Abstract:
Background: Incivility experienced by nursing students in clinical settings often occurs despite the negative impact on learners, educators, institutions, and healthcare institutions. Research on prevalence of clinical incivility is ongoing but interventions to address it have not been as well-studied.
Objectives: To a) reaffirm the importance of clinical incivility among pre-licensure BSN senior nursing students, b) to verify significant associations between clinical incivility and their perceived stress levels, and c) to investigate quantitative risk factors for clinical incivility during clinical.
Method: Our study used a cross-sectional research design with a self-administered online survey including a Korean version of the Uncivil Behavior in Clinical Nursing Education (K-UBCNE) for clinical incivility, a Korean version of the Perceived Stress Scale for stress (K-PSS), a sample characteristics questionnaire, and a student evaluation of clinical sites. Data collected from 167 students at a nursing college in Seoul, Korea in March 2023 were analyzed using Pearson Correlation Coefficient, Chi-Square, and Liner regression.
Results: Of the 167 students, 122 (73.05%) reported clinical incivility, especially from nurses at their clinical sites (n=89, 72.95%). The score of the K-UBCNE was positively correlated with K-PSS (r=.385, p<.001). The score of the K-UBCNE was negatively correlated with BSN program satisfaction (r=-.208, p=.007), Clinical practice satisfaction (r=-.297, p<.001), and Clinical site satisfaction (r=-.346, p<.001). Approximately 25% of clinical incivility was predicted by Clinical Site Satisfaction, stress level by K-PSS, BSN Program Satisfaction, and Clinical Practice Satisfaction, F (4, 162) = 13.311, p <.001.
Conclusion: Clinical incivility still occurs among pre-licensure nursing students in Korea. Nurses and nursing educators must recognize the negative outcomes of clinical incivility on future nurses and their intent to remain in the profession.
