J Korean Acad Nurs.  2018 Feb;48(1):85-95. 10.4040/jkan.2018.48.1.85.

Threats to Identity: A Grounded Theory Approach on Student Nurses' Experience of Incivility during Clinical Placement

• Kang J
• Jeong YJ
• Kong KR

• KMID: 2405472
• DOI: http://doi.org/10.4040/jkan.2018.48.1.85

Abstract

PURPOSE
This qualitative study aimed to explore the experience of incivility among nursing students.
METHODS
Sixteen nursing students who had experienced incivility during their clinical placement were invited for one-on-one interviews until the point of theoretical saturation. The grounded theory approach of Corbin and Strauss was adopted to analyze transcribed interview contents.
RESULTS
Incivility occurred in the context of a hierarchical organizational culture, due to nursing students' position as outsiders, non-systematic clinical education, and poor nursing work environment. The experience of incivility was identified as "being mistreated as a marginal person," and nursing students responded to this phenomenon in the following three steps: reality shock, passive action, and submissive acceptance. This process caused students to lose self-esteem and undergo role conflict. Furthermore, nursing students' experience of incivility could eventually lead to workplace bullying in nurses.
CONCLUSION
The results of this study suggest that nursing students' experience of incivility can be a process that threatens their identity. It is necessary to develop educational programs and provide appropriate counseling services so that nursing students can actively cope with the incivility. In addition, institutional plans are needed to ensure safe and supportive clinical learning environments.

Keyword

Grounded theory; Incivility; Qualitative research; Self concept; Students, nursing

MeSH Terms

Bullying
Counseling
Education
Grounded Theory*
Humans
Learning
Nursing
Organizational Culture
Qualitative Research
Self Concept
Shock
Students, Nursing

Figure

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  Figure 1. The process of nursing students’ experience of incivility during clinical placement.

Reference

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