“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.”

“COGNITIVE REHEARSAL TRAINING Following the training structure developed by Griffin (2004), CRT included one hour of didactic presentation on incivility and its consequences and one hour of interactive small-group role-play, during which participants practiced first
pausing after experiencing an uncivil remark or gesture and then utilizing a scripted response to address the incivility. The pause mitigates emotional reaction, and the use of a scripted response reduces cognitive burden in the moment.”

“SIMULATION-BASED LEARNING EXPERIENCE Students participated in the SBLE one to three weeks following CRT. The objectives of the SBLE were for students to work in small groups to provide care to multiple patients, recognize incivility, and utilize CRT strategies to
deflect incivility. The SBLE was designed following standards of best practice for simulation by a certified health care simulation educator.”

“Incivility continues to be a pressing problem in nursing and remains a threat to workplace well-being and quality patient care. Incivility undermines the psychological safety necessary for clinical learning. This study furthers the discussion on the possible benefits of CRT combined with SBLE. Role stress and nurse burnout remain a grave concern for nurses
after the COVID-19 pandemic, and the need to establish psychologically safe work and learning environments has never been greater. Incorporating CRT into prelicensure education and transition-to-practice nurse residency programs is an evidence-based approach to decrease the effects of incivility and protect professional well-being.”

Wands, L., McDermott, C., Bernard, N., Wolf, R., & Kimble, L. P. (2024). Implementing Cognitive Rehearsal Training With Nursing Students to Counter Incivility in the Clinical Setting as Students and New Nurses: A Sequential Mixed-Methods Study. Nursing education perspectives,