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NR 500 Week 7 Graded Assignment: Cultivating Healthful Environments (Foundational Concepts And Applications)
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CULTIVATING HEALTHFUL ENVIRONMENTS 1NR 500 Week 7 Graded Assignment: Cultivating Healthful Environments
Version 1
Cultivating Healthful Environments
Creating a trusting and caring relationship between healthcare providers and the people
who receive care is important, but healthful working environment for those healthcare providers
are equally important. The quality of care that patients and families receive during their stay in
hospitals or other healthcare facilities is directly influenced by the well-being of the people who
care for them (Warren, 2017). Currently, incivility in healthcare setting continues to arise
(American Nurses Association, 2015). Incivility is a damaging and an ongoing issue in
healthcare setting that not only hinders the quality of the care being provided, but also the well
beings of the employees. Unfortunately, many nurses have either experienced or witnessed
incivility in the work place, regardless of setting (CCN, lesson 7, 2017). To cultivate a healthful
environment for healthcare workers and the patients, it is important for leaders to recognize the
issue and implement changes to improve the culture of the workplaces.
Issue of Incivility
Horizontal violence, nurse-to-nurse bullying, and lateral violence are all collectively
known as hostility in workplaces or workplace incivility (CCN, lesson 7, 2017). Incivility is a
prevalent phenomenon and it is on the rise. The growing trend horizontal bullying and incivility
seems an endemic issue in nursing profession (Mikaelian & Stanley, 2016). Study shows that
incivility in workplace has negative impact on recruitment and retention of qualified nurses. It
, CULTIVATING HEALTHFUL ENVIRONMENTS 2
diminishes the nurse’s motivation, performance, productivity and commitment to the job
(Abdollahzadeh, Asghari, Doshmangir, Hasankhani & Vahidi, 2017).
There are mainly three factors that results incivility in workplaces. They are workplace
systematical failure of stopping incivility, which is administrative not punishing the perpetrators;
employees working under the shadow of fear; and certain categories of employees being
scapegoats. (Abdollahzadeh et al., 2017). Evidence demonstrates that workplace incivility lead to
higher turnover rate, low job satisfaction and decreased patient satisfaction due to proper
communication among healthcare workers (Khadjehturian, 2012).
Importance of Nursing
Nurses should be aware that it is our obligation to create an environment where nurses
can grow and patients can heal. Work place bullying impedes nursing unity and the health of the
profession (Clark & Ahten, 2012). Incivility in nursing diminishes the quality of care that is
provided in the nursing units. Patients will have less confidence with the care they receive when
they have to witness nurse to nurse violence. Bullying has been recognized as a prevalent
phenomenon in healthcare setting internationally. Unfortunately, institutions either deny its
existence or minimize its impact to make it difficult for the victims of incivility to report the
incidents. It makes employees to have less confidence in report the perpetrators. Ultimately, it
creates culture of silence within the institution that masking the existing problems. Workplace
incivility in many settings still tolerated (Lachman, 2015). Nursing educators have
responsibilities to ensure all nurses are prepared for their professional roles. Nursing educators
should integrate education to deter unprofessional behaviors and promote on healthy ways to
cope with stress and ways to deal with incivility in workplaces (Evans, 2017).
Storytelling
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