Incivility in nursing: from roots to repair

This paper offers a commentary on the topic of incivility, bullying and horizontal violence that is seemingly endemic and growing in prevalence in the nursing profession (Hershcovis 2011, Vessey et al. 2011, Croft & Cash 2012, Farrell & Shafiei 2012, Khadjehturian 2012, McNamara 2012, Porath & Pearson 2013, Reio & Trudel 2103, Daly et al. 2015). This paper suggests an outline of the reasons for the prevalence of incivility and a description of the impact of this negative behaviour on the staff involved, patients or clients, the organisation and the nursing profession as a whole. The importance of the role of clinical leaders and the theory of congruent leadership in changing organisational culture and combating the propogation of incivility are discussed. Also provided are suggestions around the promotion of clinical leadership by focusing on the impact that clinical leaders can have by taking responsibility for role modelling traditional nursing values (courage, compassion and care) and displaying civil and appropriate positive behaviour to their colleagues.