working atmosphere and our patients was one belief reinforced by this assessment. Before this job evaluation was completed, I thought the morale of our company became weaker. I observed a significant downturn in my co-workers’ positivity and optimism after two years of jobs. I also thought this negative was the result of the experiences we had as a team. We all knew how challenging our environment could often be because of our mental health program’s complexities. I assumed that the most unpleasant circumstances between the members of our team took place. But I could see from the inventory evaluation how a stressful working environment would affect our staff and our patients. I was not confident that it was my understanding of the situation. Clark (2015) shared that interactions between employees can impact employee capacity, the organization’s loyalty, and, above all, healthy and high-quality patient care.
What Do the Results of The Assessment Suggest About the Health and Civility of Your Workplace?
Hostility is a low-intensity activity that may involve actions, such as disrespect, disguised, impolite, and degrading, or a violation of workplace standards, Marshall and Broome (2017). They also expressed that gossip or even a failure to recognize that a co-worker needs help at work can be part of their incivility. These circumstances can happen at any level amongst team members, and they can quickly go overlooked and unsolved. To react to any uncertainty in the workplace, nurses must learn practical strategies to cooperate. Critical discussions are also difficult to conduct, so that team members are giving specific guidance on effective results using a particular theory or technology. We first need to build and maintain a safe work atmosphere to provide patients with effective patient care. The reference to published literary material will provide insight into strategies that have shown their effectiveness and effectiveness in uncivil circumstances (Makic, M. B. F., 2018).
Explain How the Theory or Concept Presented in The Article Relates to The Results of Your Work Environment Assessment.
By reading the article presented in this module, I learned about strategies to reduce occupational uncertainty and increase organizational health. The use of (CR) cognitive rehearsal among teammates was one theory or idea that I found fascinating. Clark (2018) shared that cognitive research (CR) is an evidence-based approach whereby people operate in a non-threatening setting with a mentor or facilitator to deal with stressful circumstances. It is hard to know how we are going to react to challenging workplace circumstances. The implementation of mock scenarios enables feedback and coordination between our team and a safe place, which does not reach the patient. Often when events occur, we cannot leave our field of work and thus must respond adequately and regularly to these situations with a patient or patient present.
At our monthly professional conferences about six months ago, our organization started working on various patient situations. We rehearsed our responses to patient care’s adverse conditions that may occur to assist each other in these difficult times. I think these situations in practice helped us to develop our reactions slowly. I believe that they take away some of the lesser dissatisfaction that once prevailed among our workers and that we learn from each other.
When I passed via my workplace evaluation prototype, I found the main emphasis of my negatively chosen statement responses was always our program coordination and teamwork. Although we have started to practice our responses to possible patient scenarios, we have not directly discussed how we respond to one another if a situation happens. Sometimes, co-workers also disagree or provide patients with conflicting details, so this is a condition that needs to be discussing (Fischer, S. A., 2017).
Explain How Your Organization Could Apply the Theory Highlighted in Your selected Article to Improve Organizational Health And/or Create Stronger Work Teams. Be Specific and Provide Examples.
The use of cognitive rehearsals should be put in place to strengthen our program’s organizational health and encourage better teamwork. We hold monthly employee meetings, which all workers must attend. To better deal with occupational invasion and provide direction for future activities, we should give the cognitive rehearsal process in these sessions. While there are different models to deal with non-civil conversations at work, it is hoping that the discussions with our team members will improve the existing wellbeing and reduce the incivilization levels during our monthly meetings.
It is necessary to integrate evidence-based techniques to enhance the level of civilization and collaboration within our program. Based on facts, our program policies would have a solid framework followed by all team members. It is helpful that successful techniques in other environments can be incorporated to develop our program correctly (Fischer, S. A., 2017). New strategies will help increase our program’s civility and strengthen our teamwork through ongoing review and study.
Our team will communicate with each other using the DESC model to develop collaboration and emotional intelligence. Clark (2015) said that the DESC model is an efficient way of addressing individual incivility cases combined with cognitive rehearsals. The DESC questionnaire consists of three elements that ensure that civil circumstances in the workplace are handling correctly. (D) explaining the situation as it happens, (E) voicing your concern, (S) stating possible solutions for managing these circumstances, and (C) saying the implications. This standardized response format will allow this team to interact efficiently and improve our workplaces’ health in uncivil cases.
I was able to assemble a sense of where our strengths existed when I looked over my inventory responses. Our organizational encouragement to share complex or contradictory ideas and viewpoints, our celebration of personal and collective accomplishments, and the promotion of cooperation and collaboration were all areas I considered “somewhat real.”
