Incivility experiences of racially minoritised hospital staff, consequences for them and implications for patient care: An international scoping review.
healthcare workers
quality of care
scoping review
workforce equity
workplace incivility
Journal
Sociology of health & illness
ISSN: 1467-9566
Titre abrégé: Sociol Health Illn
Pays: England
ID NLM: 8205036
Informations de publication
Date de publication:
20 Mar 2024
20 Mar 2024
Historique:
received:
18
09
2023
accepted:
04
02
2024
medline:
21
3
2024
pubmed:
21
3
2024
entrez:
21
3
2024
Statut:
aheadofprint
Résumé
Workplace incivility is a pervasive complex problem within health care. Incivility manifests as subtle disrespectful behaviours, which seem inconsequential. However, evidence demonstrates that incivility can be harmful to targets and witnesses through negative emotions, poorer mental health, reduced job satisfaction, diminished performance and compromised patient care. It is unclear to what extent existing research critically explores how ethnicity, culture and racism influence how hospital staff experience incivility. This global scoping review systematically analysed existing research exploring the specific ways incivility manifests and impacts racially minoritised hospital workers. Of 2636 academic and 101 grey literature articles, 32 were included. Incivility experiences were categorised into four themes: (1) Cultural control, (2) Rejection of work contributions, (3) Disempowerment at work and (4) Managerial indifference. The included articles highlighted detrimental consequences, such as negative emotions, silencing, withdrawal and reduced support-seeking behaviours. Few studies presented evidence regarding the negative impacts of incivility on patient care. Racialisation and racial dynamics are a significant factor for hospital-based incivility. Currently we do not know the extent to which racialised incivility is associated directly or, perhaps either via burnout or disengagement, indirectly with poorer care. This knowledge can inform the creation of comprehensive, evidence-based interventions to address this important issue.
Identifiants
pubmed: 38509641
doi: 10.1111/1467-9566.13760
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : National Institute for Health Research Yorkshire and Humber Patient Safety Research Collaboration
Informations de copyright
© 2024 The Authors. Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for the Sociology of Health & Illness.
Références
Abate, L., & Greenberg, L. (2023). Incivility in medical education: A scoping review. BMC Medical Education, 23(1), 24. https://doi.org/10.1186/s12909‐022‐03988‐2
Abubakar, I., Gram, L., Lasoye, S., Achiume, E. T., Becares, L., Bola, G. K., Dhairyawan, R., Lasco, G., McKee, M., Paradies, Y., Sabharwal, N. S., Selvarajah, S., Shannon, G., & Devakumar, D. (2022). Confronting the consequences of racism, xenophobia, and discrimination on health and health‐care systems. The Lancet, 400(10368), 2137–2146. https://doi.org/10.1016/s0140‐6736(22)01989‐4
Alinia, M. (2015). On Black Feminist Thought: Thinking oppression and resistance through intersectional paradigm. Ethnic and Racial Studies, 38(13), 2334–2340. https://doi.org/10.1080/01419870.2015.1058492
Andersson, L. M., & Pearson, C. M. (1999). Tit for tat? The spiraling effect of incivility in the workplace. Academy of Management Review, 24(3), 452–471. https://doi.org/10.5465/amr.1999.2202131
Appiah, A. (1992). In my father’s house: Africa in the philosophy of culture. https://philpapers.org/rec/APPIMF‐2
Arksey, H., & O’Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19–32. https://doi.org/10.1080/1364557032000119616
Baxter, R., Taylor, N., Keller, I., & Lawton, R. (2019). A qualitative positive deviance study to explore exceptionally safe care on medical wards for older people. BMJ Quality and Safety, 28(8), 618–626. https://doi.org/10.1136/bmjqs‐2018‐008023
Bradley, V., Liddle, S., Shaw, R., Savage, E., Rabbitts, R., Trim, C., Lasoye, T. A., & Whitelaw, B. C. (2015). Sticks and stones: Investigating rude, dismissive and aggressive communication between doctors. Clinical Medicine, 15(6), 541–545. https://doi.org/10.7861/clinmedicine.15‐6‐541
Brooks, M. E. (2016). Voices of perseverance: A phenomenological exploration of the life histories of female African‐American registered nurses [Thesis, Eastern Michigan University] [Preprint]. https://commons.emich.edu/cgi/viewcontent.cgi?article=2176&context=theses
Bunk, J., & Magley, V. J. (2013). The role of appraisals and emotions in understanding experiences of workplace incivility. Journal of Occupational Health Psychology, 18(1), 87–105. https://doi.org/10.1037/a0030987
Collins, P. H. (2009). Black feminist thought: Knowledge, consciousness, and the politics of empowerment (2nd ed.). Routledge.
