NURS 3100 Leading Civility in the Workplace Discussion Paper Example

NURS 3100 Leading Civility in the Workplace Discussion Paper AssignmentNURS 3100 Leading Civility in the Workplace Discussion Paper Assignment

NURS 3100 Leading Civility in the Workplace Discussion Paper Assignment Brief

Course: NURS 3100 – Issues and Trends in Nursing

Assignment Title: NURS 3100 Leading Civility in the Workplace Discussion Paper Assignment

Assignment Overview

The purpose of this assignment is to explore the role of civility, teamwork, and collaboration in nursing practice. Through the analysis of two video scenarios depicting varying communication styles within interdisciplinary teams, students will critically evaluate the impact of effective communication on patient care outcomes. Additionally, students will engage in a discussion forum by providing a main response and responding to two peers’ posts to foster reflective dialogue and peer learning.

Understanding Assignment Objectives

  • Assessing Communication Styles: Students will analyze and compare communication styles exhibited in two video scenarios, identifying differences in professionalism, engagement, and respect among team members.
  • Evaluating the Impact of Effective Communication: Students will examine how effective communication positively influences patient care outcomes, including safety, quality, and patient satisfaction.
  • Reflecting on Personal and Professional Roles: Students will reflect on their roles as both students and future nurses, considering the importance of civility, teamwork, and collaboration in their practice.

The Student’s Role

As a student enrolled in NURS 3100, your role is to critically analyze the provided video scenarios and reflect on their implications for nursing practice. You are expected to demonstrate an understanding of the importance of effective communication, teamwork, and collaboration in delivering safe and high-quality patient care. Furthermore, you will engage in respectful and constructive dialogue with your peers to deepen your understanding of the topic and contribute to a collaborative learning environment.

Competencies Measured

  • Communication Skills: Assessing and articulating differences in communication styles observed in the video scenarios.
  • Critical Thinking: Analyzing the impact of communication on patient care outcomes and reflecting on personal and professional roles in nursing practice.
  • Interprofessional Collaboration: Recognizing the significance of teamwork and collaboration in achieving positive patient outcomes and fostering a culture of civility in the workplace.

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NURS 3100 Leading Civility in the Workplace Discussion Paper Example

Introduction to Teamwork and Collaboration

Effective collaboration and teamwork are essential for nurses to ensure positive patient outcomes while maintaining safety and providing quality care (Jones & George, 2011). Understanding the requisite skills and resources for effective collaboration is crucial for planning and delegating care, as well as knowing when to engage in interprofessional and intraprofessional collaboration (Institute of Medicine, 2010). Initiatives like Quality and Safety Education for Nurses (QSEN) and Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) offer evidence-based tools that nurses can utilize to improve collaboration and teamwork (Sherwood & Zomorodi, 2014). This paper aims to explore these concepts, analyze the impact of civility and collaboration on nursing roles, and review the communication styles illustrated in two video scenarios to highlight best practices in nursing teamwork.

Main Discussion

Communication Styles in Video Scenarios

The two scenarios depict contrasting communication styles and their implications for teamwork and patient care. In the first video, titled “A Case for Improvement,” the communication is fragmented and unprofessional. Team members appear disengaged, with some individuals distracted by personal activities such as looking at their phones or engaging in idle chatter. The nurse demonstrates a lack of respect and empathy by mocking the patient’s interest in gardening. This disjointed and disrespectful communication style undermines the team’s effectiveness and compromises the quality of patient care (Altabbaa et al., 2019).

Conversely, the second video, “Best Practices,” showcases a highly organized and respectful communication style. Team members are actively engaged, maintaining eye contact and listening attentively to one another. The patient’s interests are respected, and each team member assumes responsibility for their role in the patient’s care (O’Leary et al., 2010). This cohesive and professional communication style fosters a collaborative environment that enhances patient safety and care quality.

Impact of Effective Communication on Patient Care

Effective communication in healthcare settings is paramount for ensuring patient safety and delivering high-quality care (Day et al., 2018; Leonard et al., 2004). When team members communicate effectively, they can share crucial information, coordinate interventions, and provide consistent care. This reduces the risk of errors and improves patient outcomes (Salas et al., 2008). For example, in the second video, the team’s cohesive communication and mutual respect resulted in a comprehensive and safe discharge plan for the patient, addressing all necessary aspects of care, including pain management and follow-up.

