Implementing Cognitive Rehearsal Training With Nursing Students to Counter Incivility in the Clinical Setting as Students and New Nurses: A Sequential Mixed-Methods Study.

Nurs Educ Perspect

About the Authors LisaMarie Wands, PhD, RN, CHSE-A, CNE, is an associate clinical professor, Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia. Carrie McDermott, PhD, RN, APRN, ACNS-BC, is corporate director professional nursing practice, Emory Healthcare, and assistant professor, Nell Hodgson Woodruff School of Nursing, Emory University. Noreen Bernard, EdD, RN, NEA-BC, FAAN, is chief nursing officer, Longs Peak Hospital and Broomfield Hospital, UCHealth, Erie, Colorado. Rachel Wolf, PhD, MPH, RN, NBC-HWC, is a postdoctoral fellow, Emory School of Medicine, Emory University. Laura P. Kimble, PhD, RN, FNP-C, FAHA, FAAN, is associate dean for academic operations and clinical professor, Nell Hodgson Woodruff School of Nursing, Emory University. This study was supported by a 2019 Nursing Education Research Grant from the National League for Nursing. For more information, contact Dr. Wands at

Published: October 2024

Incivility is prevalent in the clinical workplace and can lead to reduced self-confidence, adverse health effects, and negative implications for patient care. Cognitive rehearsal training (CRT) serves as a mental plan that individuals can use to counter incivility. This mixed-methods study examined select outcomes related to experiencing incivility for nursing students before and after receiving CRT and early into their professional practice. Many participants described experiencing incivility. Most found CRT useful and implemented the general approach of pausing and thinking before responding. Incorporating CRT into prelicensure education has potential for decreasing the effects of incivility and protecting professional well-being.

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http://dx.doi.org/10.1097/01.NEP.0000000000001325DOI Listing

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