Cortina, L. M. (2008). Unseen injustice: Incivility as modern discrimination in organizations. Academy of Management Review, 33(1), 55–75. https://doi.org/10.5465/amr.2008.27745097
Cortina, L. M., Kabat‐Farr, D., Leskinen, E. A., Huerta, M., & Magley, V. J. (2011). Selective incivility as modern discrimination in organizations. Journal of Management, 39(6), 1579–1605. https://doi.org/10.1177/0149206311418835
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. https://doi.org/10.1037/ocp0000089
Cottingham, M. D., Johnson, A. H., & Erickson, R. J. (2017). “I can never be too comfortable”: Race, gender, and emotion at the hospital bedside. Qualitative Health Research, 28(1), 145–158. https://doi.org/10.1177/1049732317737980
Credland, N. J., & Whitfield, C. (2021). Incidence and impact of incivility in paramedicine: A qualitative study. Emergency Medicine Journal, 39(1), emermed‐2020. https://doi.org/10.1136/emermed‐2020‐209961
Crenshaw, K. W. (1989). Demarginalizing the intersection of race and sex: A Black feminist critique of antidiscrimination doctrine, feminist theory, and antiracist politics. In Oxford university press eBooks (pp. 314–343). https://scholarship.law.columbia.edu/cgi/viewcontent.cgi?article=4013&context=faculty_scholarship
Daudt, H., Van Mossel, C., & Scott, S. (2013). Enhancing the scoping study methodology: A large, inter‐professional team’s experience with Arksey and O’Malley’s framework. BMC Medical Research Methodology, 13(1), 48. https://doi.org/10.1186/1471‐2288‐13‐48
Dovidio, J. F., & Gaertner, S. L. (2000). Aversive racism and selection decisions: 1989 and 1999. Psychological Science, 11(4), 315–319. https://doi.org/10.1111/1467‐9280.00262
Downey, M. M., & Thompson‐Lastad, A. (2023). From apathy to structural competency and the right to health: An institutional ethnography of a maternal and child wellness center.
Edmondson, A. C. (1999). Psychological safety and learning behavior in work teams. Administrative Science Quarterly, 44(2), 350–383. https://doi.org/10.2307/2666999
Floyd, C. (2020). Empowering nurses of minority in the face of incivility and bullying: Through the lens of phenomenology. www.academia.edu [Preprint]. https://www.academia.edu/82764880/Empowering_Nurses_of_Minority_in_the_Face_of_Incivility_and_Bullying_Through_the_Lens_of_Phenomenology
Guo, L., Ryan, B., Leditschke, I. A., Haines, K. J., Cook, K., Eriksson, L., Olusanya, O., Selak, T., Shekar, K., & Ramanan, M. (2022). Impact of unacceptable behaviour between healthcare workers on clinical performance and patient outcomes: A systematic review. BMJ Quality and Safety, 31(9), 679–687. https://doi.org/10.1136/bmjqs‐2021‐013955
Hamed, S., Bradby, H., Ahlberg, B. M., & Thapar‐Björkert, S. (2022). Racism in healthcare: A scoping review. BMC Public Health, 22(1), 988. https://doi.org/10.1186/s12889‐022‐13122‐y
Han, S., Harold, C. M., Oh, I., Kim, J. K., & Agolli, A. (2021). A meta‐analysis integrating 20 years of workplace incivility research: Antecedents, consequences, and boundary conditions. Journal of Organizational Behavior [Preprint], 43, 497–523. https://doi.org/10.1002/job.2568
Heyhoe, J. (2013). Affective and cognitive influences on decision making in healthcare. Retrieved August 29, 2023, from https://etheses.whiterose.ac.uk/5758/
Heyhoe, J., Birks, Y., Harrison, R., O’Hara, J. K., Cracknell, A., & Lawton, R. (2015). The role of emotion in patient safety: Are we brave enough to scratch beneath the surface? Journal of the Royal Society of Medicine, 109(2), 52–58. https://doi.org/10.1177/0141076815620614
Heyhoe, J., & Lawton, R. (2020). Social emotion and patient safety: An important and understudied intersection. BMJ Quality and Safety, 29(10), 1–2. https://doi.org/10.1136/bmjqs‐2019‐010795
Hicks, S., & Stavropoulou, C. (2022). The effect of health care professional disruptive behavior on patient care: A systematic review. Journal of Patient Safety, 18(2), 138–143. https://doi.org/10.1097/pts.0000000000000805
ICN. (2013). Cultural and linguistic competence. Retrieved August 30, 2023, from https://www.icn.ch/sites/default/files/inline‐files/B03_Cultural_Linguistic_Competence.pdf
