Clinical trial NCT05595057: Coping, Perceived Meaning, Joy, Horizontal Civility At Work
Official title: Coping, Perceived Meaning, Joy, Horizontal Civility At Work
Study type: OBSERVATIONAL
Overall status: WITHDRAWN
Conditions: Workplace Incivility
Joy
Self Efficacy
Lead sponsor: Methodist Health System
Sponsor class: OTHER
First posted: 2022-10-26
Enrollment: 0
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: A power analysis using the G\*Power 3.1 \[1\] indicated that a total sample of 84 people would be needed to detect a medium effect (Cohen's ρ= 0.30) with 80% power using exact correlation-difference from constant (one sample case) with alpha at 0.05. We plan to enroll 105 people to account for the 20% attrition rate (Faul, Erdfelder, Buchner, \& Lang, 2009). Participants will be asked to respond online to a questionnaire launched via Survey Monkey® and provide demographic information and information related to coping, perceived meaning, joy, and horizontal civility at work.

Brief summary: The aim of this study is to assess and describe employee characteristics associated with perceived horizontal inter-collegial workplace uncivil behavior within nursing services, and identify any relationships with meaning and joy in work (MJW), and assess job satisfaction.

Detailed description: Workplace incivility in the nursing profession interferes with the establishment of a culture of safety, places patient safety at risk, and erodes job satisfaction and a positive staff environment (Kile, Eaton, deValpine, \& Gilbert, 2019). Contemporary research among nurses in Magnet and Pathway to Excellence-designated hospitals reflects that 'nurse coworker incivility is sporadic on average but varies considerably across nurses (Smith, Morin, \& Lake, 2018). However, there needs to be more administrative focus and attention on nurses' work environments to support civil workplaces where the nurses focuses on and provide patient care (Smith et al., 2018). Hence, the proposed study aims to examine intra-organizational incivility, that is incivility 'originating from within the organization' (Cortina, Magley, Williams, \& Langhout, 2001), and will examine nurses' intrapersonal resourcefulness to support or promote proactive self-management in a self-efficacious manner, thus ameliorating workplace incivility, dissatisfaction, and detrimental outcomes. For this study, nursing staff will include registered nurses and other para-professionals employed under nursing services. The para-professionals employed under nursing services are Mental Health Technicians (MHT), Patient Care Technicians (PCT), Surgical Technicians (ST), and Emergency Medical Services (EMS).

Eligibility criteria: Inclusion Criteria:

* The sample of participants will include all willing individuals who are registered nurses (full time, part time, and per-diem) or nursing para-professionals employed by MHS and working at the MDMC, MCMC, MLMC, or MMMC campuses.
* Provide direct patient care for more than 50% of work hours.
* All participants must be able to read and understand English.

Exclusion Criteria:

* Excluded from the study will be employees who do not provide direct patient care for at least 50% of the time, educators, managers, leaders, advanced practice nurses, and non-nursing service personnel.

Primary outcomes:
measure: Self-efficacy
timeFrame: Dec 2021 - Dec 2022
measure: Perceived self-efficacy
timeFrame: Dec 2021 - Dec 2022
measure: MJW
timeFrame: Dec 2021 - Dec 2022
measure: Nursing staff in high-stress levels clinical areas and high sense of urgency (e.g., critical care and the emergency department (ED))
timeFrame: Dec 2021 - Dec 2022
measure: Years of experience in this hospital predicts staff's perception of incivility
timeFrame: Dec 2021 - Dec 2022
measure: Years of experience in nursing services at any facility predicts report of coping self-efficacy
timeFrame: Dec 2021 - Dec 2022
Secondary outcomes:
Other outcomes:
Locations:
city: Dallas
country: United States
facility: Methodist Dallas Medical Center
state: Texas
city: Dallas
country: United States
facility: Methodist Mansfield Medical Center
state: Texas
city: Dallas
country: United States
facility: Methodist Charlton Family Medicine
state: Texas
city: Midlothian
country: United States
facility: Methodist Midlothian Medical Center
state: Texas
Study officials:
affiliation: Methodist Charlton Medical Center
name: Anne-Gret Friedrich-Cuntz, EdD
role: PRINCIPAL_INVESTIGATOR
affiliation: The Methodist Hospital Research Institute
name: Cheyenne Ruby, MSN
role: PRINCIPAL_INVESTIGATOR
affiliation: Methodist Mansfield Medical Center
name: Laura Sweatt, MSN
role: PRINCIPAL_INVESTIGATOR
affiliation: Methodist Midlothian Medical Center
name: Julie Vinson, BSN
role: PRINCIPAL_INVESTIGATOR
References: