Educating senior baccalaureate nursing students to recognize and report negative behavior in the clinical settings

Schaefer, Florence
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The aim of the study was to determine if senior nursing students who witness negative behavior in a video that simulates a clinical experience are able to recognize the behaviors as negative and to determine if they would report or ignore the behavior. While the clinical rotation provides an essential venue for socialization into the role of the professional nurse, socialization into a culture of abuse also begins at this time. Clinical nurses are frequently identified as a major perpetrator of the negative behavior experienced by students. Episodes of negative behavior, verbal and physical, are under reported. Some reasons given for underreporting include that being a recipient of violence was viewed as a rite of passage and the student has a desire to fit in. This was a mixed method, two groups, randomly assigned, intervention trial. The intervention group attended a one-hour training program on recognition and reporting of negative behavior while the control group attended a one-hour session on sleep and shift work. Both groups then viewed a video containing six vignettes simulating a clinical experience including negative behavior and completed the study survey. The independent variable is the negative behavior training program. The dependent variable is the student's identification of negative behavior in the video. Statistical analysis found no significant difference between the groups demographics. Statistical significance was found in identifying nonverbal abuse. Both groups were able to recognize the verbal and physical negative behaviors. Emerging themes were developed from the qualitative responses. Education focusing on recognizing covert forms of negative behavior and the continued need to report, if incorporated into nursing education curriculum may help break the cycle of violence identified as "eating our young".

Nursing, Education, Health and environmental sciences, Bullying, Clinical, Incivility, Negative behavior, Nursing students, Staff nurses