Where Do You Think You Are? A Grounded Theory Study of the Critical Factors Triggering the Existence and Fueling the Persistence of Incivility in Nursing.

Abstract

Incivility in health care settings was first identified in 1976. The Institute of Medicine has called for a safer health care environment, and the Joint Commission emphasizes that disruptive behavior compromises patient safety. Incivility in nursing is a topic of interest, yet it had not been explored as a social process. The purpose of this study was to acquire an understanding and develop a theory to address incivility in nursing. Twenty-nine RNs were interviewed based on Charmaz's constructionist grounded theory. Four categories emerged (neglecting, alienating, relinquishing, and finding oneself) that developed into the theory of self-positioning. To understand incivility in nursing, one must, immersed within the institution, profession, and society, find and position the self. It is only then that we can address the health and well-being of RNs, provide quality care, and ensure patient safety.