Recommend At Least Two Strategies Supported in The Literature That Can Be Implemented to Address Any Shortcomings Revealed in Your Work Environment Assessment
One of the tactics is to make sure that proper communication is in place. Both employees can recognize their positions in the workplace and as members of a specific team due to good communication. They would also be active in the decision-making process, allowing them to share their views and ideas without hindrance openly. A good example would be a leader of a healthcare organization emphasizing to his or her team members the importance of improving partnerships through proper conservations. When this occurs, the teams will have a better chance of improving the organization’s success and development. Another approach is recognizing the importance of diversity in the workplace (Clark et al., 2011). Ethnicity, sexual disparities, care facility history, and religion are all examples of the variety. Team members can better organize their activities, recognize any differences, and resolve them amicably by fostering diversity in the workplace. Personnel may also spend time shadowing practitioners from other professions to understand the patient care experience better. Practitioners can learn new skills and unique knowledge from professionals from different disciplines in this manner. As a result, seeing through the eyes of others and establishing faith would be easy, enlightening, and improving personal understanding of their responsibilities.
Recommend At Least Two Strategies That Can Be Implemented to Bolster Successful Practices Revealed in Your Work Environment Assessment
Enhancing competence in the decision-making process will be one of the techniques. It would be simple to cultivate an atmosphere that adopts best practices and promotes good working conditions if nurses were coached early on in decision making and support decisions. Nurses should provide with opportunities to learn the skills they need to increase their effectiveness and efficiency. Professionals should use their abilities to investigate options, run meetings, and make informed decisions that promote nursing practice within the organization (Clark, 2015). Nurse leaders should also teach facilitation skills to improve their ability to start conversations and identify community knowledge without taking control of decision-making. Another approach, which is one of the best practices, is to explain expectations for clinical practice to increase autonomy.
Nurses should be able to communicate and coordinate their work to make sound clinical judgments. Professionals must consider the standards of patient care based on both the art and science of nursing to accurately explain and communicate occupational behaviors (Griffin & Clark, 2014). It will also be necessary to recognize appropriate approaches to situations often on the edge of the nurse’s practice field. Orientation strategies may implement to define organizational behavioral preferences. Furthermore, developing leadership and a cohesive transition plan for the company will be a significant concern. The leaders would instruct various teams on how to complete the tasks in the most efficient manner possible. The organizational platform will also improve the relationships between managers and care providers. Since they know all the employees, these administrators will have services and support.
Summary
To assess the level of health and civility in my current workplace setting, I performed an inventory survey. An analysis of comparative literature has also been undertaking to determine where beneficial improvements can be made. While the findings of my evaluation offered insight into the workplace’s adverse facts, it was helpful to identify ways to change things (Foronda, C., 2020). The first move from this assignment was to raise awareness. Teamwork and communication will help me get that knowledge to the next level. The challenging conditions noted in the results must be addressed appropriately if a safe and civil workplace is creating. I hope that the evidence-based solutions addressed in the literature will enable my team to build a healthier, more civilian working atmosphere for our team and our patients (Foronda, C., 2020).
References
Clark, C. M. (2018). Combining cognitive rehearsal, simulation, and evidence-based scripting to address incivility. Nurse Educator. doi:10.1097/NNE.0000000000000563. https://www.researchgate.net/publication/326428635_Combining_Cognitive_Rehearsal_Simulation_and_Evidence-Based_Scripting_to_Address_Incivility
Clark, C. M. (2015). Conversations to inspire and promote a more civil workplace. American Nurse Today, 10(11), 18-23. https://www.myamericannurse.com/wp-content/uploads/2015/11/ant11-CE-Civility-1023.pdf
Clark, C. M., Olender, L., Cardoni, C., & Kenski, D. (2011). Fostering civility in nursing
education and practice: Nurse leader perspectives. JONA: The Journal of Nursing Administration, 41(7/8), 324-330. https://journals.lww.com/jonajournal/Abstract/2011/07000/Fostering_Civility_in_Nursing_Education_and.8.aspx
Fischer, S. A. (2017). Transformational leadership in nursing education: making the case. Nursing science quarterly, 30(2), 124-128. https://journals.sagepub.com/doi/10.1177/0894318417693309
Foronda, C. (2020). A theory of cultural humility. Journal of Transcultural Nursing, 31(1), 7-12. https://journals.sagepub.com/doi/full/10.1177/1043659619875184
Griffin, M., & Clark, C. M. (2014). Revisiting cognitive rehearsal as an intervention against
incivility and lateral violence in nursing: 10 years later. The Journal of Continuing Education in Nursing, 45(12), 535-542. https://www.researchgate.net/publication/268793398_Revisiting_Cognitive_Rehearsal_as_an_Intervention_Against_Incivility_and_Lateral_Violence_in_Nursing_10_Years_Later
Makic, M. B. F. (2018). A culture of civility: Positively impacting practice and patient safety. Journal of Perianesthesia Nursing, 33(2), 220-222. https://sciencedirect.com/science/article/abs/pii/S1089947218300042
Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.
