Nurse Practitioners Incivility Experiences and Intent to Leave Clinical Practice

Date of Conferral

10-25-2023

Degree

Ph.D.

School

Nursing

Advisor

Leslie Husssey

Abstract

Nurse practitioner (NP) incivility is a problem for the profession of nursing and interferes with the establishment of a culture of respect and safety. Incivility affects healthy work environments, impedes patient safety and collaboration, and causes physical and psychological stressors for NPs. The purpose of this quantitative study, guided by Lazarus and Folkman’s appraisal theory, was to determine if there was a relationship between (a) frequency of incivility and a nurse practitioners’ intent to leave clinical practice, (b) the source of incivility and a nurse practitioners’ intent to leave clinical practice,(c) the frequency of incivility and NPs intent to leave clinical practice mediated by years of clinical practice, and (d) frequency of incivility and the NPs intent to leave clinical practice mediated by the effect of work-related stress. There were 158 study participants who completed the Guidroz’ Nursing Incivility Scale (NIS), Gray-Toft and Anderson’s Nursing Stress Scale, and the Turnover Intention Scale. Data were analyzed using linear regression and ANOVA, which showed that NIS was negatively associated with NPs intent to leave. There was a significant relationship between patient and family NIS and frequency of NP stress. The number of years of NP practicing was not significant. Future research should be conducted using a qualitative or mixed methods approach with a larger NP participant size to gain insight into a NPs incivility experience, sources of incivility, and years of clinical practice. Although incivility in the workplace is common, how incivility influences NP communication and work-related stress can gain insight into NPs leaving their organization which can effect positive social change.

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