NR 500 Week 7 Discussion: Healthful Environments
Sample Answer for NR 500 Week 7 Discussion: Healthful Environments Included After Question
Reflect on an experience in which you were directly involved or witnessed incivility in the workplace. Provide a brief synopsis of the situation. How did this make you feel? How did you respond? What were the consequences of this situation? Provide an example of how this negatively affected the work environment and outcomes. How could the situation have been prevented? Discuss strategies that would support a healthy work environment.
A Sample Answer For the Assignment: NR 500 Week 7 Discussion: Healthful Environments
Title: NR 500 Week 7 Discussion: Healthful Environments
Incivility in the workplace can happen in a variety of ways. Sometimes, it can be happening around us without us noticing the effects of it right away. One situation that I can recall involving incivility in the workplace happened with one of our new graduate nurses in the emergency room. This new graduate nurse was one of our own nurse techs who transitioned to a nurse upon obtaining her license. She was overall a great person, but she was very attentive to details and asked many questions, as new nurses should do. This sometimes caused some of the other nurses to be annoyed with her. Some nurses became passive aggressive with her. McNamara (2012) states, “Passive aggressive behaviors are typically more subtle behaviors, but they can be just as disruptive to the work environment. These include failure to support a coworker, setting someone up for failure, treating someone with silence or refusal to communicate, being impatient with another’s inquiry, communicating incomplete information that results in sabotage, and expressing a negative attitude that affects a coworker’s confidence.”
Unfortunately, she caught onto other people’s actions and was afraid to ask questions anymore. I honestly felt bad for the girl. I took her under my wing whenever she needed help and told her that it was okay to ask questions because that’s how you learn. I reminded her that everyone started out as a new nurse in their career. The consequences of the incivility in the workplace caused her to eventually transfer to another department in the hospital. This negatively affected the work environment because we lost a potentially great emergency room nurse who was very knowledgeable. The situation could have easily been prevented if everyone would realize and remember that they once were a new nurse who had to learn by asking questions. “To help prevent lateral violence in nursing, a culture of safety is needed to create and sustain an environment where team members are encouraged to speak up to leaders and peers.” (Stanton, 2015. P8)
McNamara, S. A. (2012). Incivility in nursing: unsafe nurse, unsafe patients. AORN Journal, 95(4), 535-540. doi:10.1016/j.aorn.2012.01.020
Stanton, C. (2015). Action needed to stop lateral violence in the perioperative setting. AORN Journal, 101(5), P7-P9.
Unfortunately, like you stated many times the acts of incivility in nursing not only impact the individual but the unit and patients as well. Incivility, is a form of bullying that leaves the individual being bullied feeling alone, afraid to ask questions, and helpless. For the nursing unit incivility can cause frustration and division within the unit. Nurses being bullied will move on to other nursing units, find a new organization to work for, or quit the nursing profession all together. Incivility, bullying, and workplace violence are part of a larger complex phenomena, which includes a constellation of harmful actions taken and those not taken in the workplace (ANA, 2015), that needs to be recognized and stopped. Staff nurses and leaders within the environment must build an environment of trust, respect, teamwork, and education to eliminate incivility behaviors that have been long known behavior in nursing practice.
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NR 500 Week 7 Discussion: Healthful Environments Reference:
American Nurses Association. (2015). Incivility, bullying, and work place violence [Position Statement]. Retrieve from file:///C:/Users/User/Downloads/PosStat-Endorsed-ANA-Incivility-Bullying-Violence.pdf
A Sample Answer 2 For the Assignment: NR 500 Week 7 Discussion: Healthful Environments
Title: NR 500 Week 7 Discussion: Healthful Environments
I recall an experience as a recent graduate nurse in which I was bathing and caring for an eighteen-year-old female patient who had experienced prolonged severe carbon monoxide poisoning. Because of the exposure, she lost her parents and sibling, and she was the sole survivor. She suffered a severe anoxic brain injury that left her mentally devastated. It happened to be my first nursing position straight out of school in the PICU where I had previously worked as a patient care tech. During patient care, the charge nurse came on the overhead speaker in the patient’s room and pretended to talk to the patient. The charge nurse made crude remarks about how the patient was enjoying the bath and needed a boyfriend, would I like to be that man for her? I was in the middle of bathing the patient with another staff nurse when we heard the voice come over the speaker. At the moment that it happened I was not sure how to take the comments. However, I knew enough to know that her actions and comments were inappropriate and far from the standard of care.
