Assignment: Evaluation of the Workplace Environment

Assignment: Evaluation of the Workplace Environment

The Assignment (3-6 pages in total):

Part 1: Assessment of the Work Environment (1-2 pages)

– Take a look at the Work Environment Assessment Template you completed during the discussion for this module.
– Explain what you found in the Work Environment Assessment you conducted at your workplace.
– Point out two things that surprised you in the results and one idea that you had before the Assessment, which turned out to be true.
– Describe what the Assessment results indicate about the overall well-being and politeness in your workplace.

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Part 2: Reviewing Relevant Literature (1-2 pages)

– Give a brief description of the theory or concept introduced in the articles you chose.
– Describe how the theory or concept from the selected articles is connected to the outcomes of your Work Environment Assessment.
– Discuss how your organization could put into practice the theory emphasized in your chosen articles to enhance the organization’s health and build stronger work teams. Provide specific examples.

Part 3: Evidence-Based Approaches for Enhancing Interprofessional Teams‘ Performance (1–2 pages)

– Suggest at least two approaches, as supported in the literature, that can be put into action to address any deficiencies revealed in your Work Environment Assessment.
– Recommend at least two strategies that can be implemented to reinforce successful practices uncovered in your Work Environment Assessment Assignment: Workplace Environment Assessment.

Module 4 Assignment: Evaluation of the Work Environment – NURS 6501: Interprofessional Organizational and Systems Leadership

Module 4 Assignment: Evaluation of the Work Environment

Workplace Rudeness in Nursing: A Common Problem

Workplace incivility, often described as repetitive, low-intensity unacceptable social behaviors, is a frequent issue in nursing practice (Armstrong, 2018). These uncivil behaviors range from passive aggression and sexual harassment to nonverbal and verbal abuse, primarily aimed at undermining and intimidating individuals or groups (Bambi et al., 2018).

Understanding the Assignment

The assignment focuses on evaluating the results of the Clark Healthy Workplace Inventory at my workplace and using insights from existing literature to develop interventions for addressing instances of incivility discovered during the assessment. This assignment consists of three parts: summarizing the Work Environment Assessment, discussing relevant theories or concepts from assigned articles, and proposing evidence-based strategies to enhance inter-professional teams’ performance.

Part 1: Work Environment Assessment

The assessment of our workplace using the Clark Health Workplace Inventory yielded a score of 83, indicating a moderately healthy environment. The highest scores were in areas where the team shared a common vision and mission grounded in trust, respect, and collegiality. This shared vision has fostered teamwork and expanded the clinical roles of nurses, leading to collaborative care. Effective communication, teamwork, competitive compensation, and resources for professional growth also contribute to our moderately healthy workplace.

Surprisingly, uncivil behavior is relatively rare in our workplace, especially from nurse leaders. However, covert incivility exists among colleagues during clinical rounds. It was unexpected that reported cases of incivility were scarce due to their covert nature, suggesting that they remain undocumented and unaddressed. Before the assessment, I believed that the unit and hospital leadership proactively addressed incivility. However, the results highlight the need for interventions to uncover and prevent hidden instances of uncivil behavior among clinicians.

Part 2: Reviewing the Literature

I reviewed articles by Clark (2019) and Clark (2015) that emphasize cognitive rehearsal, an evidence-based technique rooted in Bandura’s social learning theory. Cognitive rehearsal involves practicing desired reactions to situations associated with workplace incivility, such as physical violence, verbal disrespect, subversion, gossiping, humiliation, and nonverbal allusions. This technique aims to improve impulse control, boost confidence, and reduce anxiety when facing challenging interactions.

Kousha et al. (2022) conducted a study on cognitive rehearsal among emergency nurses, demonstrating its effectiveness in translating training into practical behaviors that maintain mutual respect during heated discussions. Implementing cognitive rehearsal in our clinical setting can improve conflict resolution, communication, nurse satisfaction, and ultimately, patient care.

Part 3: Evidence-Based Strategies for High-Performance Inter-Professional Teams

To create high-performing inter-professional teams and reduce covert nurse-to-nurse incivility, I recommend implementing simulation-based TeamSTEPPS training. TeamSTEPPS is designed to enhance teamwork and communication among healthcare professionals, focusing on purpose, active listening, compassion, honesty, flexibility, and conflict resolution.

Effective leadership is crucial, with transformational leaders inspiring collaborative team cultures and nurturing novice team members for continuity and sustainability. Additionally, promoting the DESC model among nurses can facilitate open, honest communication without infringing on others’ rights, reducing avoidable conflicts.

In conclusion, this assignment analyzed the Clark Healthy Workplace Inventory results, highlighting the moderately healthy environment in our workplace. It also discussed cognitive rehearsal as an effective technique for addressing incivility and proposed strategies like TeamSTEPPS training and transformational leadership to enhance inter-professional teams’ performance and promote a healthy workplace.

References

Abdollahzadeh, F., Asghari, E., Ebrahimi, H., Rahmani, A., & Vahidi, M. (2017). How to prevent workplace incivility? Nurses’ perspective. Iranian Journal of Nursing and Midwifery Research, 22(2), 157–163. https://doi.org/10.4103/1735-9066.205966

AHRQ. (n.d.). About TeamSTEPPS®. https://www.ahrq.gov/teamstepps/index.html

Armstrong, N. (2018). Management of nursing workplace incivility in the health care settings: A systematic review. Workplace Health and Safety, 66(8), 403–410. https://doi.org/10.1177/2165079918771106 Assignment: Workplace Environment Assessment

Bambi, S., Foà, C., De Felippis, C., Lucchini, A., Guazzini, A., & Rasero, L. (2018). Workplace incivility, lateral violence, and bullying among nurses. A review of their prevalence and related factors. Acta Biomedica, 89(6), 51–79. https://doi.org/10.23750/abm.v89i6-S.7461

Clark, C. M. (2015). Conversations to inspire and promote a more civil workplace: Let’s end the silence that surrounds incivility. American Nurse Today, 10(11), 18–23.

Clark, C. M. (2019). Combining cognitive rehearsal, simulation, and evidence-based scripting to address incivility. Nurse Educator, 44(2), 64–68. https://doi.org/10.1097/NNE.0000000000000563

Eggenberger, B. T., Sherman, R. O., & Keller, K. (2019). Creating high-performance interprofessional teams leading the way. American Nurse Today, 9(11), 12–14.

Kousha, S., Shahrami, A., Forouzanfar, M. M., Sanaie, N., Atashzadeh-Shoorideh, F., & Skerrett, V. (2022). Effectiveness of educational intervention and cognitive rehearsal on perceived incivility among emergency nurses: A randomized controlled trial. BMC Nursing, 21(1), 1–9. https://doi.org/10.1186/s12912-022-00930-1

Martin, J., Mccormack, B., Fitzsimons, D., & Spirig, R. (2017). The importance of inspiring a shared vision. International Practice Development Journal, 4(2), 1–15.

Mitchell, R., Boyle, B., Parker, V., Giles, M., Joyce, P., & Chiang, V. (2017). Transformation through tension: The moderating impact of negative affect on transformational leadership in teams. Human Relations, 67(9), 1095–1121. https://doi.org/10.1177/0018726714521645

Shoorideh, F. A., Moosavi, S., & Balouchi, A. (2021). Incivility toward nurses: A systematic review and meta-analysis. Journal of Medical Ethics and History of Medicine, 14(12), 123–134. https://doi.org/10.18502/jmehm.v14i15.7670 Assignment: Workplace Environment Assessment