護理教育中不文明行為之概念分析

Conceptual Analysis of Incivility Behavior in Nursing Education

10.29494/LN.202303_24(1).0002

劉芊葳(Chien-Wei Liu)；江惠英(Hui-Ying Chiang)；周汎澔(Fan-Hao Chou)；蔡曉婷(Shiau-Ting Tsai)

不文明行為 ； 概念分析 ； 護理 ； 教育 ； incivility behavior ； concept analysis ； nursing ； education

領導護理

24卷1期（2023 / 03 / 01）

11 - 21

繁體中文;英文

「不文明行為」是一種以言語或態度的負向開端，是在霸凌行為前就先發生預警，也是一個隱藏的概念。近幾年來已成為護理校園與職場的重要國際性議題。不文明行為的表現形式相當多元，若長期遭遇不文明行為對待，會造成身、心、社會及靈性的困擾，容易對護理產生負向感受或對人生感到懷疑，甚至離開護理職場。不文明行為在國外經常被廣泛探討在學術界教學型態與工作場所的相關性，但國內對於不文明行為缺乏整體性、有系統的概念分析；為釐清不文明行為之明確定義，本文將以Walker及Avant（2011）所提的概念分析步驟來進行概念分析，整理出其鑑定性特徵，透過列舉典型案例、邊緣案例及相反案例等，澄清此概念並確認不文明行為前因與後果。期望透過此系統性概念分析，能進一步認識護理人員的校園友善環境，並作為教育與研究領域的具體參考。

"Incivility behavior" is an obscure concept referring to a negative ignition and a verbal or frame of mind notification before bullying. In recent years, it has become a critical issue internationally, both in the educational and occupational milieus. There are various manifestation of incivility behaviors in clinical settings. Individuals suffered from long-term incivility behaviors may develop physical, psychological, social and spiritual symptoms; hence generate negative perceptions or uncertainties on personal life and professional career that eventually leads to quit the nursing profession. The incivility behavior is extensively and frequently analyzed internationally, however, a comprehensive and systemic conceptual analysis on incivility behavior is insufficient. In order to clarify the definition of incivility behavior, a concept analysis following by Walker & Avant's steps was proposed. The characteristics, case studies, contributing factors and consequences were also identified. Through this analysis, it is hoped to more understand the campus with friendly environment for nursing staff, and hence serve as a specific reference in the research field of nursing education.

