Incivility leads to the occurrence of rude and disrespectful behavior in the workplace. It can lower the staff's productivity, but it can be eliminated by actions of the nurses afflicted, leaders, and the hospital itself. However, the nurse managers' role is always more significant since, as the leader, they take the initiative of informing nurses about incivility in the hospital and its harmful effects. Moreover, they can create policies and norms of good behavior and reward civility for ending the conflict. Indeed, nurse managers have a major role in resolving conflict, and the quality of healthcare is determined by the way they manage their facilities through advocacy, promoting civility, and collaboration.
Rewarding civility resolves conflict, enabling teamwork, thus promoting a higher quality of care for patients. When the nurse leader offers prizes for the best behaviors in the workplace, the employees will feel motivated to develop better attitudes and characters ( Kisner, 2018 ). More nurses will enjoy having a better and more sensitive working environment; thus, there will be ease in delivery of services, and the nurses will have the motivation to give their best. Furthermore, the staff will become friendly, thus more cohesive in their actions. There will be proper communication, which will create an environment that promotes teamwork. Through teamwork, the nurses are also capable of providing higher quality services. The creation of effective teamwork has a direct and constructive impact on patient safety and outcome (Rahn, 2017). Hence, developing a management process that rewards civility will encourage good morals and create teamwork, reducing conflict, and improving the quality of healthcare.
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Encouraging collaboration helps in conflict resolution, which improves service delivery by nurses. The nurse leader can take up the management process, which involves enhancing collaboration ( Huber, 2017 ). This will improve the interaction amongst the workers, which will then help create interpersonal bonds. The chances of conflict occurring will be reduced as a result, and a work-friendly environment will be created. Moreover, there will be increased teamwork, which will enable nurses to share responsibility, thus minimizing the staff's exhaustion rates.
Consequently, the nurses will be capable of providing a higher quality of healthcare to patients. Through collaboration, the relationships built will help bridge experience gaps as experienced nurses will be able to share their skills and experience with others. They will also have more opportunities to share ideas ensuring everyone contributes to solutions. Thus, the collaboration will enable the exchange of opinions, which will improve the service quality of the hospital and promote respect.
Furthermore, the promotion of accountability enables the managers to ensure that the employees take the initiative in promoting civility, which improves the quality of healthcare offered. If the nurses' leader engages the staff in accountability for their actions, there will be more concern, care, and better handling of patients and the equipment. The employees become more professionally responsible for whatever tasks they have, and as a result, there is a boost in the level of performance ( Bambi et al., 2017 ). The staff will be more cautious in dealing with fellow and employees, and mutual respect will develop, opening the opportunity for better coordination. Additionally, better coordination means lesser disagreements and better delivery on the quality of services. The nurse managers will also be more vigilant in their duties, ensuring all workers get along. Therefore, accountability ensures all members are responsible for their actions and keen not to cause disputes with others.
Advocacy makes all nurses' opinions, and issues heard, thus, minimizing conflict. The nurse leader can manage his staff by being an advocate for all his nurses. By acting as a voice for his juniors, he can present their most pressing issues to the board to address them (Huber, 2017) . The leader will also have a sense of what is going on in his hospital and have better interpersonal relations with the staff. The freedom to share their problems with the manager makes the workers encouraged and motivated by the concern shown. As a result, they can focus on service delivery and improve patient satisfaction. There will also be better communication as the nurse manager can act as the voice of the frontline nurses and ensure more advanced nurses show equal respect. Consequently, there will be a better understanding of each other in the hospital and better coordination, which will minimize conflict.
Setting norms for civility helps avoid conflict, which improves the delivery of healthcare services. The nurse manager can set the standard for behavior in the facility for the staff ( Kisner, 2018 ). In alliance with other nurse leaders, the manager can set up an environment in the workplace that runs by a culture that is conducive to the progress of all staff. The culture will form the foundation for measuring the employees' moral values and will be the face of the hospital that every employee is required to symbolize. The nurse manager can lead the staff by example, by being a true picture of civility. The nurses will be able to emulate the character and reflect it when interacting with each other and with the patients resulting in enhanced coordination and engagement at the workplace. Thus, nurses' productivity will be increased as a result of the set norms and examples that advocate a culture of civility.
Implementing policies against incivility augment the quality of care in a hospital. A nurse manager can control incivility in the hospital by imposing regulations to be followed by every member of staff, which are meant to regulate character and behavior in the hospital. Moreover, policies implemented make the staff aware of the kind of workplace scenarios they should avoid and provides the repercussions should they engage in improper conduct as per the policy ( Bambi et al., 2017 ). The policy prevents incivility by providing guidelines for behavior and enacting consequences when the guidelines are crossed. In addition to the conflict-free environment, the policies create a conducive environment for work, allowing employees to provide better services to the patients. Patient outcomes generally improve as a result. Hence, putting up policies will leave no room for rudeness and discourage misconduct amongst workers, ensuring respect goes for each worker and less conflict.
Overall, nurse leaders should resolve conflict through their management processes. Incivility is a common issue that seems ignorable but can lead to deterioration of hospital services. The managers implement policies and offer rewards that encourage civility. Furthermore, they advocate for the nurses to ensure collaboration and professional accountability amongst all the staff. There are proper communication, responsibility, and sensitivity in their actions at the hospital. The results of teamwork in a healthcare setting are increased job satisfaction, patient safety. Cooperating nurses work well with team members and feel happy in their duties and are likely to deepen commitment to the employer and devote themselves to doing quality work. Therefore, nurse leaders should hold themselves accountable for the hospital's civility and initiate management processes, promoting accountability, and the quality of healthcare.
References
Bambi, S., Guazzini, A., De Felippis, C., Lucchini, A., & Rasero, L. (2017). Preventing workplace incivility, lateral violence, and bullying between nurses. A narrative literature reviews. Acta Bio Medica: Ateneo Parmensis , 88 (Suppl 5), 39.
Huber, D. (2017). Leadership and nursing care management-e-book . Elsevier Health Sciences.
Kisner, T. (2018). Workplace incivility: How do you address it?. Nursing2019 , 48 (6), 36-40.
Rahn, D. (2017). Creating a nursing dream team: working together effectively can improve quality of care and patient outcomes. American Nurse Today, 3, 60.