Effectiveness of Cognitive Rehearsal in Addressing Nursing Incivility: An Integrative Review.

IF 1.1 4区 医学 Q3 NURSING Journal of Continuing Education in Nursing Pub Date : 2024-11-01 Epub Date: 2024-10-02 DOI:10.3928/00220124-20240927-01
Janet L Givler, Lynn Varagona
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Abstract

Background: Incivility is detrimental to nurses, patients, and health care organizations. Cognitive rehearsal has shown promise in addressing incivility, yet the most recent review of cognitive rehearsal training contained articles published in 2014 and earlier. This review integrates current knowledge of the effectiveness of cognitive rehearsal training in addressing nursing incivility.

Method: Four databases were searched from January 2018 to April 2023. Thematic analysis was used to analyze 22 studies.

Results: Three main themes emerged: (a) theoretical frameworks, (b) participant responses to cognitive rehearsal training, and (c) work culture influences. Nine theoretical frameworks uncover the mechanism behind nursing incivility and provide guidance on how to remedy it.

Conclusion: Cognitive rehearsal training that includes four core components can foster skills and confidence to address nursing incivility and, in turn, decrease its occurrence, but training alone is not sufficient. Nurse managers and leaders need to model civil behavior, support zero tolerance, create a safe environment for reporting incivility, and intervene effectively. [J Contin Educ Nurs. 2024;55(11):523-529.].

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认知排练在处理护理不文明行为中的有效性:综合评述。
背景:不文明行为对护士、患者和医疗机构都不利。认知演练在解决不文明行为方面已显示出前景,但最近关于认知演练训练的综述却包含了 2014 年及更早发表的文章。本综述整合了当前关于认知演练训练在解决护理不文明行为方面的有效性的知识:方法:检索了 2018 年 1 月至 2023 年 4 月的四个数据库。采用主题分析法对 22 项研究进行了分析:出现了三大主题:(a)理论框架,(b)参与者对认知演练训练的反应,以及(c)工作文化的影响。九个理论框架揭示了护理不文明背后的机制,并为如何纠正不文明提供了指导:包括四项核心内容的认知演练培训可以培养应对护理不文明行为的技能和信心,进而减少不文明行为的发生,但仅有培训是不够的。护士管理者和领导者需要树立文明行为的典范,支持零容忍,为报告不文明行为创造安全的环境,并进行有效干预。[202x;5x(x):xx-xx.].
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来源期刊
CiteScore
1.80
自引率
8.30%
发文量
107
审稿时长
6-12 weeks
期刊介绍: The Journal of Continuing Education in Nursing is a monthly peer-reviewed journal publishing original articles on continuing nursing education that are directed toward continuing education and staff development professionals, nurse administrators, and nurse educators in all health care settings, for over 50 years.
期刊最新文献
Improving the Recognition and Assessment of ICU Delirium. Using Performance Improvement Methods to Evaluate Processes for Writing Multiple-Choice Test Questions in the Postlicensure Clinical Environment: A Case Study. Effectiveness of Cognitive Rehearsal in Addressing Nursing Incivility: An Integrative Review. A Guide for Nurse-Led Advocacy for Safe Staffing and the Quality of Nursing Work Life. Copyright: Who Owns What.
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