Incivility experiences of racially minoritised hospital staff, consequences for them and implications for patient care

An international scoping review

Datos Bibliográficos

ID11635269
AutoresOlivia Joseph (0000-0003-1190-7057, Faculty of Medicine and Health School of Psychology University of Leeds Leeds UK), Ghazala Mir (0000-0002-5277-6885, Faculty of Medicine and Health Leeds Institute of Health Sciences University of Leeds Leeds UK), Beth Fylan (0000-0003-0599-4537, National Institute for Health Research (NIHR) Yorkshire and Humber Patient Safety Research Collaboration Bradford UK), Pam Essler (0009-0005-9292-5573, National Institute for Health Research (NIHR) Yorkshire and Humber Patient Safety Research Collaboration Bradford UK), Rebecca Lawton (0000-0002-5832-402X, Faculty of Medicine and Health School of Psychology University of Leeds Leeds UK)
Año2024
Volumen47
Número1
Páginase13760-e13760
Fecha de publicación2024-03-20
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaSociology of Health & Illness (JOURNAL)
Identificadores de la revistaISSN: 0141-9889 • E-ISSN: 1467-9566
EditorialWiley (PUBLISHER • GB)
DOI10.1111/1467-9566.13760
PMID38509641
OpenAlexW4393053124
IdiomaEN
Citas recibidas1
Referencias citadas57

Workplace incivility is a pervasive complex problem within health care. Incivility manifests as subtle disrespectful behaviours, which seem inconsequential. However, evidence demonstrates that incivility can be harmful to targets and witnesses through negative emotions, poorer mental health, reduced job satisfaction, diminished performance and compromised patient care. It is unclear to what extent existing research critically explores how ethnicity, culture and racism influence how hospital staff experience incivility. This global scoping review systematically analysed existing research exploring the specific ways incivility manifests and impacts racially minoritised hospital workers. Of 2636 academic and 101 grey literature articles, 32 were included. Incivility experiences were categorised into four themes: (1) Cultural control, (2) Rejection of work contributions, (3) Disempowerment at work and (4) Managerial indifference. The included articles highlighted detrimental consequences, such as negative emotions, silencing, withdrawal and reduced support‐seeking behaviours. Few studies presented evidence regarding the negative impacts of incivility on patient care. Racialisation and racial dynamics are a significant factor for hospital‐based incivility. Currently we do not know the extent to which racialised incivility is associated directly or, perhaps either via burnout or disengagement, indirectly with poorer care. This knowledge can inform the creation of comprehensive, evidence‐based interventions to address this important issue

Burnout · Disengagement theory · Ethnic group · Health care · Incivility · Job satisfaction · Political science · Psychiatry · Psychological intervention · Sociology · Clinical Psychology · Emotional Labor in Professions · Healthcare professionals’ stress and burnout · Medicine · Psychology · Social Psychology · Workplace Violence and Bullying