A Sample Answer 3 For the Assignment: NURS 6053 Discussion – Week 7 WORKPLACE ENVIRONMENT ASSESSMENT
Title: NURS 6053 Discussion – Week 7 WORKPLACE ENVIRONMENT ASSESSMENT
The total result of the Clark Healthy Workplace Inventory was 72, which suggests that my organization is a moderately healthy workplace. Some notable practices in my workplace make it a moderately healthy workplace. First, there is a shared vision and mission guide for all the organization’s employees. The top-level management at the facility has created a very firm foundation and structure that ensure we are always in line with the set vision and mission of the organization. The second notable practice is communication; it is always transparent, direct, and respectful. (Hossny & Sabra, 2020) reiterates that for civility to be present in an organization, effective communication is essential; healthcare professionals must constantly communicate to provide healthcare to patients. The third practice is effective teamwork and collaboration; it enables nurses and other health care professionals to coordinate and increases awareness during care provision.
(Dawdy et al., 2020) reveals that collaborative teamwork improves patient safety and well-being and promotes civility in the organization. Other reasons that make the organization civil include employee self-care and wellness programs; there are opportunities for promotion and career advancement. Lastly, the organization provides comparative salaries, rewards, and other benefits.
A heated confrontation between two nurses affected collaboration efforts in their unit. There was intentional inefficiency, eye-rolling, and rudeness. The confrontation between the two nurses was swiftly addressed by the nurse leader, who has effective conflict resolution skills. The disagreements were addressed well, and all the parties committed to ending the feud and working together as a team.
References
Dawdy, K., McGuffin, M., & Fegan, C. (2020). Understanding team dynamics to promote team building in a radiotherapy department. Journal of Radiotherapy in Practice, 1–6. https://doi.org/10.1017/s1460396920000813
Hossny, E. K., & Sabra, H. E. (2020). Effect of nurses’ perception of workplace civility climate on nurse-physician collaboration. Nursing Open, 8(2). https://doi.org/10.1002/nop2.666
A Sample Answer 4 For the Assignment: NURS 6053 Discussion – Week 7 WORKPLACE ENVIRONMENT ASSESSMENT
Title: NURS 6053 Discussion – Week 7 WORKPLACE ENVIRONMENT ASSESSMENT
This is an informative and well-written post on the Workplace Assessment results at your particular workplace. The example you’ve shared is a common and unfortunate scenario in today’s organizational landscape. As corporations seek creative and innovative methods for reducing costs while maximumizing access to care, the critical aspect of demonstrating empathy and professionalism in work environments is often ignored. Many times, staff are expectated to demonstrate high performance, without having access to key pieces of information to effectively discharge their responsibilities to meet the defined goals. Yet the solution is so readily apparent and effective: proper communication.
As you’ve stated so well here, demonstrating civility and respect in the workplace matters. Respect for everyone involved, including staff, patients and the community served, is demonstrated by a decision to ensure solid communication plan is in effect, and followed by everyone involved. And, when the staff feel that they have been given an opportunity to fully understand the situation and expectations of performance, more positive outcomes can result. Having innovative ideas that include perspectives from staff is considered a best practice for respectful collaboration and safe patient care work environments.
Great points Khushbu! According to Clark (2019), a healthy workplace requires shared vision, values, and teamwork. A healthy workplace should treat colleagues, coworkers, employees, students, and others with dignity, kindness, and respect. As a result, in an ethical environment and culture of civility, bullying, harassment, intimidation, manipulation, threats, or violence should not be tolerated (Clark, 2019). In healthcare, incivility can lead to unsafe working conditions, poor patient care, and higher medical costs. Patient care and safety depend on our ability to cope effectively with stress, sort our emotions, and communicate respectfully (Clark, 2015). Civil behaviors are expected of all employees in all organizations. Stress, less formal organizational structures, and technological advancements have all been linked to increased workplace incivility Crawford et al., 2019). Workplace incivility hurts productivity, employee retention, and service delivery (Clark, 2019).
References
Clark, C. M. (2019). Fostering a culture of civility and respect in nursing. Journal of Nursing Regulation, 10(1), 44-52.
Clark, C.M. (2015). Conversations to inspire and promote a more civil workplace. American Nurse today, 10(11), 18-23.
