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Original Article
Threats to Identity: A Grounded Theory Approach on Student Nurses’ Experience of Incivility during Clinical Placement
Jiyeon Kang, Yeon Jin Jeong, Kyoung Ran Kong
J Korean Acad Nurs 2018;48(1):85-95.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.1.85
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Abstract Purpose

This qualitative study aimed to explore the experience of incivility among nursing students.

Methods

Sixteen nursing students who had experienced incivility during their clinical placement were invited for one-on-one interviews until the point of theoretical saturation. The grounded theory approach of Corbin and Strauss was adopted to analyze transcribed interview contents.

Results

Incivility occurred in the context of a hierarchical organizational culture, due to nursing students’ position as outsiders, non-systematic clinical education, and poor nursing work environment. The experience of incivility was identified as “being mistreated as a marginal person,” and nursing students responded to this phenomenon in the following three steps: reality shock, passive action, and submissive acceptance. This process caused students to lose self-esteem and undergo role conflict. Furthermore, nursing students’ experience of incivility could eventually lead to workplace bullying in nurses.

Conclusion

The results of this study suggest that nursing students’ experience of incivility can be a process that threatens their identity. It is necessary to develop educational programs and provide appropriate counseling services so that nursing students can actively cope with the incivility. In addition, institutional plans are needed to ensure safe and supportive clinical learning environments.

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