{"title":"Repeated Cognitive Rehearsal Training: Enhancing Self-Efficacy and Reducing Perceived Workplace Incivility in Novice Nurses.","authors":"Shawna L Horsford, Margaret M Wichrowski","doi":"10.3928/00220124-20260522-01","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Nurses continue to report experiencing or witnessing incivility in the workplace. Cognitive rehearsal (CR) training has been shown to help experienced nurses address incivility, but its effectiveness for novice and advanced beginner nurses is unclear. This study was conducted to determine whether repeated CR training increased nurses' knowledge of incivility, reduced their perceived experiences with incivility, and improved their confidence to respond to incivility.</p><p><strong>Method: </strong>A nonrandomized quasi-experimental design was used with nurses in fellowship orientation programs. Participants attended two in-person CR training sessions and completed validated surveys at five time points.</p><p><strong>Results: </strong>Repeated CR training sessions significantly reduced the perceived frequency of experiences with incivility (<i>p</i> = .0021) and fostered self-efficacy (<i>p</i> = .0084) to respond to workplace incivility. Knowledge of incivility was not significantly impacted (<i>p</i> = .0937).</p><p><strong>Conclusion: </strong>Repeated CR training builds nurses' confidence to address incivility. Ongoing training and support are crucial for sustaining improvements and enhancing patient care outcomes.</p>","PeriodicalId":49295,"journal":{"name":"Journal of Continuing Education in Nursing","volume":" ","pages":"1-5"},"PeriodicalIF":1.2000,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Continuing Education in Nursing","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3928/00220124-20260522-01","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Nurses continue to report experiencing or witnessing incivility in the workplace. Cognitive rehearsal (CR) training has been shown to help experienced nurses address incivility, but its effectiveness for novice and advanced beginner nurses is unclear. This study was conducted to determine whether repeated CR training increased nurses' knowledge of incivility, reduced their perceived experiences with incivility, and improved their confidence to respond to incivility.
Method: A nonrandomized quasi-experimental design was used with nurses in fellowship orientation programs. Participants attended two in-person CR training sessions and completed validated surveys at five time points.
Results: Repeated CR training sessions significantly reduced the perceived frequency of experiences with incivility (p = .0021) and fostered self-efficacy (p = .0084) to respond to workplace incivility. Knowledge of incivility was not significantly impacted (p = .0937).
Conclusion: Repeated CR training builds nurses' confidence to address incivility. Ongoing training and support are crucial for sustaining improvements and enhancing patient care outcomes.
期刊介绍：
The Journal of Continuing Education in Nursing is a monthly peer-reviewed journal publishing original articles on continuing nursing education that are directed toward continuing education and staff development professionals, nurse administrators, and nurse educators in all health care settings, for over 50 years.
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