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Incivility among the team in intrahospital emergency units: a perspective of nursing professionals
Authors
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Felipe Cassimiro Cabral da Silva
Federal University of Alfenas
https://orcid.org/0009-0006-3452-7320
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Salma Dulce Custódio de Souza
Federal University of Alfenas
https://orcid.org/0009-0009-9252-674X
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Lígia Beatriz de Souza Muro
Federal University of Alfenas
https://orcid.org/0009-0000-6038-4569
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Rogério Silva Lima
Universidad Federal de Alfenas
https://orcid.org/0000-0002-1751-2913
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Abstract
Introduction: The hospital emergency environment is characterized by critical situations, high technical demands, and the need for rapid responses, which makes it susceptible to episodes of incivility among team members. Objective: Understanding nurses' experiences of incivility in the context of in-hospital emergency care and identifying the coping strategies adopted by these professionals. Methodology: This is a qualitative study with an exploratory design and a constructionist approach conducted with 18 nurses who have worked in emergency care throughout their careers. Data were collected through semi-structured interviews and analyzed according to Reflective Thematic Analysis. The research project was submitted for evaluation by the Research Ethics Committee, obtaining. Results: Two major themes were constructed, entitled "Incivility in the emergency room: the paradox between the demands of care and the inexperience of professionals" and "The psychological suffering of nurses: the personal coping movement in the face of organizational silence," with the sub-theme "Why institutions remain silent: the role of hierarchy in maintaining uncivil behavior." Conclusion: Incivility was found to be normalized in many settings, with a lack of effective institutional actions to curb these practices. Hierarchical rigidity and protectionism were identified as obstacles to reporting and resolving these conflicts.
Keywords:
Incivility , Social Problems , Emergencies , Nursing , Qualitative ResearchReferences
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