Systems Perspective for Incivility in Academia: An Integrative Review

AIM: The purpose of this integrative review was to identify evidence of systems thinking on civility in academic settings. BACKGROUND: Incivility is present in academic systems, including nursing education. What is learned in academia translates to the workplace. Systems-based solutions may promote quality and safety in health care. METHOD: Whittemore and Knafl’s integrative approach guided this study. RESULTS: Forty-nine articles were reviewed. Themes emerged describing incivility in nursing as embedded within layers of a performance-driven, oppressive hostile bureaucracy, trickling down, instilling fear, and reinforcing uncivil behavior among and between members. Other themes defined faculty-to-faculty and faculty-to-student incivilities, reasons for it, reactions to it, and suggestions for improved civility. CONCLUSION: The systems awareness model is offered as a means of promoting civility in nursing education. A lack of evidence to support how incivility in academia transfers to quality and safety in practice settings is identified as a gap for future study

Systems Perspective for Incivility in Academia: An Integrative Review

AIM: The purpose of this integrative review was to identify evidence of systems thinking on civility in academic settings. BACKGROUND: Incivility is present in academic systems, including nursing education. What is learned in academia translates to the workplace. Systems-based solutions may promote quality and safety in health care. METHOD: Whittemore and Knafl’s integrative approach guided this study. RESULTS: Forty-nine articles were reviewed. Themes emerged describing incivility in nursing as embedded within layers of a performance-driven, oppressive hostile bureaucracy, trickling down, instilling fear, and reinforcing uncivil behavior among and between members. Other themes defined faculty-to-faculty and faculty-to-student incivilities, reasons for it, reactions to it, and suggestions for improved civility. CONCLUSION: The systems awareness model is offered as a means of promoting civility in nursing education. A lack of evidence to support how incivility in academia transfers to quality and safety in practice settings is identified as a gap for future study

Incivility and the use of systems thinking to promote healthy voluntary organisations

© Policy Press 2019 Incivility in voluntary organisations is critically burdensome on a global level, but there is a dearth of literature on how to contend with the problem. This paper provides a description and an evaluation of and reflection on a workshop conducted to propose an evidence-based systems awareness model (SAM) for volunteers in professional organisations to use in mitigating incivility. Implications of the SAM model for a culture of caring in the voluntary sector are described

Concept Analysis of Systems Thinking in the Context of Interprofessional Practice and Improved Patient Outcomes

Aim: The purpose of this study was to explore the definition and application of systems thinking (ST) in interprofessional practice and improved patient outcomes. Background: Nurse educators need a universal definition of ST to implement in curricula to foster quality and safety while enhancing outcomes for nursing students. Method: The QSEN RN-BSN Task Force used the hybrid model of concept analysis to identify the process of fostering ST in clinical and didactic learning experiences and how ST changed over time from the perspective of educators. Results: The definition of ST in the context of interprofessional practice and outcomes was a dynamic, analytical process that looks at complex patterns, relationships, and connections within elements and structures, resulting in the ability to recognize the whole picture. Conclusion: The concept of ST in the context of interprofessional practice and improved patient outcomes may be integrated within nursing curricula

Incivility and the Use of Systems Thinking To Promote Healthy Voluntary Organisations

Incivility in voluntary organisations is critically burdensome on a global level, but there is a dearth of literature on how to contend with the problem. This paper provides a description and an evaluation of and reflection on a workshop conducted to propose an evidence-based systems awareness model (SAM) for volunteers in professional organisations to use in mitigating incivility. Implications of the SAM model for a culture of caring in the voluntary sector are described

La lutte contre la tique du bétail en Nouvelle Calédonie : quelle stratégie pour l'an 2000 ? Rapport de mission en Nouvelle Calédonie du 15 au 22 janvier 1996

La tique Boophilus microplus est un des obstacles au développement de l'élevage bovin en Nouvelle Calédonie. L'apparition de résistances à la deltaméthrine dans quelques élevages est l'occasion de réfléchir à une meilleure stratégie à mettre en place. Un suivi du développement de la résistance dans des élevages représentatifs selon les protocoles standards doit être instauré, et la deltaméthrine remplacée par l'amitraze là où cette résistance est confirmée. Un effort de communication et d'information doit être fait auprès des éleveurs pour restreindre l'usage des acaricides, les initier à la biologie des tiques et aux principes de lutte, éviter les erreurs dans l'utilisation des systèmes de détiquage. Des méthodes de lutte complémentaire (vaccin, lutte génétique et agronomique) devront être vulgarisées. L'éradication ne semble pas réalisable dans la situation actuell

Systems Thinking for Transitions of Care: Reliability Testing for a Standardized Rubric

Purpose: The purpose of this study was to develop a standardized rubric for systems thinking across transitions of care for clinical nurse specialists. Design: The design was a mixed-methods study using the Systems Awareness Model as a framework for bridging theory to practice. Methods: Content validity was determined using a content validity index. Reliability was established using statistical analysis with Cronbach’s α and intraclass correlation coefficient. Usability of the rubric was established using content analysis from focus group discussions about their experiences in using the rubric. Results: Content validity was established with a content validity ratio of 1.0. Statistical analysis showed a high interrater reliability (α = 0.99), and sections of the rubric showed a strong degree of reliability with α’s ranging from 0.88 to 1.00. Content analysis revealed several overall themes for usability of the rubric: clarity, objectivity, and detail. The area for improvement included adding more detail in the scholarly writing section. Conclusion: The research team recommends using the rubric to reflect application of systems thinking across transitions of care

Promoting Civility in Nursing Practice Using Systems Thinking: Evidence-Based Teaching Strategies for Nurse Educators

There is a critical need for nurse educators to promote civility in nursing practice using systems thinking to promote quality and safety and improve patient outcomes by preventing undue patient harm. In this article, evidence is synthesized in order that readers can recognize, respond and manage workplace incivility. Systems thinking is introduced as a best practice solution for advancing a civil workplace culture. The author-created Systems Awareness Model, adapted for civility awareness, guides nurse educators with evidence-based strategies for teaching nurses the essential skills to promoting a civility culture within health systems. The strategies can be used by nurse educators in practice to interface workplace application. Proposed examples of evaluation methods are aligned with the teaching strategies. The purpose of this article is to provide nurse educators in practice with evidence-based teaching strategies and evaluation methods to address incivility in health care using a systems thinking perspective

Promoting Civility in Nursing Practice Using Systems Thinking: Evidence-Based Teaching Strategies for Nurse Educators

There is a critical need for nurse educators to promote civility in nursing practice using systems thinking to promote quality and safety and improve patient outcomes by preventing undue patient harm. In this article, evidence is synthesized in order that readers can recognize, respond and manage workplace incivility. Systems thinking is introduced as a best practice solution for advancing a civil workplace culture. The author‐created Systems Awareness Model, adapted for civility awareness, guides nurse educators with evidence‐based strategies for teaching nurses the essential skills to promoting a civility culture within health systems. The strategies can be used by nurse educators in practice to interface workplace application. Proposed examples of evaluation methods are aligned with the teaching strategies. The purpose of this article is to provide nurse educators in practice with evidence‐based teaching strategies and evaluation methods to address incivility in health care using a systems thinking perspective