Abstract

This study aimed to synthesize the best available qualitative research evidence on nurse educators’ experiences with student incivility in undergraduate nursing classrooms. A meta-synthesis of qualitative evidence using thematic synthesis was conducted. A systematic search was performed of 12 databases for relevant literature published by March 31, 2019. Two reviewers independently conducted critical quality appraisals using the checklist for qualitative research developed by the Joanna Briggs Institute. Eleven studies that met the inclusion criteria were selected for review. From the pooled study findings, 26 descriptive themes were generated and categorized into the following 5 analytical themes: (1) factors contributing to student incivility, (2) management of student incivility, (3) impact: professional and personal damage, (4) impact: professional growth, and (5) initiatives for the future. Many nurse educators became confident in their role of providing accountability as both educators and gatekeepers and experienced professional growth. However, others experienced damage to their personal and professional life and lost their motivation to teach. Nurse educators recommended the following strategies for preventing or better managing student incivility: institutional efforts by the university, unified approaches for student incivility within a nursing program, a faculty-to-faculty network for mentoring, and better teaching and learning strategies for individual educators. These strategies would help all nurse educators experience professional growth by successfully preventing and managing student incivility.

Highlights

  • Rationale Respect and care are the essence of nursing [1]

  • 3 journal articles [17,26,27] were www.jeehp.org published from 2 doctoral dissertations [15,28], and 11 studies were included in the qualitative synthesis after quality appraisal

  • “And we addressed it several times during the foll­owing week, as we made arrangements to meet with her [the student] together

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Summary

Introduction

Rationale Respect and care are the essence of nursing [1]. Qualified nurses must demonstrate the value of human respect to patients, and to their colleagues and other professionals. Www.jeehp.org (page number not for citation purposes) 1. It is unclear whether student incivility occurs more often at nursing schools than in other disciplines. Regardless of its relative severity, it is crucial to address student incivility since respect is a core value of the nursing profession. Nurse educators and researchers are paying increasing attention to student incivility [7], which has been studied in many countries, including China [8], Indonesia [9], Iran [10], South Korea [11], Oman [12], the United Kingdom [13], and Canada [14], and the United States [15,16]. Serious forms of incivility such as intimidating or threatening student behaviors toward nurse educators have been reported [17]

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