Iedema, R., Greenhalgh, T., Russell, J., Alexander, J., Amer‐Sharif, K., Gardner, P., Juniper, M., Lawton, R., Mahajan, R. P., McGuire, P., Roberts, C., Robson, W., Timmons, S., & Wilkinson, L. (2019). Spoken communication and patient safety: A new direction for healthcare communication policy, research, education and practice? BMJ Open Quality, 8(3), e000742. https://doi.org/10.1136/bmjoq‐2019‐000742
Jones, C. P. (2018). Toward the science and practice of anti‐racism: Launching a national campaign against racism. Ethnicity & Disease, 28(Supp 1), 231. https://doi.org/10.18865/ed.28.s1.231
Katz, D., Blasius, K., Isaak, R., Lipps, J., Kushelev, M., Goldberg, A., Fastman, J., Marsh, B., & DeMaria, S. (2019). Exposure to incivility hinders clinical performance in a simulated operative crisis. BMJ Quality and Safety, 28(9), 750–757. https://doi.org/10.1136/bmjqs‐2019‐009598
Keller, S., Yule, S., Zagarese, V., & Henrickson Parker, S. (2020). Predictors and triggers of incivility within healthcare teams: A systematic review of the literature. BMJ Open, 10(6), e035471. https://doi.org/10.1136/bmjopen‐2019‐035471
Kern, J. H., & Grandey, A. A. (2009). Customer incivility as a social stressor: The role of race and racial identity for service employees. Journal of Occupational Health Psychology, 14(1), 46–57. https://doi.org/10.1037/a0012684
Kline, R. (2014). The snowy white peaks of the NHS: A survey of discrimination in governance and leadership and the potential impact on patient care in London and England. Middlesex University London [Preprint]. https://doi.org/10.22023/mdx.12640421.v1
Kline, R., & Somra, G. (2021). Difference matters: The impact of ethnicity on speaking up. Retrieved August 29, 2023, from https://nationalguardian.org.uk/wp‐content/uploads/2021/09/Difference_Matters.pdf
Martin, L. D., & Zadinsky, J. K. (2022). Frequency and outcomes of workplace incivility in healthcare: A scoping review of the literature. Journal of Nursing Management, 30(7), 3496–3518. https://doi.org/10.1111/jonm.13783
Metzl, J. M., & Hansen, H. (2014). Structural competency: Theorizing a new medical engagement with stigma and inequality. Social Science & Medicine, 103, 126–133. https://doi.org/10.1016/j.socscimed.2013.06.032
Milner, A., & Jumbe, S. (2020). Using the right words to address racial disparities in COVID‐19. The Lancet Public Health, 5(8), e419–e420. https://doi.org/10.1016/s2468‐2667(20)30162‐6
Mir, G. (2020). Achieving SDG 10: A global review of public service inclusion strategies for ethnic and religious minorities. http://hdl.handle.net/10419/244374
Moceri, J. T. (2012). Bias in the nursing workplace: Implications for Latino(a) nurses. PubMed, 19(3), 94–101.
Motro, D., Evans, J. B., Ellis, A. P. J., & Benson, L. (2022). Race and reactions to women’s expressions of anger at work: Examining the effects of the “angry Black woman” stereotype. Journal of Applied Psychology, 107(1), 142–152. https://doi.org/10.1037/apl0000884
NMC. (2018). Adult safeguarding framework – Roles and competences. Retrieved August 30, 2023, from https://www.nmc.org.uk/globalassets/sitedocuments/consultations/2018/rcn‐consultation/nmc‐response‐to‐the‐royal‐college‐of‐nursings‐consultation‐on‐adult‐safeguarding‐framework‐‐roles‐and‐competences‐‐‐july‐2018.pdf
O’Daniel, M., & Rosenstein, A. (2008). Professional communication and team collaboration. Retrieved August 29, 2023, from https://www.ncbi.nlm.nih.gov/books/NBK2637/
Ozturk, M. B., & Berber, A. (2022). Racialised professionals’ experiences of selective incivility in organisations: A multi‐level analysis of subtle racism. Human Relations, 75(2), 213–239. https://doi.org/10.1177/0018726720957727
Peters, M. D. J., Marnie, C., Tricco, A. C., Pollock, D., Munn, Z., Alexander, L., McInerney, P., Godfrey, C. M., & Khalil, H. (2020). Updated methodological guidance for the conduct of scoping reviews. JBI Evidence Synthesis, 18(10), 2119–2126. https://doi.org/10.11124/jbies‐20‐00167
Pierce, L. (2018). Exploring the experiences of African American nurses: An emancipatory inquiry. PhD thesis. University of North Dakota.
