Be Resilient: Examining the Relationship Between Staff Nurse Incivility and Undergraduate Nursing Students' Sense of Belonging to the Nursing Profession
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Abstract
Background: Sense of belonging is essential for nursing students to develop and grow within the nursing profession. Unfortunately, incivility threatens the sense of belonging in nursing students. Purpose: The purpose of this cross-sectional study is to determine the relationship between staff nurse incivility and undergraduate nursing students’ sense of belonging in nursing school, describe the presence of incivility in minority undergraduate nursing students, and determine how semester in the nursing program and weight are associated with incivility and sense of belonging. Baumeister and Leary’s (1995) need to belong theory was chosen as the framework for this study. Methods: A convenience sample of 123 junior and senior nursing students from two nursing schools in New Mexico were recruited to participate in this study. The concepts were measured using the Uncivil Behavior in Clinical Nursing Education (UBCNE) and Sense of Belonging in Nursing School (SBNS) surveys. Correlation coefficient, descriptive statistics, Fisher r-to-z transformation, 95% confidence intervals were calculated. Results: One-hundred and twenty-three pre-licensure undergraduate nursing students completed the study, resulting in 44.7% response rate. The results showed a statistically significant, inverse correlation between the UBCNE and SBNS. However, there was no association between staff nurse incivility and undergraduate nursing student sense of belonging among the cohort. Of the minority undergraduate nursing students, American Indian or Alaskan Native students reported the highest mean frequency of incivility. There was no significant difference noted between correlations based on level in the program or body mass index. Discussion: This was the first study to assess the relationship between staff nurse incivility and undergraduate nursing students’ sense of belonging in nursing school. As the experience of incivility increased in the clinical environment, the overall sense of belonging in nursing school decreased. Yet, staff nurse incivility was not associated with sense of belonging in the cohort, highlighting the impact of acceptance in the students’ social group. Conclusion: This study reported the relationship between incivility and sense of belonging in the nursing profession. The findings of this study may be useful for nursing educators, nursing students, staff nurses, and healthcare organizations who facilitate clinical experiences for nursing students.
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Introduction -- Literature review -- Theoretical framework and methodology -- Instrument development -- Results -- Discussion -- Appendix A. Letters of access -- Appendix B. Letters of use -- Appendix C. Instruments used
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Ph.D. (Doctor of Philosophy)