Predictors and triggers of incivility within healthcare teams: a systematic review of the literature.

BMJ Open
Sandra KellerSarah Henrickson Parker

Abstract

To explore predictors and triggers of incivility in medical teams, defined as behaviours that violate norms of respect but whose intent to harm is ambiguous. Systematic literature review of quantitative and qualitative empirical studies. Database searches according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline in Medline, CINHAL, PsychInfo, Web of Science and Embase up to January 2020. Original empirical quantitative and qualitative studies focusing on predictors and triggers of incivilities in hospital healthcare teams, excluding psychiatric care. Of the 1397 publications screened, 53 were included (44 quantitative and 9 qualitative studies); publication date ranged from 2002 to January 2020. Based on the Medical Education Research Study Quality Instrument (MERSQI) scores, the quality of the quantitative studies were relatively low overall (mean MERSQI score of 9.93), but quality of studies increased with publication year (r=0.52; p<0.001). Initiators of incivility were consistently described as having a difficult personality, yet few studies investigated their other characteristics and motivations. Results were mostly inconsistent regarding individual characteristics of targets of incivil...Continue Reading

References

Mar 14, 2002·Academic Medicine : Journal of the Association of American Medical Colleges·Lorelei LingardIsabella DeVito
Jan 22, 2005·The American Journal of Nursing·Alan H Rosenstein, Michelle O'Daniel
Apr 25, 2006·Journal of Clinical Nursing·Robin Riley, Elizabeth Manias
Jun 27, 2006·Journal of the American College of Surgeons·Alan H Rosenstein, Michelle O'Daniel
Aug 25, 2006·Clinical Journal of Oncology Nursing·Monica R McLemore
Mar 24, 2007·Journal of Clinical Anesthesia·Jonathan D Katz
Jun 6, 2007·American Journal of Obstetrics and Gynecology·Larry L Veltman
Sep 6, 2007·JAMA : the Journal of the American Medical Association·Darcy A ReedScott M Wright
Aug 22, 2008·Joint Commission Journal on Quality and Patient Safety·Alan H Rosenstein, Michelle O'Daniel
May 21, 2010·BMJ : British Medical Journal·Rhona Flin
Dec 16, 2010·The Journal of Nursing Administration·Patricia Smokler Lewis, Ann Malecha
Feb 5, 2011·Journal of Nursing Measurement·Ashley M GuidrozSteve M Jex
Mar 23, 2011·The Journal of Emergency Medicine·Alan H Rosenstein, Bruce Naylor
May 25, 2012·Academic Medicine : Journal of the Association of American Medical Colleges·Lucian L LeapeGerald B Healy
Sep 13, 2012·The Journal of Nursing Administration·Kathleen F SellersMelissa Scribani
Oct 18, 2012·Journal of Nursing Care Quality·Jo M WalrathDorothy Nyberg
May 1, 2013·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Wendy C BudinChristine Kovner
Aug 6, 2013·General Hospital Psychiatry·A J Reid FinlaysonPeter R Martin
Nov 29, 2013·Journal of Nursing Management·Travis WingHeather K Spence Laschinger
Jan 10, 2014·Journal of Graduate Medical Education·Charles P MullanGraham T McMahon
Feb 8, 2014·Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing·Maureen AnthonyKatherine A Marshall
Jul 30, 2014·Journal of the American College of Surgeons·Amalia Cochran, William B Elder
Jul 30, 2014·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Deborah DangMiyong T Kim
Sep 27, 2014·Journal of the American College of Surgeons·Marco J Barzallo SalazarNelli Fisher
Nov 5, 2014·International Journal of Nursing Education Scholarship·Yolanda Babenko-Mould, Heather K S Laschinger
Apr 9, 2015·Journal of Clinical Nursing·Lydia E HamblinJudith E Arnetz
Apr 25, 2015·Applied Nursing Research : ANR·Charlene R SmallGlenna Gordon
Aug 12, 2015·Pediatrics·Arieh RiskinPeter A Bamberger
Sep 4, 2015·Israel Journal of Health Policy Research·Talia Berman-Kishony, Shifra Shvarts
Oct 10, 2015·Workplace Health & Safety·Lydia E HamblinJudith Arnetz
Dec 2, 2015·Clinical Medicine : Journal of the Royal College of Physicians of London·Victoria BradleyBenjamin C Whitelaw
Mar 19, 2016·Emergency Medicine Australasia : EMA·Amith L ShettyDanielle Unwin
Jul 28, 2016·The Journal of the Egyptian Public Health Association·Taghareed A Elhoseny, Amr Adel
Nov 5, 2016·Journal of Patient Safety·Sung-Heui BaeMiyong T Kim
Dec 3, 2016·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Alexander VillafrancaEric Jacobsohn
Jul 30, 2017·Healthcare·Lynne S NemethKenneth A Wallston
Oct 11, 2017·Journal of Nursing Management·Jessica G SmithEileen T Lake
Oct 25, 2017·Academic Medicine : Journal of the Association of American Medical Colleges·Naike BochatayMathieu R Nendaz
Dec 8, 2017·AACN Advanced Critical Care·Kenneth John Oja
Jan 11, 2018·Journal of Nursing Management·Sara ViottiJudith E Arnetz
Mar 9, 2018·BMJ : British Medical Journal·Jo Shapiro
Apr 25, 2018·Nursing Outlook·Ronald KellerMaja Djukic
Jun 15, 2018·Academic Medicine : Journal of the Association of American Medical Colleges·Reena PattaniSharon E Straus

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Citations

Mar 29, 2021·The Journal of Thoracic and Cardiovascular Surgery·Marco A ZenatiLauren R Kennedy-Metz
Apr 28, 2021·Journal of General Internal Medicine·Eric A ApaydinDavid C Mohr
May 28, 2021·Emergency Medicine Journal : EMJ·Nicola Jane Credland, Clare Whitfield
Jul 16, 2021·Journal of Patient Experience·Emily A VargasRiley A Marshall

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