1. Abolfazl Vagharseyyedin, S.(2015).Workplace incivility: A concept analysis.Contemporary Nurse,50(1),115-125.
2. Ahn, Y. H.,Choi, J.(2019).Incivility experiences in clinical practicum education among nursing students.Nurse Education Today,73,48-53.
3. American Nurses Association. (2015, September, 9). ANA releases position statement on incivility, bullying and workplace violence. https://www.wsna.org/news/2015/ana-releases-position-statment-on-incivility-bullying-and-workplace-violence
4. Bartlett, J. E.,Bartlett, M. E.(2011).Workplace bullying: An integrative literature review.Advances in Developing Human Resources,13(1),69-84.
5. Birks, M.,Cant, R. P.,Budden, L. M.,Russell-Westhead, M.,Yeter Sinem Ü zar Ö zçetin,Tee, S.(2017).Uncovering degrees of workplace bullying: A comparison of baccalaureate nursing students’ experiences during clinical placement in Australia and the UK.Nurse Education in Practice,25,14-21.
6. Clark, C. M.,Barbosa-Leiker, C.,Gill, L. M.,Nguyen, D.(2015).Revision and psychometric testing of the incivility in nursing education (INE) survey: introducing the INE-R..Journal of Nursing Education,54(6),306-315.
7. Clark, C. M.,Farnsworth, J.,Landrum, R. E.(2009).Development and description of the incivility in nursing education (INE) survey.Journal of Theory Construction & Testing,13(1),7-15.
8. Clark, C. M.,Springer, P. J.(2007).Incivility in nursing education: A descriptive study of definitions and prevalence.Journal of Nursing Education,46(1),7-14.
9. Clarke, C. M.,Kane, D. J.,Rajacich, D. L.,Lafreniere, K. D.(2012).Bullying in undergraduate clinical nursing education.Journal of Nursing Education,51(5),269-276.
10. Cortina, L. M.,Kabat-Farr, D.,Magley, V. J.,Nelson, K.(2017).Researching rudeness: The past, present, and future of the science of incivility.Journal of Occupational Health Psychology,22(3),299-313.
11. Courtney‐Pratt, H.,Pich, J.,Levett‐Jones, T.,Moxey, A.(2018).“I was yelled at, intimidated and treated unfairly”: Nursing students' experiences of being bullied in clinical and academic settings.Journal of Clinical Nursing,27(5-6),e903-e912.
12. Eka, N. G. A.,Chambers, D.(2019).Incivility in nursing education: A systematic literature review.Nurse Education in Practice,39,45-54.
13. Gallo, V. J.(2012).Incivility in nursing education: A review of the literature.Teaching and Learning in Nursing,7(2),62-66.
14. Guidroz, A. M.,Burnfield-Geimer, J. L.,Clark, O.,Schwetschenau, H. M.,Jex, S. M.(2010).The nursing incivility scale: Development and validation of an occupation-specific measure.Journal of Nursing Measurement,18(3),176-200.
15. Harris, C. T. (2013). Incivility in nursing. Nursing Bulletin. https://www.ncbon.com/vdownloads/course-bulletin-ferings-articles/bulletin- article-fall-2011-incivility-in-nursing.pdf
16. Hunt, C.,Marini, Z. A.(2012).Incivility in the practice environment: A perspective from clinical nursing teachers.Nurse Education in Practice,12(6),366-370.
17. Lynette, J.,Echevarria, I.,Sun, E.,Ryan, Jane Greene(2016).Incivility across the Nursing Continuum.Holistic Nursing Practice,30(5),263-268.
18. Merkel, R.,Olsen, J.,Pehler, S. R.,Sperstad, R.,Sisto, H.,Brunsell, K.,Mades, H.(2020).An innovative civility intervention created by a faculty and student action research team.Journal of Nursing Education,59(4),214-217.
19. Merriam-Webster. (2022, October 16). incivility. In Merriam-Webster.com dictionary. http://www.merriam-webster.com/dictionary/incivility
20. Muliira, J. K.,Natarajan, J.,Van Der Colff, J.(2017).Nursing faculty academic incivility: Perceptions of nursing students and faculty.BMC Medical Education,17(1),253.
21. Nursing Center. (2022, January 1). Workplace incivility. https://www.nursingcenter.com/clinical-resources/nursing-pocket-cards/workplace-incivility
22. Patel, S. E.,Chrisman, M.(2020).Incivility through the continuum of nursing: A concept analysis.In Nursing Forum,55(2),267-274.
23. Shen, H.,Wang, H.,Yan, L.,Liu, W.,Zhang, J.,Zhou, F.,Kong, S.,Deng, L.(2020).Incivility in nursing practice education in the operating room.Nurse Education Today,88,104366.
24. Small, S. P.,English, D.,Moran, G.,Grainger, P.,Cashin, G.(2019).Mutual respect would be a good starting point:” Students’ perspectives on incivility in nursing education.Canadian Journal of Nursing Research,51(3),133-144.
25. Sprunk, E. A.,LaSala, K. B.,Wilson, V. L.(2014).Student incivility: Nursing faculty lived experience.Journal of Nursing Education and Practice,4(9),1-12.
26. Thompson, R.(2019).Enough! Eradicate bullying and incivility in healthcare: Strategies for front line leaders.Gravitas Press.
27. Todd, D.,Byers, D.,Garth, K.(2016).A pilot study examining the effects of faculty incivility on nursing program satisfaction.BLDE University Journal of Health Sciences,1(1),9-13.
28. Twale, D. J.,De Luca, B. M.(2008).Faculty incivility: The rise of the academic bully culture and what to do about it.John Wiley & Sons.
29. Van Der Wege, M.,Keil, S.(2019).Answering the call of the nursing profession Michelle.The Kansas Nurse,94(2),12-14.
30. Walker, L. O.,Avant, K. C.(2011).Strategies for theory construction in nursing.Boston, MA:Prentice Hall.
31. 中華民國教育部（2021，10 月 01日）．行為．於重編國語辭典修訂本 。 https://dict.concised.moe.edu.tw/dictView.jsp?ID=28273&q=1 28273&q