Has anyone ever been rude to you at work? A mixed-methods exploration of incivility in the physiotherapy profession.

IF 1.5 4区医学 Q2 REHABILITATION

Physiotherapy Theory and Practice Pub Date : 2025-10-01 Epub Date: 2025-05-12 DOI:10.1080/09593985.2025.2502506

Michelle Naylor, Daniel J M Fleming, Clare Killingback

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引用次数: 0

Abstract

Introduction: Incivility has negative consequences for healthcare professionals, healthcare organizations and patient care. There is limited understanding about the effect of incivility within physiotherapy.

Purpose: The purpose of this study was to explore the views and experiences of physiotherapists regarding incivility.

Methods: A convergent mixed-methods approach was utilized via a cross-sectional survey. 339 participants completed the survey which included the Workplace Incivility Scale. A moderated regression model was fit to understand if, and how, band and gender interact as it pertains to incivility. Open-ended responses were analyzed using reflexive thematic analysis.

Results: Workplace incivility scale responses revealed that Band 5 males experience higher levels of incivility than select other groups. Specifically, band 5 males perceived higher levels of incivility than band 6 females t(326) = -3.39, p = .018, band 7 females t(326) = -3.42, p = .016, band 6 males t(326) = -3.52, p = .011, and band 8 males t(326) = -3.11, p = .043. Thematic analysis of 179 open question responses led to four themes:1) the complexity of healthcare work at the root of incivility in physiotherapy practice;2) manifestations of incivility in the workplace; 3)the negative impact of incivility on individuals and organizations; and 4) addressing and mitigating incivility.

Conclusion: The novel findings of this study have revealed that incivility affects physiotherapists across the spectrum of their career and has a negative impact on them professionally and personally.

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在工作中有人对你粗鲁过吗？物理治疗专业中不文明行为的混合方法探索。

不文明行为对医疗保健专业人员、医疗保健组织和患者护理有负面影响。人们对物理治疗中不文明行为的影响了解有限。目的：本研究的目的是探讨物理治疗师对不文明行为的看法和经验。方法：通过横断面调查，采用收敛混合方法。339名参与者完成了包括工作场所不文明行为量表在内的调查。一个适度的回归模型适合于理解是否，以及如何，乐队和性别相互作用，因为它涉及到不文明。使用反身性主题分析对开放式回答进行分析。结果：工作场所不文明行为量表的反应显示，5级男性的不文明行为水平高于其他群体。具体来说，5级男性比6级女性感知到的不礼貌程度更高t(326) = -3.39, p =。018, 7波段女性t(326) = -3.42, p =。016, 6波段男性t(326) = -3.52, p =。8组男性t(326) = -3.11, p = 0.043。对179个开放性问题的主题分析得出了四个主题：1)医疗工作的复杂性是物理治疗实践中不文明行为的根源；2)工作场所不文明行为的表现；3)不文明行为对个人和组织的负面影响；4)解决和减轻不文明行为。结论：本研究的新发现揭示了不文明行为对物理治疗师整个职业生涯的影响，并对他们的专业和个人产生了负面影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physiotherapy Theory and Practice REHABILITATION-

CiteScore

3.40

自引率

10.00%

发文量

300

期刊介绍： The aim of Physiotherapy Theory and Practice is to provide an international, peer-reviewed forum for the publication, dissemination, and discussion of recent developments and current research in physiotherapy/physical therapy. The journal accepts original quantitative and qualitative research reports, theoretical papers, systematic literature reviews, clinical case reports, and technical clinical notes. Physiotherapy Theory and Practice; promotes post-basic education through reports, reviews, and updates on all aspects of physiotherapy and specialties relating to clinical physiotherapy.