Dissertation/Thesis Abstract

Improving civility in the mental health nursing workplace through assertiveness training with role-play
by Sanderson, LuAnn, D.N.P., Western University of Health Sciences, 2013, 95; 3587674
Abstract (Summary)

Incivility is a low-level form of violence that has been found to threaten safety and has gained increasing attention from healthcare leaders. Incivility at work causes distractions and threatens the culture of safety. Locations providing mental health services are among such high-risk areas. The purpose of this study was to evaluate the effectiveness of a nurse leader’s educational approach to improve civility in the mental health (MH) nursing workplace using assertiveness training with role-play.

The civility score in this study was measured by staffs’ perceptions of eight items: respect; conflict resolution; cooperation; anti-discrimination; value differences; diversity acceptance; personal interest; and reliability of team members. In this study, the principal investigator (PI), a MH nurse leader, prepared and implemented a six-month plan of evidence-based actions intended to improve civility and to strengthen the sense of community.

Role-play exercises were included in assertiveness training sessions. Personalized brochures that summarized information and future direction for improving civility were prepared and distributed.

Civility awareness and assertiveness were reinforced by sharing literature, facilitating discussions, and practicing occasional role-plays to problem-solve past and current incivilities as they surfaced. Follow-up measurements showed a rapid and sharp increase in civility, with improved scores for each of the eight items. These findings support continued use of assertiveness training with role-play as an effective approach for improving civility in a culturally diverse MH nursing staff. Limitations of this study are discussed.

Indexing (document details)
Advisor: Boller, Janet
Commitee: Johnson, Joyce A., Rubin, Robert T.
School: Western University of Health Sciences
Department: College of Graduate Nursing
School Location: United States -- California
Source: DAI-B 74/11(E), Dissertation Abstracts International
Subjects: Communication, Nursing, Occupational psychology, Health care management
Keywords: Assertiveness, Civility, Leadership, Role playing, Violence, Workplace
Publication Number: 3587674
ISBN: 9781303250354
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