Crawford, C. L., Chu, F., Judson, L. H., Cuenca, E., Jadalla, A. A., Tze-Polo, L., … & Garvida Jr, R. (2019). An integrative review of nurse-to-nurse incivility, hostility, and workplace violence: a GPS for nurse leaders. Nursing administration quarterly, 43(2), 138-156.
A Sample Answer 5 For the Assignment: NURS 6053 Discussion – Week 7 WORKPLACE ENVIRONMENT ASSESSMENT
Title: NURS 6053 Discussion – Week 7 WORKPLACE ENVIRONMENT ASSESSMENT
Very intersting and informative post. Your workplace environment showcases a very serene and inducive place to work. I wish I have that in my workplace. It projects growth and strive for employees. Everyone put in their best efforts for overall growth. However, I see that, you have other incivilities as well but that is with every organization.
Based on the results from the my Work Environment Assessment, using Clark Healthy Inventory, my score is 55, which according to Clark (2015), portrays an unhealthy environment. There is no shared governance, no chain of command, everyone does what they want with no repercussion. Some people like that environment because they can get away with misconduct. I have been there for two years and and I have not seen anyone growing from their current position. Promotions only occurat the top and from administration but nothing from department level. Am still there because is close to where I live, no long commute. I gues I cannot have it all.
Nurse empowerment and self-esteem increases awareness to nurses’ knowledge of workplace bullying and the ability to address the offender (Stagg et al, 2011). It is important to create a culture of civility and respect in an organization. This means modelling and enforcing appropriate communication and conduct within the organization. When problems arise, such uncivil behavior would be addressed in an effective and timely manner.
Thank you for your post and all the best.
References
Clark, C, M., (2015). Conversations to inspire and promote a more civil workplace. American Nurse Today, 10(11), 18-23. Retrieved
https://www.americannursetoday.com/wp-content/uploads/2015/11/ant11-CE-Civility-1023.pdf
Stagg S.J., & Sheridan D., & Jones R.A., & Speroni K.G. (2011). Evaluation of a workplace bullying cognitive rehearsal program in a hospital setting. The Journal of Continuing Education in Nursing, 42, 395 – 401. 10.3928/00220124-20110823-22
A Sample Answer 6 For the Assignment: NURS 6053 Discussion – Week 7 WORKPLACE ENVIRONMENT ASSESSMENT
Title: NURS 6053 Discussion – Week 7 WORKPLACE ENVIRONMENT ASSESSMENT
Healthcare professionals should work in environments that support interprofessional collaboration, protect them from bullying and other uncivil behaviors, and sustain individual development. Due to their critical role in primary care, nurses require guidance, mentorship, and active engagement in decision-making. However, not all workplaces provide nurses with a healthy and safe environment to provide optimal patient care and optimize personal development. Incivility is typical in many institutions, and its magnitude depends on leadership, employee empowerment programs, and behavior management policies, among other factors. A workplace diagnosis helps assess the incivility level and interventions required to promote civility. The purpose of this paper is to describe the workplace environment assessment results, concept/theory, and strategies for creating high-performance interprofessional teams.
Work Environment Assessment
Assessments reveal the health status of an organization. They evaluate many aspects, and the Clark Healthy Workplace Inventory diagnoses potential problems regarding civility in an organization. The organization scored 59 on the inventory and one’s impression. The score demonstrates low performance on critical organizational factors that promote a healthy workplace, including the organizational culture and environment. Multiple factors contribute to such a score, and the chances of interprofessional collaboration and organizational development are usually low.
The facility also lacks appropriate preceptorship plans for new workers. The lack of orientation exposes them to confusion and bullying, among other features of uncivil workplaces. Other contributing factors include the lack of mentorship for current employees’ culture evaluation programs. The situation would have been better if the organization had assessed its culture regularly and responded effectively. The institution also lacks adequate resources to promote career progression, which impedes professional development. Consequently, it is challenging to retain experienced and top nurses. The other factor to blame for the discouraging score is a leadership model that excludes employees in decision-making.
The two surprising outcomes are the organization’s ill state and its unchanged culture. Considering how the organizational environment and workplace relationships profoundly affect patient care, healthcare institutions should avoid uncivil behaviors and invest heavily in positive cultures. Among the dominant organizational perspectives, the institution does not regard employees as valuable participants in decision-making and organizational growth. After checking numerous “totally untrue boxes” scale components, the overall result confirmed the same. This implies ineffective organizational governance. The other major worry was employee appreciation, which was lacking since employees are not regarded as valuable assets. According to Flynn et al. (2021), employee appreciation helps employees feel more secure and satisfied, motivating them to continue their work. Such motivation ensures that employees are more inclined to healthy behaviors and avoid uncivil acts.
