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  1. Harris, Whitney C. MSN, RN, ACCNS-P, CPNP-PC
  2. Usseglio, John MPH
  3. Chapman-Rodriguez, Rose MS, RN, CPNP-PC, CCTC
  4. Licursi, Maureen MSN, RN, CPNP-PC
  5. Larson, Elaine PhD, RN, FAAN


OBJECTIVE: To identify and compare validated tools used to assess incivility in healthcare settings.


BACKGROUND: Incivility in the workforce is associated with poor quality outcomes, increased employee turnover, and decreased job satisfaction. Validated tools are essential for accurate measurement of incivility. The aim of this study was to compare characteristics of validated tools for use in a busy clinical setting.


METHODS: In a scoping review, English language research studies using incivility tools published in PubMed or CINAHL between March 1, 2013, and March 14, 2018, were assessed for sound psychometric properties and feasibility of use (eg, short, easy to administer).


RESULTS: After screening 869 articles and full text review of 244, 5 identified tools met the criteria; the Short Negative Acts Questionnaire seemed best suited for use in a busy healthcare setting.


CONCLUSION: Adoption of a standardized and validated incivility tool makes it possible to compare across clinical settings and track progress over time.