Using Simulation to Foster Civility

Jasline Moreno, MSN, RN

Session Overview:

Incivility, horizontal violence, bullying are all words used in the literature to describe the behaviors seen in the healthcare workplace that lead to a toxic environment. Edmondson and Allard (2013) reported 37% of nurses leave their jobs due to incivility in the workplace. The financial impact of incivility is $300 billion annually (Clark, 2013). The Joint Commission (2008) identified disruptive behavior as a root cause for more than 3,500 sentinel events over a 10-year period.

The ANA position paper entitled: Incivility, Bullying, and Workplace Violence advocates for education of our nurses, advocacy and enforcement by healthcare institutions.  We as educators need to help our nursing students identify incivility, and gain tools that are useful in dealing with these behaviors. Learning how to manage a difficult situation or conflict requires practice or rehearsal.  It is a skill that we have never been taught.

Simulation is an excellent methodology to teach this skill.  Simulation is a safe environment where students’ frames are uncovered and assumptions are challenged.  Simulation is also grounded in experiential learning theory.  Managing incivility requires practice.  In order to be able to have a difficult conversation, you need to practice, simulation provides this opportunity.

The objective for my presentation is to encourage educators to use simulation to teach civility. This will lead to a change in nursing culture which will translate to increased patient safety.

Learning Objectives:

By the end of this information session, participants will be able to:

  1. Identify the impact of incivility on patient safety. 
  2. Discuss why simulation is an effective modality to teach civility.