The results confirmed the need for transformative change, a view held before conducting the review. A leadership that does not revere employee participation is retrogressive and hampers civility in the workplace. From the findings, current leadership styles are ineffective, and a shift is inevitable for the organization to achieve its vision and goals. A practical way to achieve these goals is to advocate for and practice transformative leadership, whose central tenet is inspiration and working together to achieve the desired vision (Seljemo et al., 2020). The organization, through its leader, must also ensure the satisfaction of both workers and patients.
Generally, the score (59) reveals an unhealthy and uncivil workplace. Incivility hampers nurses’ mental health and reduces overall productivity (Kile et al., 2018). The situation is worse in workplaces where the leadership has not implemented robust policies for preventing incivility and promoting healthy relationships. Unhealthy and uncivil workplaces are also associated with patient safety concerns, implying low patient satisfaction. Due to such outcomes, immediate, practical interventions are necessary. The situation should be addressed before reaching unmanageable levels.
Reviewing the Literature
Nursing literature has explored workplace incivility in-depth and recommended multiple interventions for understanding and addressing the problem. Cognitive rehearsal is among the widely explored concepts. According to Griffin and Clark (2014), cognitive rehearsal is an effective behavioral strategy for addressing incivility and lateral violence in the workplace. It has three interrelated components. The first component is participating in informative instruction regarding incivility and lateral violence. Secondly, those vulnerable to workplace incivility are taught to identify and rehearse specific phrases for addressing incivility. The third component is practicing the phrases to be more familiar with their application in real-life situations.
Cognitive rehearsal empowers nurses to identify and respond effectively to uncivil behaviors. Since their probability is high, organizational management should embrace cognitive rehearsal as a behavioral intervention strategy for current and new nurses. Griffin and Clark (2014) analyzed the effectiveness of cognitive rehearsal for newly licensed nurses. They found that cognitive rehearsal enabled new nurses to stop uncivil behaviors against them completely. Kile et al. (2018) found cognitive rehearsal highly effective in improving nurses’ confidence to defend themselves against incivility. They were also better positioned to recognize workplace incivility and report related behaviors.
Regarding the relationship between the concept (cognitive rehearsal) and the work environment assessment, nurses and other healthcare workers may be trained to overcome workplace incivility through the cognitive rehearsal approach. Currently, it is challenging to achieve the desired vision and purpose without reviewing and changing the organizational culture. A crucial part of the required review is empowering nurses and healthcare workers in recognizing and reacting to distressing behaviors and remarks from leaders or colleagues. Cognitive rehearsal training should be part of the organizational policies for improving its health. The management should also continually measure employee satisfaction and engagement, purposing to empower its workforce and enhance civility.
Cognitive rehearsal can improve the overall organizational health and play a critical role in creating stronger teams. Currently, the organization does not promote a learning culture to help employees advance their careers. Healthcare organizations should consider on-the-job training to strengthen nurses’ interprofessional abilities. Cognitive rehearsal training should be among the central components of on-the-job training. Through cognitive rehearsal, nurses learn what workplace incivility entails and how to promote a civil workplace. They further learn to associate with like-minded colleagues who do not participate in uncivil behaviors. Kile et al. (2018) and Clark (2019) further recommended healthcare facilities invest in education programs that teach cognitive rehearsal to improve their health and staff collaboration. The education team should also provide continuing leadership development programs that include mental tests to assess nurses’ ability to cope with stressful situations.
Evidence-Based Strategies to Create High-Performance Interprofessional Teams
An organization’s progressive growth depends on its strategies to address its shortcomings. Leading causes of incivility, as the workplace assessment revealed, include lack of employee orientation and employee appreciation programs. In response, a robust nurse orientation program is necessary. Such a program introduces new employees to the organizational policies, culture, and workforce. Nurses feel more positive about the organization when they understand its structure and people. Nurse orientation programs are a critical part of the enculturation that helps produce competent nurses ready to provide quality patient care (Church et al., 2020). Besides orientation, employee recognition and reward programs should be part of the interventions for organizational development. The work environment assessment revealed that the leaders rarely appreciate employees and do not consider them in decision-making. Employees’ appreciation is necessary to strengthen the leaders-employees bond. Appreciation also makes employees feel valued and a pivotal part of the organization. Such appreciation encourages them to collaborate and engage positively as crucial members of the healthcare team.
The organization can also implement several strategies to bolster successful practices revealed in the work environment assessment. The focus should be on nurse retention, which the leaders try, but it is not up to the expected levels. Employee recognition through rewards is among the most effective nurse retention programs. Recognition improves the nurses’ mental connection with the facility since it makes them feel more valued (Flynn et al., 2021). The other effective strategy is the leaders to ensure adequate nurse-to-patient staffing ratios. Adequate staffing prevents nurse burnout, a leading cause of nurse turnover in healthcare organizations (Kelly et al., 2021). These strategies can be used independently or interchangeably as situations prompt.