Popay, J. (2006). Guidance on the conduct of narrative synthesis in systematic reviews. A product from the ESRC methods programme. Version 1. https://www.semanticscholar.org/paper/Guidance‐on‐the‐conduct‐of‐narrative‐synthesis‐in‐A‐Popay‐Roberts/ed8b23836338f6fdea0cc55e161b0fc5805f9e27
Powers, C., Normand, L., & Whitcomb, K. (2014). Is clique behavior sabotaging your nursing team? Nursing Management, 45(11), 38–43. https://doi.org/10.1097/01.numa.0000452000.49343.60
Ray, V. (2019). A theory of racialized organizations. American Sociological Review, 84(1), 26–53. https://doi.org/10.1177/0003122418822335
Rimmer, A. (2023). NHS culture change is difficult, not impossible—But essential, says health ombudsman. BMJ, p2742. https://doi.org/10.1136/bmj.p2742
Riskin, A., Bamberger, P., Erez, A., Foulk, T., Cooper, B., Peterfreund, I., Sheps, J., Wilhelm‐Kafil, M., Riskin, Y., Riskin‐Guez, K., & Bamberger, E. (2019). Incivility and patient safety: A longitudinal study of rudeness, protocol compliance, and adverse events. Joint Commission Journal on Quality and Patient Safety, 45(5), 358–367. https://doi.org/10.1016/j.jcjq.2019.02.002
Riskin, A., Erez, A., Foulk, T. A., Kugelman, A., Gover, A., Shoris, I., Riskin, K. S., & Bamberger, P. A. (2015). The impact of rudeness on medical team performance: A randomized trial. Pediatrics, 136(3), 487–495. https://doi.org/10.1542/peds.2015‐1385
Ruvalcaba, J. G., Welch, S., & Carlisle, J. (2018). ESL versus non‐ESL nursing students’ perceptions of incivility in the clinical setting. Journal of Nursing Education, 57(12), 720–726. https://doi.org/10.3928/01484834‐20181119‐04
Saddler, J. (2023). Barclay has attacked the founding principles of the NHS. Retrieved December 23, 2023, from https://www.nhsconfed.org/articles/barclay‐has‐attacked‐founding‐principles‐nhs
Salazar, M. J. B., Minkoff, H., Bayya, J., Gillett, B., Onoriode, H., Weedon, J., Altshuler, L., & Fisher, N. (2014). Influence of surgeon behavior on trainee willingness to speak up: A randomized controlled trial. Journal of the American College of Surgeons, 219(5), 1001–1007. https://doi.org/10.1016/j.jamcollsurg.2014.07.933
Salway, S., Mir, G., Turner, D., Ellison, G. T., Carter, L., & Gerrish, K. (2016). Obstacles to “race equality” in the English National Health Service: Insights from the healthcare commissioning arena. Social Science & Medicine, 152, 102–110. https://doi.org/10.1016/j.socscimed.2016.01.031
Schilpzand, P., De Pater, I. E., & Erez, A. (2014). Workplace incivility: A review of the literature and agenda for future research. Journal of Organizational Behavior, 37(S1), S57–S88. https://doi.org/10.1002/job.1976
Shepherd, S. M., Willis‐Esqueda, C., Newton, D., Sivasubramaniam, D., & Paradies, Y. (2019). The challenge of cultural competence in the workplace: Perspectives of healthcare providers. BMC Health Services Research, 19(1), 135. https://doi.org/10.1186/s12913‐019‐3959‐7
Smith, A. M., Hassan, S., Hatmaker, D. M., DeHart‐Davis, L., & Humphrey, N. (2020). Gender, race, and experiences of workplace incivility in public organizations. Review of Public Personnel Administration, 41(4), 674–699. https://doi.org/10.1177/0734371x20927760
Stemler, S. (2001). An overview of content analysis. Practical Assessment, Research and Evaluation, 7(17), 17. https://doi.org/10.7275/z6fm‐2e34
Sue, D. W., & Constantine, M. G. (2007). Racial microaggressions as instigators of difficult dialogues on race: Implications for student affairs educators and students. College Student Affairs Journal, 26(2), 136–143. http://files.eric.ed.gov/fulltext/EJ899387.pdf
