Concept of Cognitive Rehearsal For Addressing Violence in Nurses’ Working Environments

Workplace Environment Assessment
Name
Institutional Affiliate
Workplace Environment Assessment
Work Environment Assessment
The organization’s work environment assessment produces a civility score of 37 on the Clark Healthy Workplace Inventory. According to the Clark Healthy Workplace Inventory, a score less than 50 reflects a very unhealthy workplace or working environment for nurses. The response to the inventory’s 20 statements defining a healthy work environment indicates that half of them do not apply to the organization. There is no single statement that fully applies to the organization and thus rendering it a very unhealthy workplace for nurses and other health care providers within the organization.
One of the surprises from the assessment was that the organization has low levels of employee satisfaction despite offering competitive remuneration packages. It is also perplexing that the organization does not recognize its employees as valuable assets even though it encourages the celebration of individual and collective achievements among nurses within the organization. Before the assessment, I firmly believed that effective communication was an integral element for sustainable growth and development of health care organizations and thus an essential aspect of a healthy work environment. The assessment shows that the organization lacks an effective communication approach reflecting a very unhealthy nursing workplace, as indicated by the low civility score.
An unhealthy nursing work environment is characteristic of intimidating and undesirable behaviors and interactions among the health care workers that often affect a nurse’s ability to discharge safe and quality patient care CITATION Gri14 \l 1033 (Griffin, 2014). Hence, results from the assessment indicate that the organization’s work environment features intimidating and undesirable interactions and behaviors among nurses CITATION Gri14 \l 1033 (Griffin, 2014). They take different forms, such as demeaning comments, discrimination or marginalization of other nurses, making sarcastic remarks, using threatening and abusive language, and other nurses ganging up to harass another colleague CITATION Gri14 \l 1033 (Griffin, 2014).
Literature Review
Griffin & Clark (2014) presents the concept of cognitive rehearsal as an effective intervention for addressing incivility and lateral violence in nurses’ working environments. According to Griffin & Clark (2014), cognitive rehearsal refers to developing appropriate responses to the diverse forms of incivilities witnessed by nurses in their areas of operation. These responses are designed to address specific forms of incivility experienced by nurses while discharging their duties and responsibilities. Clark (2015) proposes engaging in challenging conversations based on effective communication skills to address incivility in nursing work environments.
The development of appropriate responses to identified forms of incivility across the different nursing work environments enhances the nurses&rsqu...