Conclusion
The healthcare staff should always be mentally, physically, and emotionally ready to provide patient care and collaborate with colleagues. A practical way of ensuring they are ready is by preventing workplace incivility. The work environment assessment revealed an unhealthy and uncivil workplace where the leaders rarely engage and appreciate employees. Due to the far-reaching effects of such workplaces on patient care, practical interventions are necessary. Cognitive rehearsal is a highly effective approach for empowering nurses to recognize and respond to workplace incivility.
References
Church, C. D., White, M., & Cosme, S. (2020). Helping students identify a healthy transition-to-practice work environment. Nurse Educator, 45(4), 174-176. doi: 10.1097/NNE.0000000000000751
Clark, C. M. (2019). Fostering a culture of civility and respect in nursing. Journal of Nursing Regulation, 10(1), 44–52. doi:10.1016/s2155-8256(19)30082-1
Flynn, W. J., Valentine, S. R., & Meglich, P. (2021). Healthcare human resource management. Cengage Learning.
Griffin, M., & Clark, C. M. (2014). Revisiting cognitive rehearsal as an intervention against incivility and lateral violence in nursing: 10 years later. The Journal of Continuing Education in Nursing, 45(12), 535-542. doi:10.3928/00220124-20141122-02
Kelly, L. A., Gee, P. M., & Butler, R. J. (2021). Impact of nurse burnout on organizational and position turnover. Nursing outlook, 69(1), 96-102. https://doi.org/10.1016/j.outlook.2020.06.008
Kile, D., Eaton, M., deValpine, M., & Gilbert, R. (2018). The effectiveness of education and cognitive rehearsal in managing nurse‐to‐nurse incivility: A pilot study. Journal of Nursing Management, 27(3), 543–552. doi:10.1111/jonm.12709
Seljemo, C., Viksveen, P., & Ree, E. (2020). The role of transformational leadership, job demands and job resources for patient safety culture in Norwegian nursing homes: A cross-sectional study. BMC Health Services Research, 20(1), 1-8. https://doi.org/10.1186/s12913-020-05671-y
A Sample Answer 7 For the Assignment: NURS 6053 Discussion – Week 7 WORKPLACE ENVIRONMENT ASSESSMENT
Title: NURS 6053 Discussion – Week 7 WORKPLACE ENVIRONMENT ASSESSMENT
The key to changing world is by listening to one another, giving each other chances to be heard can prevent chaos in the workplace and the work at large, the stress encounter in healthcare work environment could create lack of respectful way of communication. Poor communication and lack of knowledge are barrier to successful interprofessional collaboration (Broome & Marshall, 2021). our ability to cope with stress and control our emotion and talk to each other with respect hinges upon our ability to handle stress.
Description of Work Environment Assessment
My workplace scored 42 on the Clark Health Workplace Inventory, indicating that my workplace is very unhealthy. My workplace scored 4 points each under 2 statement categories “Individual and collective achievement are celebrated and publicized equitably” and “There is a comprehensible mentoring program for employees.” My workplace scored 1 point each on the statement “The workload is reasonable, manageable, and fairly distributed” and “Members of the organization use effective conflict resolution skills and address disagreements respectfully and responsibly.” My organization scored 2 points each in all other statement categories.
Members of my organization do not live by a shared vision and mission based on trust, respect, and collegiality. A shared mission and vision in an organization are critical because it helps to shed light on an organization’s direction. The actualization of shared vision hinges on its ability to form a sense of ownership among the team members in an organization. A well-embraced shared vision brings about a sense of identity that will run in the organization, and an organization that embraces a shared vision will grow.
My organization needs more trust between and among formal and other workforce members. When trust is infused in organization tasks get done with ease. Communication at all levels of the organization needs to be more transparent and direct. Effective communication is always essential to nurses (Wynn et al., 2023). Poor communication kills employee morale and engagement, resulting in poor productivity and satisfaction. Poor communication affects cooperation and collaboration among workers. In my organization, employees are not seen as assets. When a company sees employees as assets, it will nurture employee talents and help them grow. When an employee is valued, they tend to maximize their potential.
My organization needs teamwork, spirit, and collaboration. Interdisciplinary collaboration is a means of enhancing future healthcare (Broome & Marshall, 2021). There is some degree of a mentoring program for all the employees’, mentoring program is vital in the organization because it provides employees with necessary support and guidance. Mentorship promotes cohesion and collaboration in an organization. My organization does not lay emphasis on employee wellness and self-care. A good employee is a happy employee, and a happy employee results in high productivity.
