1. Tecza, Bonnie M. MSN, RN, CPN
  2. Boots, Brenda K. MSN, RN, CPN
  3. Mains, Brandi C. MSN, RN, CPN
  4. Dryer, Lisa D. MBA, MSN, RN, CPN
  5. Oertle, Dena L. MSN, RN, CPN
  6. Pontius, Camie J. MBA, MSN, RN, CPN
  7. Cantu, Chelcia L. MSN, RN
  8. Olney, Adrienne MS
  9. McElroy, Susan PhD, RN, NEA-BC
  10. Teasley, Susan MBA, MSN, RN, NE-BC, CCRC


OBJECTIVE: The purpose of this study was to measure nursing student perceptions of incivility in the clinical learning environment and test interventions that improve these perceptions. The secondary aim was to further test the reliability of the Nursing Student Perception of Civil and Uncivil Behaviors (NSPCUB) tool.


BACKGROUND: Incidence of incivility in nursing is well documented in the literature; however, there are few evidence-based interventions to combat this phenomenon.


METHODS: NSPCUB was administered to 314 nursing students. Data were used to develop hospital-wide and unit-specific interventions. After implementation of the interventions, the survey was administered to 410 students.


RESULTS: There was a statistically significant mean increase for 7 of the 12 survey items, hospital-wide, and the findings reenforced NSPCUB as a highly reliable tool.


CONCLUSIONS: This instrument can be used by nurse executives to measure perceptions of incivility, identify areas for improvement, and implement interventions.