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School of Nursing

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Browsing School of Nursing by Author "Ascenzi, Judith"

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    Battling Bullying: An Intervention to Improve Civility Among Nurses
    (2025) Kafka, Kimberly; Welch, Teresa; Ascenzi, Judith
    Introduction: Incivility among nurses in contemporary healthcare settings poses significant challenges impacting individuals, organizations, and patients alike, yet there is a lack of standardized, evidence-based interventions to address this issue. Existing literature advocates for the assessment of workplace incivility, continuous education, and cognitive rehearsal training. This project sought to evaluate whether a combination of e-learning and cognitive rehearsal training enhances the ability of first-year registered nurses to identify, recognize, and respond to incivility, while also promoting a culture of civility in the workplace. Methods: First-year pediatric critical care nurses at a nationally recognized Magnet®-designated children's hospital participated in a self-paced e-learning module, followed by a two-hour cognitive rehearsal session. The e-learning segment aimed to raise awareness of incivility and encourage effective communication. The cognitive rehearsal training involved role-playing structured scenarios, allowing participants to practice responses to typical uncivil behaviors utilizing evidence-based techniques. The Workplace Civility Index (WCI) was utilized to measure outcomes at three intervals including pre- and post-intervention and one-month post-intervention. Results: WCI scores demonstrated a significant improvement (p<.001) both post-intervention and at one-month post-intervention compared to pre-intervention measures. Participants also expressed a higher likelihood of directly addressing workplace issues (p<.001). Post-course evaluations revealed high levels of satisfaction and perceived usefulness of the training. Discussion: The results of this project indicate that integration of e-learning with cognitive rehearsal training effectively improves nurses' skills in recognizing and responding to incivility. The increased confidence in tackling workplace issues underscores the importance of structured training in fostering a positive workplace culture. These findings emphasize the necessity for ongoing educational initiatives to encourage civility within nursing practice. Incorporating such interventions into professional development programs may lead to healthier work environments and improved patient care. Future studies should investigate the long-term impacts and the potential for scalability across various healthcare contexts.