My organization needs to gain the ability to continuously assess organizational culture, organization can take measures to improve organizational culture through the assessment of organizational culture. Members of my organization are not engaged in shared governance, do not engage in shared governance no joint decision-making effort or policy is being developed. At my organization workload could be more reasonable. Work needs to be fairly shared. Managing team workload is essential to prevent burnout and stress from work.
My organization has no room for free expression or opposing ideas. In my organization, there needs to be more competitive salaries and benefits. When an organization offers a competitive pay rate, it enhances overall job satisfaction and zero opportunities for promotion, although there is a certain degree of provision for career advancement. In my organization, employee turnover is very high, and my organization needs to attract or retain the best and the brightest employee. Many employees will not recommend my organization as an excellent workplace for their friends.
How Civil is My Workplace – Explanation
Civility means politeness, showing courtesy, the ability to control one’s emotions, and a respectful way of treating others. Civility at the workplace is a vital behavior an employee must exhibit in an organization; civilized behavior is interpersonal rules of engagement that dictate how people interact with each other civility is essential in the workplace. Civility is showing respect to another coworker at work. Civility at work brings about greater job satisfaction and a governable atmosphere. Civility has a relationship with improving morale and the spirit of teamwork.
When I look at my organization, there is a lack of civility and respect, resulting in a harmful environment. Lack of civility at work contributes to emotional exhaustion, sickness, burnout, and a high turnover. It causes chaos. Staffing levels and turnover negatively affect the quality of care in nursing homes (Cimarolli et al., 2022). The lack of civility at my organization serves as a basis for increased grievances. Nurses bully other nurses, causing depression and anxiety among employees. Bullying is a systematic sequence of behavior designed to erode, debase and humiliate others (Griffin & Clark, 2014). My organization cannot authoritatively say that employees are treating each other with respect, and my organization cannot say that they can effectively handle conflicts between employees. My organization cannot say they have an effective way of addressing lousy behavior among their staff.
Incivility I experienced at work
I experienced incivility when I got hired at a nursing home. Incivility among healthcare workers can create an unsafe working environment that can result in poor patient care (Clark et al., 2011). I have been bullied at work by other nurses. When I got hired, I did not know that some nurses were using the schedule/shift my organization was trying to give me as overtime. These old nurses try their best to frustrate me so that I can quit the job, and they can continue to enjoy their overtime, and the company continues to suffer high turnover and a bad image.
However, the new Director of Nursing, a transformational leader, addressed the issue and put the old nurses in order. Leadership is a position of influence, a process that takes place in a group setting, and it has to do with achieving goals that represent a shared vision (Riesch et al., 2023). In an attempt for these old nurses to sabotage my effort, they exhibited various deviant behavior with ambiguous intent to push me out of the facility. Their nefarious behavior included insulting remarks, dirty looks, and intentionally ignoring my input.
They do not want me to ask questions. However, they love querying me, telling our supervisor that they did not know my whereabouts when I just saw them a minute ago, talking to me using a condescending tone, talking about me behind me, trying to prove that they are competent at the expense of my image, accusing professional competence, displaying the silent accusation about professional competence, displaying the silent treatment. In this case, it is the old nurses that are being uncivil. Uncivil encounters in the patient environment can create uncertainty self- doubt, erode self-confidence, and affect the critical thinking ability of a nurse (Clark, 2019).
How the Incivility was Addressed
Incivility at work costs the organization plenty of resources, sometimes affecting its technical and logical problems. Bullying and incivility significantly affect employees psychologically (Alberts, 2022). At my organization, we recently had a good Director of Nursing, and she models good behavior. She did not make excuses, and she did not dismiss my concerns. She immediately agreed with my perception and believed what I said about other nurses’ attitudes. She discovered that the problem I pointed out could affect productivity and increase employee turnover. The director of Nursing held everyone accountable, and she addressed the issue. When I brought it to her notice, she called and talked to all the nurses involved without implicating me.
The director of nursing redefines acceptable conduct at work. Every time the director of nursing sees me coming to work, she always asks how I am doing and listens to my answer. The more she shows me she cares and is willing to listen to me, the more I share potential problems with her. My Director of Nursing utilizes her conflict resolution skills to address my problem. The workload at that facility was hectic, but because of the director of Nursing’s professionalism, I decide to hang on.