In contrast, ineffective communication, as seen in the first video, can lead to misunderstandings, overlooked patient needs, and unsafe discharge plans. The lack of engagement and professionalism among team members can result in critical information being missed or miscommunicated, ultimately compromising patient safety and care quality.

Application of Teamwork and Collaboration Skills

To effectively apply teamwork and collaboration skills in nursing practice, it is essential to utilize tools and frameworks like QSEN and TeamSTEPPS®. These initiatives provide structured approaches to enhance communication, coordination, and collaboration among healthcare professionals.

QSEN: Quality and Safety Education for Nurses

QSEN aims to equip nurses with the knowledge, skills, and attitudes necessary to improve the quality and safety of healthcare systems (Cronenwett et al., 2007). It emphasizes competencies such as patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics. By integrating these competencies into nursing practice, nurses can contribute to a safer and more effective healthcare environment.

TeamSTEPPS®: Team Strategies and Tools to Enhance Performance and Patient Safety

TeamSTEPPS® is a systematic approach to improving communication and teamwork skills among healthcare professionals (King et al., 2008). It provides tools and strategies to enhance team performance, such as situation monitoring, mutual support, and structured communication techniques like SBAR (Situation, Background, Assessment, Recommendation). Implementing TeamSTEPPS® can help healthcare teams work more cohesively, address potential communication barriers, and ensure that all team members are on the same page regarding patient care.

Characteristics of a Good Team Leader

A good team leader in healthcare is someone who demonstrates strong communication skills, empathy, and the ability to facilitate collaboration among team members (Weller et al., 2014). Key characteristics of an effective team leader include clear communication of goals and expectations, empathy and respect for team members, decisiveness in decision-making, appropriate delegation of tasks, and effective conflict resolution strategies (Bentley, 2018).

Barriers to Effective Collaboration

Several barriers can impede effective collaboration and teamwork in healthcare settings. These include social, cognitive, and communication barriers:

Social Barriers

Rigid hierarchies and cultural differences can hinder open communication and collaboration among team members (Lingard et al., 2004).

Cognitive Barriers

Different perceptions of patient needs and priorities, as well as stress and fatigue, can impair cognitive function and communication skills, affecting teamwork (Cohen & Hilligoss, 2009).

Communication Barriers

The use of medical jargon and lack of structured communication techniques can create confusion and misunderstandings among team members (Nelson et al., 2011).

Skills for Analyzing Clinical Judgment and Decision Making

Effective clinical judgment and decision-making are critical for ensuring patient safety and delivering high-quality care (Stover, 2017).. Nurses must develop and apply several key skills, including critical thinking, situational awareness, reflective practice, and collaboration with other healthcare professionals (Tanner, 2006).


In conclusion, effective communication, teamwork, and collaboration are essential components of high-quality nursing care. Initiatives like QSEN and TeamSTEPPS® provide valuable tools and frameworks to enhance these skills among healthcare professionals. By fostering a culture of civility and respect, healthcare teams can create a supportive environment that promotes patient safety and positive outcomes. Understanding the barriers to effective collaboration and developing the necessary skills for clinical judgment and decision-making are crucial steps toward achieving these goals. Ultimately, the commitment to continuous improvement and professional growth will ensure that nurses can provide the best possible care for their patients.


Altabbaa, G., Kaba, A., & Beran, T. N. (2019). Moving from structured communication to collaboration: a communication schema for interprofessional teams. Journal of Communication in Healthcare, 12(3/4), 160-169. doi:10.1080/17538068.2019.1675427

Bentley, A. (2018). Book Review: Leadership CPR: Resuscitating the Workplace Through Civility, Performance, and Respect. The Journal of Values-Based Leadership, 11(2), 16.

Cohen, M. D., & Hilligoss, P. B. (2009). Handoffs in hospitals: A review of the literature on information exchange while transferring patient responsibility or control. The University of Chicago Press Journals, 30(4), 283-293.

Cronenwett, L., Sherwood, G., Barnsteiner, J., Disch, J., Johnson, J., Mitchell, P., … & Warren, J. (2007). Quality and safety education for nurses. Nursing outlook, 55(3), 122-131.

Day, A., Penney, S. A., & Hartling, N. (2018). The psychology, potential perils, and practice of leading healthy workplaces. Organizational Dynamics.

