Incivility in healthcare: the impact of poor communication.

IF 1.7 Q3 HEALTH CARE SCIENCES & SERVICES BMJ Leader Pub Date : 2024-03-18 DOI:10.1136/leader-2022-000717
Joseph H Guppy, Hedda Widlund, Ross Munro, Jim Price
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Abstract

Incivility is a common issue within healthcare in the UK and internationally. Experienced by at least one-third of staff within the UK National Health Service, incivility has been demonstrated to have significant negative implications on both patient care and healthcare staff. These include contributing to direct medical errors, diagnostic inaccuracy and team communication, with a large associated cost burden, while for staff it has significant negative impacts on retention, productivity and morale. Proposed methods do already exist to both prevent and address incivility, and it is in the interest of healthcare institutions, for their patients and staff, to investigate incivility and adopt these methods. This review explores existing literature on the effects of incivility, researched strategies to address it, as well as the proposed ways of integrating these. Through raising awareness and exploring these issues, our aim is to increase recognition of incivility, as well as inspire healthcare managers and leaders to collectively take efforts to reduce the rates of incivility.

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医疗保健中的不文明行为:沟通不畅的影响。
在英国和国际医疗保健领域,不文明行为是一个常见问题。在英国国家医疗服务机构中,至少有三分之一的员工会遇到不文明行为,事实证明,不文明行为对患者护理和医护人员都有重大的负面影响。这包括导致直接医疗失误、诊断不准确和团队沟通不畅,并造成巨大的相关成本负担,同时对员工的留任、工作效率和士气也有重大负面影响。目前确实存在一些预防和解决不文明行为的方法,医疗机构为了患者和员工的利益,应该对不文明行为进行调查并采用这些方法。本综述探讨了有关不文明行为影响的现有文献、已研究出的应对策略以及建议的整合方法。通过提高认识和探讨这些问题,我们的目的是提高对不文明行为的认识,并激励医疗管理人员和领导者共同努力,降低不文明行为的发生率。
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来源期刊
BMJ Leader
BMJ Leader Nursing-Leadership and Management
CiteScore
3.00
自引率
7.40%
发文量
57
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