Relationship Among Nursing Workplace Incivility, Resilience, and the Healthcare Environment in Rural and Urban Settings

Objective: Determine whether differences in incivility exist in rural and urban settings, exploring how incivility impacts nurses’ job satisfaction, intent to leave, nurse-reported quality of patient care and safety, with attention to educational background. Background: Incivility can negatively impact the healthcare environment. Resilience, a protective factor, may support nurses during challenging times. Methods: A descriptive correlational design was employed with 342 nurses in one Midwest state. Data were collected via online questionnaires and analyzed for relationships and predictors. Results: A significant negative correlation ( P =0.01) was found between resilience and workplace incivility, with significant predictors being job satisfaction ( P= 0.0003), plan to leave position ( P =0.003), and incivility post-COVID-19 ( P= 0.002). A significant predictor of resilience was job satisfaction ( P =0.01). There were no significant differences in incivility and resilience between rural and urban settings, or education preparation. Conclusions: These findings, consistent with other studies, can assist nurse administrators to move toward preventing workplace incivility.