Conclusion
The nature of interaction among employees can influence how they discharge their responsibility and how healthcare is delivered. The code of ethic for Nurses describes vividly, the nurse’s obligation to promote safe, ethical environment and culture that encourage civility and affection, dealing with colleagues, coworkers, we encounter with civility, creating a feel free environment at work place, enables employee to speak up. Creating a civil working environment requires a shard organizational vision, values, and team norms. Developing and maintaining of high level of staff, group, and organizational civility, bring up the topic of civility at all quarters of the organization.
References
Alberts, H. L. (2022). Addressing bullying and incivility in clinical nursing education. Teaching and Learning in Nursing, 17(4), 433–437. https://doi.org/10.1016/j.teln.2022.05.004Links to an external site.
Broome, M. E., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). Springer Publishing Company.
Cimarolli, V. R., Bryant, N. S., Falzarano, F., & Stone, R. (2022). Factors associated with nursing home direct care professionals’ turnover intent during the covid-19 pandemic. Geriatric Nursing, 48, 32–36. https://doi.org/10.1016/j.gerinurse.2022.08.012Links to an external site.
Clark, C. M. (2019). Combining cognitive rehearsal, simulation, and evidence-based scripting to address incivility. Nurse Educator, 44(2), 64–68. https://doi.org/10.1097/nne.0000000000000563Links to an external site.
Clark, C. M., Olender, L., Cardoni, C., & Kenski, D. (2011). Fostering civility in nursing education and practice. JONA: The Journal of Nursing Administration, 41(7/8), 324–330. https://doi.org/10.1097/nna.0b013e31822509c4Links to an external site.
Griffin, M., & Clark, C. M. (2014). Revisiting cognitive rehearsal as an intervention against incivility and lateral violence in nursing: 10 years later. The Journal of Continuing Education in Nursing, 45(12), 535–542. https://doi.org/10.3928/00220124-20141122-02Links to an external site.
Riesch, S. K., Chiappa, J., Floyd, N., & Ponce, M. (2023). The chief nursing officer shared leadership model. Nurse Leader, 21(1), 31–37. https://doi.org/10.1016/j.mnl.2022.09.006Links to an external site.
Wynn, S. T., Ratcliffe, C. J., & Hardin, L. (2023). Ready, set, woo: Refining nursing students’ communication skills. Teaching and Learning in Nursing. https://doi.org/10.1016/j.teln.2023.03.004Links to an external site.Links to an external site.
A Sample Answer 8 For the Assignment: NURS 6053 Discussion – Week 7 WORKPLACE ENVIRONMENT ASSESSMENT
Title: NURS 6053 Discussion – Week 7 WORKPLACE ENVIRONMENT ASSESSMENT
This is an informative and well-written post on the Workplace Assessment results at your particular workplace. The example you’ve shared is a common and unfortunate scenario in today’s organizational landscape. As corporations seek creative and innovative methods for reducing costs while maximumizing access to care, the critical aspect of demonstrating empathy and professionalism in work environments is often ignored. Many times, staff are expectated to demonstrate high performance, without having access to key pieces of information to effectively discharge their responsibilities to meet the defined goals. Yet the solution is so readily apparent and effective: proper communication.
As you’ve stated so well here, demonstrating civility and respect in the workplace matters. Respect for everyone involved, including staff, patients and the community served, is demonstrated by a decision to ensure solid communication plan is in effect, and followed by everyone involved. And, when the staff feel that they have been given an opportunity to fully understand the situation and expectations of performance, more positive outcomes can result. Having innovative ideas that include perspectives from staff is considered a best practice for respectful collaboration and safe patient care work environments.
Thank you for this informative response!
Grading Rubric Guidelines
| Performance Category | 10 | 9 | 8 | 4 | 0 |
| Scholarliness
Demonstrates achievement of scholarly inquiry for professional and academic decisions. |
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| Performance Category | 10 | 9 | 8 | 4 | 0 |
| Application of Course Knowledge –
Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations |
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| Performance Category | 5 | 4 | 3 | 2 | 0 |
| Interactive Dialogue
Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days. (5 points possible per graded thread) |
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Summarizes what was learned from the lesson, readings, and other student posts for the week. |
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| Minus 1 Point | Minus 2 Point | Minus 3 Point | Minus 4 Point | Minus 5 Point | |
| Grammar, Syntax, APA
Note: if there are only a few errors in these criteria, please note this for the student in as an area for improvement. If the student does not make the needed corrections in upcoming weeks, then points should be deducted. Points deducted for improper grammar, syntax and APA style of writing. The source of information is the APA Manual 6th Edition |
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| Total Participation Requirements
per discussion thread |
The student answers the threaded discussion question or topic on one day and posts a second response on another day. | The student does not meet the minimum requirement of two postings on two different days | |||
| Early Participation Requirement
per discussion thread |
The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week. | The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT. |