Article Purpose: Significance to Nursing
The targeted article for this analysis is “Workplace Incivility Affecting CRNAs: A Study of Prevalence, Severity, and Consequences with Proposed Interventions” by Ray Emlblad, Gergana Kodjebacheva, and Lynn Lebeck. The researchers wanted to examine the prevalence of discourtesy in different healthcare settings. The occurrence of inappropriate behaviors in a health institution affects the performance of different caregivers. This problem might result in bullying and oppression. The malpractice makes it impossible for nurse practitioners (NPs) to support the health needs of their clients (Jones & Kelly, 2014). The presence of incivility in anesthetic settings affects the performance of nurses due to increased burnout (Cooper, Walker, Askew, Robinson, & McNair, 2011). The purpose of the study was to understand the presence of incivility that affected many workers. The targeted study problem was the existence of workplace incivility in different workplace environments. The article is significant to the wider field of health care. The ideas can be used by health professionals to monitor the presence of different malpractices. They should also present appropriate behaviors to improve the level of performance (Burns & Grove, 2011).
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Research Questions, Objectives, and Hypothesis
The main hypothesis for this study was that uncivil behaviors in different healthcare settings resulted in the loss of morale and increased medical costs. The first objective was to understand the prevalence of uncivil behaviors in different anesthetic environments. The second objective was to propose effective strategies that can be used to address this problem (Elmblad, Kodjebacheva, & Lebeck, 2014). The main study question was to understand how incivility affected Certified Registered Nurse Anesthetists (CRNAs). Such questions and objectives were appropriate for delivering quality findings.
Method and Setting
The researchers used appropriate methods to obtain their subjects. The qualitative study targeted sixteen CRNAs and anesthesiologists in three different hospitals (Elmblad et al., 2014). These respondents made it easier for the scholars to get meaningful ideas. Such findings were then used to produce a quality study. The choice of three hospitals made it easier for the scholars to get quality results (Elmblad et al., 2014). The targeted respondents delivered meaningful thoughts in order to make the study informative.
Data Collection Methods
Two data collection methods were used to complete the study. To begin with, the authors targeted 16 respondents (8 anesthesiologists and 8 CRNAs). The selected practitioners appeared to understand the major challenges and uncivil behaviors that affected their career goals. The method used explains why the study was successful. The second method entailed the use of a systematic review. The review focused on the findings from two past studies. The scholars observed that “over 80 percent of CRNAs were experiencing different forms of aggression in their workplaces” (Elmblad et al., 2014, p. 438). The qualitative approach made it possible for the authors to get quality findings. The data collection methods were therefore consistent with the purpose and objective of the targeted qualitative approach.
Protection of Human Subjects
Researchers in healthcare should be ready to protect the targeted human subjects (Burns & Grove, 2011). This practice is supported by different ethical theories and principles. This approach supports the rights of the targeted human subjects. The selected qualitative research involved the use of human subjects in order to get quality information. The researchers ensured that the targeted respondents were aware of the study. It was appropriate to embrace the concept of informed consent before undertaking the study. The individuals were not required to disclose their personal details. The researchers made sure the published information and findings did not disclose the details of these human subjects (Elmblad et al., 2014). This fact explains why the researchers managed to conduct a professional study.
The study embraced the use of an effective qualitative research method. The researchers calculated composite scores for different questions based on the targeted incivility behaviors (Elmblad et al., 2014). The scholars also wanted to understand the major sources of mistreatment in different working environments. The scholars then “calculated the median and mean composite scores for each of the targeted incivility” (Elmblad et al., 2014, p. 438). The next analytical approach was to graph the scores for incivility and composite burnout. The other data analysis technique was “to categorize different behaviors based on their prevalence and methods used to deal with them” (Elmblad et al., 2014, p. 428). The data analysis procedures used by the researchers were appropriate for the information collected using the qualitative technique. The effective data analysis approach made it easier for the researchers to present quality discussions (Elmblad et al., 2014).
How the Evidence Proves Scientific Rigor
The researchers embraced a powerful scientific inquiry in order to understand the prevalence of uncivil behaviors in different healthcare environments. The researchers also gathered data in a professional manner. The approach made it possible for them to understand the nature of this problem in different healthcare settings. The findings should therefore be treated as evidence-based ideas that have the potential to deal with various misbehaviors in health care. The collected qualitative data encouraged the scholars to outline powerful recommendations that can be used to deal with various misbehaviors and malpractices (Elmblad et al., 2014). The study approach made it possible for the authors to identify the major gaps and situations that promote various misbehaviors. These findings can therefore be replicated elsewhere in order to empower more healthcare practitioners. The scientific knowledge gained from this article can also be used to support the needs of every anesthesiologist and caregiver (Fontes, Santana, Pelleso, & Carvalho, 2013). The practice will promote the best behaviors and eventually support the health needs of many patients.
Conclusions and Implications
The conclusions and discussions presented in this article are appropriate and clearly stated. The authors show conclusively that certain misbehaviors are common in different healthcare environments. Healthcare practitioners and other members of staff are usually responsible for such misbehaviors. Such behaviors make it impossible for many caregivers to offer quality services to their clients. As well, the article indicates clearly that more patients are unable to get quality medical support because of such incivilities. This understanding can be used to implement appropriate policies in an attempt to deal with such misbehaviors. The authors recommend the use of “a zero-tolerance policy for practice” (Elmblad et al., 2014, p. 438). Every person in an organization should be treated equally. Workers should also be ready to respect and support one another. The outstanding fact from this study is that incivility still remains a major challenge for CRNAs and nurse practitioners (NPs). This knowledge should be used to implement new policies in order to deal with various malpractices.
Suggestions for Future Research
The findings obtained from this study can be used to guide future researchers. For instance, future studies can focus on how incivility in different healthcare settings affects the creation of multidisciplinary teams (Jones & Kelly, 2014). The effects of incivility on patient outcomes should also be studied by future researchers. Another research focusing on the role of nurse leadership towards dealing with uncivil behaviors will be appropriate. These studies will present powerful recommendations that can be used to address the major issues affecting many healthcare organizations (Yun, Kang, Lee, & Yi, 2014). The recommendations will encourage more health workers to deliver quality care to their patients.
Burns, N., & Grove, S. (2011). Understanding Nursing Research: Building an Evidence-Based Practice. Maryland Heights, MO: Saunders Press.
Cooper, J., Walker, J., Askew, R., Robinson, J., & McNair, M. (2011). Students’ perceptions of bullying behaviors by nursing faculty. Issues in Educational Research, 21(1), 1-21.
Elmblad, R., Kodjebacheva, G., & Lebeck, L. (2014). Workplace Incivility Affecting CRNAs: A Study of Prevalence, Severity, and Consequences with Proposed Interventions. AANA Journal, 82(6), 437-445.
Fontes, K., Santana, R., Pelleso, S., & Carvalho, M. (2013). Factors Associated with Bullying at Nurses’ Workplaces. The Revista Latino-Americana de Enfermagem, 21(3), 758-564.
Jones, A., & Kelly, D. (2014). Whistle-blowing and workplace culture in older peoples’ care: qualitative insights from the healthcare and social care workforce. Sociology of Health and Illness, 20(1), 1-17.
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Yun, S., Kang, J., Lee, Y., & Yi, Y. (2014). Work Environment and Workplace Bullying among Korean Intensive Care Unit Nurses. Asian Nursing Research, 8(3), 219-225.