Title: Disrespect prevalent in undergraduate nursing students: A conceptualization model explaining the etiology
Abstract:
Background: Incivility in undergraduate nursing programs has been exemplified since the onset of the global pandemic. The nursing profession relies strongly on teamwork and unity. Incivility impedes learning and negatively impacts the teaching and learning environment for both students and faculty. Student civility and conduct behaviors are established prior to entrance into undergraduate nursing programs. To promote a community of professionalism, current beliefs about incivility must be addressed and mitigated early in nursing programs to uphold standards and expectations. There is little tolerance for incivility in professional nursing practice, necessitating the importance of understanding the root causes of nursing student behaviors before effective interventions can be implemented.
Aim: To provide a globally accepted conceptualized model to undergraduate nursing faculty that provides insight into the causative factors of incivility in nursing programs.
Methods: A systematic review of the literature was conducted to determine the prevalence of models that explains causative factors of uncivil actions by undergraduate nursing students. To date, no model exists that accounts for the biological, psychological, and sociological factors that impacts civil behavior in the classroom.
Results: Causes of incivility has influences in the biological, psychological, and sociological domains, and each must be considered as it relates to the whole person, because external experiences impact internal (i.e., classroom) behaviors. The Conceptualization Model of Incivility Etiology in Undergraduate Nursing Students was created to explain causative factors of incivility in undergraduate nursing students. The model’s foundational concepts derive from Bandura’s Social Cognitive Theory and Clark’s Civility Index.
Conclusions: For the first time a holistic account of biological, psychosocial, and sociological causes of incivility has been identified. Non-academic influences are now accounted for when understanding causes of uncivil behavior in undergraduate nursing students. Now that causes of incivility are understood within this context, faculty will be able to implement interventions to mitigate incivility more effectively.
Audience Take Away Notes:
• The learner will be able to identify incivility behaviors in undergraduate nursing programs
• The learner will understand how uncivil behavior is derived from biological, psychological, and sociological factors
• The learner will be able to apply concepts from the Conceptualization Model of Incivility Etiology in Undergraduate Nursing Students when devising policies and procedures to foster a culture of professionalism
• Researchers can expand on this topic and complete pre and post studies to identify behavior changes from implementation of the mode