As a male nurse, I was still learning how to best care for female patients. Each time I cared for a female patient I was extra intentional in showing respect, dignity, and upholding their privacy whenever possible. This situation caught me off guard and made me feel uncomfortable. My first reaction was to smile, but then the seriousness of the patient’s unfavorable prognosis caught my attention and helped redirect my focus back to the severity of her condition and vulnerability. I was not bothered so much about what the implications of the comment implied towards me as a male nurse but was troubled by the notion that we as health care providers were misbehaving toward the patient and in many ways taking advantage of her mental state and preying on her inability to defend herself. I merely justified the event in my mind and labeled it as the staff just being silly. The charge nurse and other staff members got a real laugh out of the whole thing as the story was retold latter that day.
Regarding the consequences of the situation, most would argue and say nothing happened because none of the patient’s family or relatives and other neighboring families ever found out. As for implications for the patient, one might think it did not matter since she is incapable of understanding what took place. Had a family member heard about the incident or a member of leadership, the situation could have cost the charge nurse her job or at minimum caused for a movement to re-educate the staff on ethical practice standards of best care.
According to Andersson and Pearson, as cited in (Hunt, & Marini, 2012), the term “incivility” encompasses low-intensity behavior that lacks a clear intent to harm, but violates social norms and can cause harm. According to Lambert, Lambert & Ito, as cited in (Hunt, & Marini, 2012), nurses who have less than satisfactory relationships with their coworkers are more likely to leave their jobs. While I did not have any intentions on leaving my job after the incident, I could have turned this negative situation into a decisive, constructive learning moment in which all staff members could have reflected upon its possible negative implications. I might have gained some resistance from my co-workers, but ultimately an environment conducive to excellence is one worth fighting and advocating for. Unfortunately, I allowed my voice to go unheard, and I failed to support civility. I should have imaged my daughter or loved one laying there in that patient’s bed and treated her with compassion and empathy.
According to Pearson and Porath, as cited in (Hunt, & Marini, 2012), incivility impacts on inter-professional team function through disruption of relationships and poor cooperation, and grievances. This situation negatively affected the work environment because each nursing provider failed to work towards a basis of civility in which we would love thy neighbor and was unable to demonstrate respect for this precious soul. All parties involved missed the opportunity to stop these rude comments, thoughtless acts, or negative gestures which were a form of aggression just in a less intense form: verbal rather than physical, passive rather than active, indirect rather than direct, and subtle rather than overt. The cycle of negativity continued because we chose to stay nonjudgmental. A charge nurse and every nurse ought to withhold a position of leadership and leadership qualities lacked during that incident. Nursing is a field in which caring is the backbone of all we strive to do, and we failed to uphold that promise. ANA’s Code of Ethics for Nurses states that nurses are required to “create an ethical environment and culture of civility and kindness, treating colleagues, co-workers, employees, students, and others with dignity and respect.” Similarly, nurses must be afforded the same level of respect and dignity as others (ANA, 2015), all these standards were omitted during this occurrence. Strategies that would support a healthy work environment start with continuous self-reflection and self-awareness on our own actions thoughts and perceptions. Confronting negative behavior or perceptions immediately in a nonjudging way with constructive criticism is crucial. ANA defines a healthy nurse as one who actively focuses on creating and maintaining a balance and synergy of physical, intellectual, emotional, social, spiritual, personal and professional wellbeing (ANA 2016). These are the qualities nurse leaders should exemplify so that such crude situations mentioned earlier have no place for acceptance or tolerance and ultimately are prevented altogether.