Institute of Medicine. (2010). The future of nursing: Leading change, advancing health. Washington, DC: The National Academies Press.

Jones, G. R., & George, J. M. (2011). Essentials of contemporary management. McGraw-Hill/Irwin.

King, H. B., Battles, J., Baker, D. P., Alonso, A., Salas, E., Webster, J., & Toomey, L. (2008). TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety. In Henriksen K., Battles J.B., Keyes M.A., & Grady M.L. (Eds.). Advances in Patient Safety: New Directions and Alternative Approaches (Vol. 3: Performance and Tools), Agency for Healthcare

Stover, P. D. (2017). Personal Resilience, Workplace Civility, and Staff Retention in Behavioral/Mental Health Crisis Stabilization Units.

Responses to Colleagues

Response to Csilla Orban Bonacci’s Post

Csilla Orban Bonacci provides insightful reflections on the importance of collaboration and teamwork in nursing practice. Their observation of the differences in communication styles between the two video scenarios highlights a critical aspect of effective teamwork—engagement and respect. I appreciate the detailed analysis of how the lack of organization and respect in the first video undermines the team’s effectiveness and potentially compromises patient care. The comparison drawn between the two scenarios effectively underscores the significance of professionalism and active participation in achieving positive patient outcomes. However, I wonder if there are specific strategies or interventions that Csilla Orban Bonacci would suggest implementing to address the communication challenges observed in the first scenario.

Response to Timia Brown’s Post

Timia Brown offers a comprehensive analysis of the communication dynamics in the video scenarios and their impact on interdisciplinary teamwork. The detailed breakdown of communication behaviors and their implications for patient care provides valuable insights into the importance of effective communication in healthcare settings. I agree with Timia Brown’s assertion that effective communication is essential for providing patient-centered care and reducing the risk of adverse events. Additionally, the reference to the study by Altabbaa et al. (2019) adds credibility to the discussion by highlighting the scholarly literature on communication in interprofessional teams. However, I am curious to know if Timia Brown has encountered similar communication challenges in their own clinical experiences and how they have addressed them in practice.

Detailed Assessment Instructions for the NURS 3100 Leading Civility in the Workplace Discussion Paper Assignment


Introduction to Teamwork and Collaboration

Collaboration and teamwork are essential for the nurse. Collaboration is required to ensure positive client outcomes are achieved all while maintaining client safety and providing effective client care.

Understanding the skills and resources needed for teamwork and collaboration is important. Knowing the tools and leadership needed will help in planning and delegating care more effectively while better understanding how and when to collaborate both interprofessionally (interdisciplinary) and intraprofessionally.

Initiatives like Quality and Safety Education for Nurses (QSEN) and TeamSTEPPS® help provide evidence-based tools that can be used by any team member to improve teamwork and collaboration. After completing this learning activity, you will be able to:

  • Describe available tools used to improve collaboration and teamwork.
  • Identify characteristics that make a good team leader.
  • Review social, cognitive, and communication barriers that impact collaboration and teamwork. Discuss skills used to analyze clinical judgment and help make decisions.
  • Apply teamwork and collaboration skills to nursing circumstances.

This discussion is divided in two parts

  1. Main discussion
  2. Two replies

With civility in action, everyone on the team feels authentically respected and valued. Civility leads to mutual respect, effective communication, and team collaboration. A civil, professional atmosphere is ENERGIZING! It promotes positive relations that enable the team to deliver the best possible performance, wherever it may be: in an effective educational classroom, such as here at Walden; or in a high-quality, safe patient care environment where you work.

Civility does not just happen naturally. People from various backgrounds, experiences, and perspectives are expected to work together in high-stress and high-stakes work environments. It takes conscious willingness from everyone to engage in genuine discourse to seek common ground for the best outcome, which in our case means delivering high-quality, safe patient care.

Treating one another with respect is requisite to communicating effectively, building community, and creating high-functioning teams. Civility involves truly listening and understanding others’ points of view. Who doesn’t want that? GO TEAM!

View the two video scenarios below in which to focus for this Discussion. Note that YouTube provides a transcript of each video as well.

  • Consider how civility and collaboration affect your role as both a student and a nurse.
  • Consider the importance of the nurse’s role on the team.

Case 001: A Case for Improvement – YouTube

Case 001: Best Practices – YouTube

Post a 3-paragraph response (of at least 350 words) after viewing the two scenarios.

