Jump to navigation
Incivility in psychiatric nursing : a phenomenological study
Evans, Joyce Marlene
Brandon University, Faculty of Health Studies
ix, 78 pages : illustrations
Includes bibliographical references (pages 47-57).
"In partial fulfillment of the requirements for the degree of Master of Psychiatric Nursing."
The topic of incivility is a well-researched long-standing issue in nursing literature. Incivility and its associated human and financial costs are a significant issue in healthcare. Psychiatric nurses work in sites that have the highest incidents of violence and incivility in health systems. Registered Psychiatric Nurses (RPNs) are a separate and distinct profession in Western Canada. This study explored the RPN lived experience of incivility using a descriptive phenomenological approach. The research question was: what is the meaning given to the experience of incivility by RPNs? Data collection methods were semi-structured interviews and personal written narratives using an online survey. The research was conducted at three acute psychiatric units in the province of British Columbia, Canada. Eight RPNs provided descriptions of their experience of incivility working in acute psychiatric services. Five themes emerged from data analysis: managing incivility from patients is part of the job, RPNs experience incivility from health care professionals, relationships changed after the experience of incivility, ethical dilemmas resulted from the experience of incivility, and personal resilience is variable. Under the theme of ethical dilemmas, data were grouped into two dilemmas or subthemes: therapeutic rapport versus personal safety, and professional communication versus interpersonal issues. Under the theme of personal resilience, five aspects of resilience were grouped into subthemes: emotional support from a trusted colleague, life experience and education, professional boundaries, reflective practice, and self-care. Findings are discussed in light of current literature, significance, strengths and limitations, and implications for future research. Keywords: psychiatric nursing, registered psychiatric nurses, civility, incivility, bullying, verbal and physical aggression, emotional and physical violence, vertical horizontal, and lateral violence.
Courtesy--Canada, WesternPsychiatric nurses--Canada, Western
Brandon UniversityFaculty of Health Studies