America Nurses Association. (2016). Healthy nurse, healthy nation. Retrieved from
http://nursingworld.org/MainMenuCategories/WorkplaceSafety/Healthy-Nurse
American Nurses Association. (2015). Incivility, bullying, and workplace violence [Position
Statement]. Retrieved from file:///C:/Users/User/Downloads/PosStat-Endorsed-ANA-Incivility-Bullying-Violence.pdf
Hunt, C., & Marini, Z. A. (2012). Incivility in the practice environment: A perspective from
clinical nursing teachers. Nurse Education in Practice 12(6) pp. 366-370
doi://doi-org.chamberlainuniversity.idm.oclc.org/10.1016/j.nepr.2012.05.001
A Sample Answer 3 For the Assignment: NR 500 Week 7 Discussion: Healthful Environments
Title: NR 500 Week 7 Discussion: Healthful Environments
Incivility is one of the problems which affect the healthcare environment negatively. While some nurses get involved directly in incivility, others experience it as it happens between other staff members. Even though it is a common phenomenon, it sometimes gets overlooked. Incivility has been shown to lead to toxic working environments and poor working conditions. Incivility may take different forms, such as bullying, disruptive conduct, unfair conduct, subtle harassment, and rudeness (Green, 2019). Therefore, the purpose of this assignment is to reflect on an experience of incivility at the workplace.
Some time ago, I experienced a first-hand act of incivility. We were always encouraged in the facility to inquire from colleagues and the senior staff members if there was anything unclear or when in doubt. Therefore, as a way of avoiding medication errors, I approached one of the senior nursing staff to help confirm the details of a medication of I was supposed to administer to a patient in terms of dosage and route. To my surprise, the nurse reacted angrily and rudely, shouting that it was a show of incompetence. The nurse even criticized me in front of others, shouting that my skills were short and that I could not handle the simplest of tasks.
The situation made me feel bad, disrespected, and demoralized. The comments of incompetence and half-baked skills cut into me and bruised my self-esteem. I thought for a while about my competence and ability concerning the skills. I don’t think I did anything wrong to warrant such a dress-down. I was only trying to be extra careful so that I don’t commit any medication errors which can lead to adverse outcomes.
Even though the situation made me feel bad, I contained my anger and walked away from the scene. I did not want to create any commotion as patients were close by. I spoke with another staff member who helped countercheck the medication details. The nurse also indicated that the reaction by the senior nurse was inappropriate and uncalled for and that I did well not to respond violently. I made efforts to meet the nurse leader to hold further discussions regarding the matter and how best to handle such situations in the future.
The situation had various consequences. One of the consequences was a strained relationship between myself and the senior nurse. Since I didn’t like how the nurse addressed me, the situation made our working relationship to get sour. Again, the nurse leader was also willing to come in and mediate to ensure the working relationship was restored. Indeed, mediation is known to be one of the most strategies for resolving conflicts (Kohlhoffer-Mizser, 2019). The situation also had negative impacts on the work environment and the outcomes. For example, other junior nurses were more withdrawn and never willing to inquire and consult the senior nurses. There is also a potential impact on the outcomes since there are higher chances of making mistakes, such as medication-related errors, when there is no consultation.
The situation could have been prevented by constantly reminding the staff to be gentle and avoid rudeness as much as possible. Talking gently to others helps avert conflicts that could have been caused by rudeness. Various strategies can be used to support a healthy work environment. One of the strategies is encouraging open communication. Open communication helps individuals pass across the intended information and message, preventing conflicts and promoting a healthy environment (Kim et al.,2018). The other strategy is offering support for each other in the work environment. Support ensures that everyone feels comfortable in the work environment, creating a healthy environment.
NR 500 Week 7 Discussion: Healthful Environments Conclusion
Workplace incivility has various negative impacts on the staff and the work environment. Therefore, appropriate ways should be used to avoid it. This assignment has described a case of workplace incivility and its impacts.
NR 500 Week 7 Discussion: Healthful Environments References
Green, C. A. (2019). Workplace incivility: nurse leaders as change agents. Nursing Management, 50(1), 51–53. Doi: 10.1097/01.NUMA.0000550455.99449.6b
Kim, K. J., Yoo, M. S., & Seo, E. J. (2018). Exploring the influence of nursing work environment and patient safety culture on missed nursing care in Korea. Asian Nursing Research, 12(2), 121-126. https://doi.org/10.1016/j.anr.2018.04.003
Kohlhoffer-Mizser, C. (2019). Conflict management-resolution based on trust?. Ekonomicko-Manazerske Spektrum, 13(1), 72-82. Doi: 10.26552/ems.2019.1.72-82
NR 500 Week 7 Discussion: Healthful Environments 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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| 0 points lost | -5 points lost | ||||
| 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. |