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  1. Tecza, Bonnie M. MSN, RN, CPN
  2. Boots, Brenda K. MSN, RN, CPN
  3. Clay, Patricia M. MSN, RN, CPN
  4. Kirkman, Kendra S. MSN, RN, CPN
  5. Mains, Brandi C. MSN, RN, CPN
  6. Newton, Erin E. MSN, RN
  7. Olney, Adrienne MS
  8. Bartlett, Jacqueline A. PhD, RN


OBJECTIVE: The purpose of this study is to develop a valid and reliable instrument to measure nursing students' (NSs') perceptions of civil and uncivil behaviors displayed by direct care nurses in the hospital clinical environment.


BACKGROUND: Incivility in nursing has been well documented. However, little is known about perceptions of incivility by NSs in the hospital clinical environment and its effects on NSs' transition to professional practice.


METHODS: A 13-item instrument was developed using literature, faculty feedback, and a semistructured focus group. The instrument was administered to convenience samples of NSs at a Midwest, Magnet(R)-designated pediatric hospital (N = 496).


RESULTS: Findings indicated high reliability and validity of the instrument, with a Cronbach's [alpha] of .930.


CONCLUSIONS: This study has produced a valid and reliable survey instrument to measure the perception of civil and noncivil behaviors on the part of clinical nurses as rated by NSs in hospital clinical settings. The use of this instrument will be beneficial to nurse executives in measuring these perceptions in their clinical settings.