  • Provide two concrete examples of how communication styles differ between the two scenario videos.
  • How does effective communication positively impact patient care? 

Reply1 Instructions:

Read two of your colleagues’ postings from the Discussion question.

Respond with a comment that asks for clarification, provides support for, or contributes additional information to two of your colleagues.

Csilla Orban Bonacci

Collaboration and teamwork are ingredients needed to offer safe patient care.

Before a patient gets discharged professionals of different disciplines often get together to discuss the plan of care, interventions, progress, and outcome of the patient’s plan of care.

A good team runs like a well-oiled machine

     It takes  respect towards your profession and other team members for a patient to have the best outcome once discharged.

As a student, I laughed at the first video because it looks silly how distracted almost everyone seems to be. Playing with your own hair, looking at your phone, passing on the responsibility to someone else, picking at your nails, zoning out, etc. all show little interest in the patient’s care and a lack of respect towards one another. They do not look like professionals. They do not respect one another while talking. They are not active listeners.

They also do not respect the patient. In the first video, the nurse mocks the patient for talking so much about gardening. In the second video, the nurse treats the patient’s interest with respect and makes it a point to consider it important himself.

 Professionals take  responsibility for their patient’s safety and care until discharged. Taking responsibility to talk to the patient is something I see in the second video compared to the first one where it seems that some members state that someone else should talk to the patient.

As a nurse, if I were on that team, I would feel little confidence in my team. I would wonder if they did their best for this patient. Almost everyone seems so distracted in the first video.

If I were to compare the first video to the second based on communication styles, the first video seems to lack organization, flow, and respect toward one’s profession and role in patient care. The second video is just the opposite. Everyone is involved and contributes their part to the bettering of this patient. Everyone is united, organized, up to date with everything, and present during that meeting. In the second video, it clearly shows the patient has much better support and a chance of having a successful recovery, compared to the way things are managed by the team in the first video.

Reply2 Instructions:

Read two of your colleagues’ postings from the Discussion question.

Respond with a comment that asks for clarification, provides support for, or contributes additional information to two of your colleagues.

Timia Brown ( She/Her)

In healthcare, whether long-term or acute care, interdisciplinary communication is necessary to provide patient-centered care. The two scenarios provided both effective and ineffective communication.  

Scenario 1 

Assuming the leader for the interdisciplinary rounds was the case manager, she introduced the nursing student, who was not paying attention. The case manager did not present other team members, so the student was left guessing. The pharmacist and the physical therapist were laughing and talking during the discussion. There was no engagement; the MD was on her phone, and everyone was preoccupied. Each team member individually knew the patient and his shortcomings, yet there was no preparation for the actual engagement with each other. Each team member projected issues onto the next member, using terms such as “somebody” or “someone” needed to do this. There was no responsibility for care. The team spoke unprofessionally to each other, using words like “yep” and “umm.” In the end, the case manager assigned responsibility; however, the disciplines accepted the responsibility grudgingly. The team’s disrespect for each other was portrayed to the student, who was disengaged throughout the meeting. The patient was not ready to be discharged from the sound of this scenario. The patient’s pain was not controlled, nor was his anxiety; no equipment had been ordered for discharge. The patient’s safety was not a priority in this meeting, which could lead to readmission or fall risk at home. 

In scenario two, the team all appeared happy to be there, with smiling faces and excellent eye contact. The leader engaged the nursing student immediately by having the team introduce themself. The team was much more prepared and engaged. Each member respected the other’s role in providing care and a safe, patient-centered discharge. The team took responsibility for what was needed from each of them now and at the time of release. The communication was more two-way communication. They did a recap of what was discussed, and everyone willingly took part in making sure the patient went home safely and confidently.  

Effective communication between interdisciplinary teams must be present to provide the care needed for each patient. It starts with respecting each other’s role in the patient’s care and remembering the patient is the priority. The  Journal of Communication in Healthcare stated the leading cause of all sentinel events from 1995 to 2004 was ineffective communication. (2019, Altabba) Therefore effective communication could decrease the number of incidents, and lead to proper care. 


Altabbaa G, Kaba A, Beran TN. Moving from structured communication to collaboration: a communication schema for interprofessional teams.  Journal of Communication in Healthcare. 2019;12(3/4):160-169. doi:10.1080/17538068.2019.1675427

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