It should come as no surprise to nurses that incivility in the workplace, characterised by subtle forms of mistreatment (such as a loaded passive-aggressive comment, a dismissive gesture, raised voices, an eye-roll, or harsh words) can lower job satisfaction, raise levels of psychological stress, and cause an eventual decline in one’s physical and mental health. And ultimately, this kind of negativity will no doubt result in a higher staff turnover. It stands to reason.

For more news, views and funny stuff follow Trending Nurses on Facebook:

The nurse’s work environment is an emotionally charged one before you even factor in the question as incivility. Workplaces where stress levels already run high are especially sensitive to incivility. And since high-stress environments tend also to be high-stakes, incivility could be at the heart of some very costly mistakes.

This is particularly worrisome for organizations that have employees working in shifts, such as manufacturing firms, police departments, and hospitals. Nowhere are the stakes higher than in hospitals with many states facing nursing shortages. Retention has become an urgent issue. If incivility were to cause nurses to leave the profession, it is the patients at the affected hospitals who would actually suffer the most.

Incivility is especially difficult to weed out of the workplace because it may be difficult for employees to even describe or articulate it to Human Resources. It is difficult to even say what it is. But in his recent paper in the Journal of Vocational Behavior, Curtailing the harmful effects of workplace incivility: The role of structural demands and organization-provided resources, INSEAD Professor of Strategic Management, Quy Huy and his colleagues found that there are ways in which such incivility can be moderated and dealt with.

“As the victims of incivility suffer, so will employee engagement and productivity, until managers intervene to help them cope. Fortunately, there are specific interventions that appear to do just that,” said Huy.

In the study, the researchers performed a two-stage survey of 618 nurses at a 550-bed teaching and research hospital in the South-eastern United States. First, they asked the nurses to rate the hospital on measures of incivility, whether they worked overnight and whether they felt workplace expectations were unclear. Nurses were also asked about their exposure to managerial interventions known to mitigate stress and facilitate coping, such as team-building exercises and private informal meetings to discuss work responsibilities. Five months later, nurses were asked how likely they were to look for a new job in the coming year.

Huy and his colleagues had hypothesized that incivility’s impact on employees depends on the presence of reinforcing stressors in the workplace environment, and on whether managers step in to help employees cope. Subjected to regression analysis, the survey results supported his hypothesis: Nurses who felt unclear about their workplace role and/or worked the night shift were far more likely to be looking for a new opportunity, especially if they felt their surroundings were uncivil. Interestingly, those who experienced intervention by management to help them cope had less desire to leave, regardless of the perceived level of incivility in their workplace.

Such interventions took the form of regular private meetings between the supervisor and employee to review tasks and team building interventions–focusing on both task-performance and feelings in the workplace and home. Employees who participated in these meetings and team building sessions were less likely to have intentions of leaving.

“It’s dangerously complacent to assume that everything’s fine between your employees because you haven’t heard otherwise. This could be the last straw that ‘breaks the camel’s back’. When in doubt, err on the side of being a little more concerned with employees’ emotional well-being than strictly necessary,” said Huy.

What do you think? Share your thoughts in the comments section below.

For more news, views and funny stuff follow Trending Nurses on Facebook: