Incivility in Nursing: Contributing and Mitigating Factors and Its Impact on the Confidence and Mental Health of New Nurses

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Hutten, Armani E.

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2024-05-09

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Purpose: The purpose of this paper is to identify the impacts of incivility on new nurses’ confidence and mental health. Additionally, this paper will review and synthesize the literature to identify the contributing and mitigating factors of incivility against new nurses to make evidence-based practice recommendations. Background: New nurses experience higher rates of incivility compared to more experienced nurses. This erodes their confidence and leads to poor mental well-being, causing them to leave the profession. Given the current nursing shortage, we must discover the contributing and mitigating factors so informed decisions can be made to combat the effects of incivility. Sample/Setting: This literature review utilized a diverse range of studies that focused on understanding the contributing and mitigating factors of incivility and their effects on new nurses. Methods: Searches were completed in Cumulative Index of Nursing and Allied Health Literature (CINAHL), PubMed, ScienceDirect, and Google Scholar, utilizing search terms such as incivility, workplace bullying, triggers of incivility, preventing incivility, and new graduate nurses. Articles from 2005 to 2023 were included in the search. After the articles were selected, the recurrent themes were synthesized and evaluated. Results: This literature review synthesizes information from 19 articles from 2008 to 2023. Given the research’s objective to comprehend new nurses’ lived experiences, most of the evidence was qualitative. Conclusion: The contributing factors found in the literature that fuel incivility include workplace culture, increased workload, and stress. The identified mitigating factors that protect new nurses from incivility include personal resiliency, organizational support, empowerment, and clinical education and curriculum.

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Creighton University

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Copyright is retained by the Author. A non-exclusive distribution right is granted to Creighton University

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