Coping, Perceived Meaning, Joy, Horizontal Civility at Work

The aim of this study is to assess and describe employee characteristics associated with perceived horizontal inter-collegial workplace uncivil behavior within nursing services, and identify any relationships with meaning and joy in work (MJW), and assess job satisfaction.

Study Overview

• Status: Recruiting
• Conditions: Self Efficacy; Workplace Incivility; Joy

Detailed Description

Workplace incivility in the nursing profession interferes with the establishment of a culture of safety, places patient safety at risk, and erodes job satisfaction and a positive staff environment (Kile, Eaton, deValpine, & Gilbert, 2019). Contemporary research among nurses in Magnet and Pathway to Excellence-designated hospitals reflects that 'nurse coworker incivility is sporadic on average but varies considerably across nurses (Smith, Morin, & Lake, 2018). However, there needs to be more administrative focus and attention on nurses' work environments to support civil workplaces where the nurses focuses on and provide patient care (Smith et al., 2018). Hence, the proposed study aims to examine intra-organizational incivility, that is incivility 'originating from within the organization' (Cortina, Magley, Williams, & Langhout, 2001), and will examine nurses' intrapersonal resourcefulness to support or promote proactive self-management in a self-efficacious manner, thus ameliorating workplace incivility, dissatisfaction, and detrimental outcomes. For this study, nursing staff will include registered nurses and other para-professionals employed under nursing services. The para-professionals employed under nursing services are Mental Health Technicians (MHT), Patient Care Technicians (PCT), Surgical Technicians (ST), and Emergency Medical Services (EMS).

• Study Type: Observational
• Enrollment (Anticipated): 105

Contacts and Locations

Study Locations

• United States
  • Texas
    • Dallas, Texas, United States, 75201
      • Recruiting
      • Methodist Dallas Medical Center
    • Dallas, Texas, United States, 75203
      • Recruiting
      • Methodist Mansfield Medical Center
      • Contact: Zaid Haddadin, MS; Phone Number: (214) 947-1280; Email: ClinicalResearch@mhd.com
    • Dallas, Texas, United States, 75237
      • Recruiting
      • Methodist Charlton Family Medicine
      • Contact: Crystee M Cooper, DEhD; Phone Number: 214-847-1280; Email: ClinicalResearch@mhd.com
      • Contact: Zaid Haddadin, MS; Phone Number: 214-847-1280; Email: ClinicalResearch@mhd.com
    • Midlothian, Texas, United States, 76065
      • Recruiting
      • Methodist Midlothian Medical Center

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: N/A
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

A power analysis using the G*Power 3.1 [1] indicated that a total sample of 84 people would be needed to detect a medium effect (Cohen's ρ= 0.30) with 80% power using exact correlation-difference from constant (one sample case) with alpha at 0.05. We plan to enroll 105 people to account for the 20% attrition rate (Faul, Erdfelder, Buchner, & Lang, 2009). Participants will be asked to respond online to a questionnaire launched via Survey Monkey® and provide demographic information and information related to coping, perceived meaning, joy, and horizontal civility at work.

Description

Inclusion Criteria:

• The sample of participants will include all willing individuals who are registered nurses (full time, part time, and per-diem) or nursing para-professionals employed by MHS and working at the MDMC, MCMC, MLMC, or MMMC campuses.
• Provide direct patient care for more than 50% of work hours.
• All participants must be able to read and understand English.

Exclusion Criteria:

• Excluded from the study will be employees who do not provide direct patient care for at least 50% of the time, educators, managers, leaders, advanced practice nurses, and non-nursing service personnel.

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Self-efficacy	Self-efficacy is directly related to job satisfaction	Dec 2021 - Dec 2022
Perceived self-efficacy	Perceived self-efficacy is inversely related to incivility	Dec 2021 - Dec 2022
MJW	MJW is inversely related to perceived incivility [Rutledge et al, 2018]	Dec 2021 - Dec 2022
Nursing staff in high-stress levels clinical areas and high sense of urgency (e.g., critical care and the emergency department (ED))	Nursing staff in high-stress levels clinical areas and high sense of urgency (e.g., critical care and the emergency department (ED)) are more likely to be exposed to incivility	Dec 2021 - Dec 2022
Years of experience in this hospital predicts staff's perception of incivility	Years of experience in this hospital predicts staff's perception of incivility	Dec 2021 - Dec 2022
Years of experience in nursing services at any facility predicts report of coping self-efficacy	Years of experience in nursing services at any facility predicts report of coping self-efficacy	Dec 2021 - Dec 2022

Collaborators and Investigators

• Sponsor: Methodist Health System
• Investigators: Principal Investigator: Anne-Gret Friedrich-Cuntz, EdD, Methodist Charlton Medical Center; Principal Investigator: Cheyenne Ruby, MSN, Methodist Dallas Medical Center; Principal Investigator: Laura Sweatt, MSN, Methodist Mansfield Medical Center; Principal Investigator: Julie Vinson, BSN, Methodist Midlothian Medical Center

Study record dates

Study Major Dates

• Study Start (Actual): December 15, 2021
• Primary Completion (Anticipated): December 1, 2023
• Study Completion (Anticipated): December 1, 2023

Study Registration Dates

• First Submitted: February 3, 2022
• First Submitted That Met QC Criteria: October 21, 2022
• First Posted (Actual): October 26, 2022

Study Record Updates

• Last Update Posted (Actual): October 26, 2022
• Last Update Submitted That Met QC Criteria: October 21, 2022
• Last Verified: October 1, 2022

More Information

Terms related to this study

• Other Study ID Numbers: 069.NUR.2021.A

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No