@article{9578a3c4ef784463b332c7c069af2739,
title = "Nurse leadership in promoting and supporting civility in health care settings: A scoping review",
abstract = "Aim: This scoping review aimed to identify the existing evidence on how nurse leaders promote and maintain civility amongst nurses in health care settings. Background: Research on managing workplace incivility in nursing, a prevalent and concerning issue worldwide, recommends nurse leaders to command cultural change through strong leadership and civility interventions. However, there is very little empirical evidence summarizing and analysing how nurse leaders pragmatically achieve civility, and combat workplace incivility, in the health care setting. Evaluation: A scoping review was undertaken using the electronic databases CINAHL, Emerald Insight, MEDLINE, PsychINFO, PubMed and Scopus. Google Scholar was used to search for grey literature. Key issues: The eight studies included in this review describe how nurse leaders promote and maintain civility under four key themes: (1) creating a shared vision, (2) educating self and others, (3) fostering accountability and (4) providing support. Conclusion: The review provides an overview of commonly used strategies and actions that pragmatically promote and maintain civility in the health care setting by nurse leaders, while also highlighting areas of future research needed to strengthen the evidence base. Implications for Nursing Management: It is important for nurse leaders to gain an understanding of evidence-based practices when addressing workplace incivility in order to address this prevailing problem for the future and safety of nurses moving forward.",
keywords = "civility, health care, nurse leaders, nursing, scoping review, workplace incivility",
author = "Marianne Ota and Louisa Lam and Julia Gilbert and Danny Hills",
note = "Funding Information: The authors would like to acknowledge the financial support provided to the lead author while enrolled as a PhD student in the form of the Australian Government Research Training Program (RTP) Fee-offset Scholarship and Health Innovation and Transformation Centre Stipend Scholarship from Federation University Australia. Open access publishing facilitated by Federation University Australia, as part of the Wiley - Federation University Australia agreement via the Council of Australian University Librarians. Funding Information: Workplace incivility requires immediate and targeted action by nurse leaders supported by clear evidence‐based rationales. Creating a shared vision, educating self and others, fostering accountability and providing support were key themes identified in this review reflective of the current strategies and actions employed by nurse leaders to promote and maintain civility in the health care setting. However, our findings indicate a number of gaps in the evidence to support these strategies and actions. Further research is needed to understand how nurse leaders create a shared vision together with nurses, as well as in what manner nurse leaders practise accountability for themselves and for others when unacceptable behaviours occur. Research is also needed to inform how nurse leaders improve their own ability to foster civility in the workplace. Because empowerment is known to impact civility, research into the professional development needs of nurses as it relates to civility requires further attention. Lastly, there is a need to understand what specific aspects of tailored civility education are effective and how nurse leaders employ aspects of support to promote civility. Ultimately, without a strong evidence base to inform practice, workplace incivility will prevail unless nurse leaders equip themselves with the appropriate skills and knowledge to achieve civility for improved outcomes across nurses, patients and organizations. Publisher Copyright: {\textcopyright} 2022 The Authors. Journal of Nursing Management published by John Wiley & Sons Ltd.",
year = "2022",
month = nov,
doi = "10.1111/jonm.13883",
language = "English",
volume = "30",
pages = "4221--4233",
journal = "Journal of Nursing Management",
issn = "0966-0429",
publisher = "Wiley-Blackwell",
number = "8",
}