The Joint Commission. (2010). Advancing effective communication, cultural competence, and patient‐ and family‐centered care: A roadmap for hospitals. Retrieved August 30, 2023, from https://www.jointcommission.org/‐/media/tjc/documents/resources/patient‐safety‐topics/health‐equity/aroadmapforhospitalsfinalversion727pdf.pdf?db=web&hash=AC3AC4BED1D973713C2CA6B2E5ACD01B
The Joint Commission. (2021). Quick safety issue 24 (Updated June 2021) https://www.jointcommission.org/resources/news‐and‐multimedia/newsletters/newsletters/quick‐safety/quick‐safety‐issue‐24‐bullying‐has‐no‐place‐in‐health‐care/
Tikhonovsky, N. (2023). Burnt out or something more? Examining the real root cause of NHS workforce challenges. Retrieved December 23, 2023, from https://www.lcp.com/our‐viewpoint/2023/04/burnt‐out‐or‐something‐more‐examining‐the‐real‐root‐cause‐of‐nhs‐workforce‐challenges
Townsley, A., Li‐Wang, J., & Katta, R. (2023). When patient rudeness impacts care: A review of incivility in healthcare. Cureus [Preprint]. https://doi.org/10.7759/cureus.40521
Tricco, A. C., Zarin, W., Rios, P., Nincic, V., Khan, P. A., Ghassemi, M., Diaz, S., Pham, B., Straus, S. E., & Langlois, E. V. (2018). Engaging policy‐makers, health system managers, and policy analysts in the knowledge synthesis process: A scoping review. Implementation Science, 13(1), 31. https://doi.org/10.1186/s13012‐018‐0717‐x
Welch, V., Pettigrew, M., Tugwell, P., Moher, D., O'Niell, J., Waters, E., White, H., & the PRISMA‐Equity Bellagio group. (2012). PRISMA‐Equity 2012 extension: Reporting guidelines for systematic reviews with a focus on health equity. PLoS Medicine, 9(10), e1001333. https://doi.org/10.1371/journal.pmed.1001333
Westbrook, J., Sunderland, N., Li, L., Koyama, A., McMullan, R., Urwin, R., Churruca, K., Baysari, M. T., Jones, C., Loh, E., McInnes, E. C., Middleton, S., & Braithwaite, J. (2020). The prevalence and impact of unprofessional behaviour among hospital workers: A survey in seven Australian hospitals. Medical Journal of Australia, 214(1), 31–37. https://doi.org/10.5694/mja2.50849
Wingfield, A. H. (2010). Are some emotions marked ‘whites only’? Racialized feeling rules in professional workplaces. Social Problems, 57(2), 251–268. https://doi.org/10.1525/sp.2010.57.2.251
Wingfield, A. H. (2021). The (Un)managed heart: Racial contours of emotion work in gendered occupations. Annual Review of Sociology, 47(1), 197–212. https://doi.org/10.1146/annurev‐soc‐081320‐114850
Woodhead, C., Stoll, N., Harwood, H., Alexis, O., & Hatch, S. L. (2021). “They created a team of almost entirely the people who work and are like them”: A qualitative study of organisational culture and racialised inequalities among healthcare staff. Sociology of Health & Illness, 44(2), 267–289. https://doi.org/10.1111/1467‐9566.13414
WRES NHS England. (2023). NHS England » NHS workforce race equality standard (WRES) 2022 data analysis report for NHS trusts. Retrieved August 29, 2023, from https://www.england.nhs.uk/long‐read/nhs‐workforce‐race‐equality‐standard‐wres2022‐data‐analysis‐report‐for‐nhs‐trusts/
Yao, J., Lim, S., Guo, C. Y., Ou, A. Y., & Ng, J. W. X. (2022). Experienced incivility in the workplace: A meta‐analytical review of its construct validity and nomological network. Journal of Applied Psychology [Preprint], 107, 193–220. https://doi.org/10.1037/apl0000870