Journal of Qualitative Research in Health Sciences

Document Type : Original Article

Authors

1 Assistant Professor, Nursing and Midwifery Sciences Development Research Center, Najafabad Branch, Islamic Azad University, Najafabad, Isfahan, Iran

2 Assistant professor, Nursing and Midwifery Care Research Center, Department of Adult Health Nursing, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

3 Professor, Medical ethics and Law Research Center, Shahid Beheshti University of Medical Sciences, Academy of Medical Sciences, Islamic Republic of Iran, Tehran, Iran

4 MSc Student in Nursing, Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran

5 MSc in Nursing, Lorestan University of Medical Sciences, Khorramabad, Iran

6 MSc in Nursing, Nursing and Midwifery Care Research Center, Department of Adult Health Nursing, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran

10.22062/jqr.2022.197432.1137

Abstract

Background: Incivility is a kind of disrespect to people. Students and faculty members agree on the growing trend of incivility. Uncivil behaviors in online nursing classes are a serious global issue that can influence the learning-teaching process and threaten patient safety in the clinical setting. This study aimed to identify incivility in the online learning environment from the perspective of nursing faculty members and students.
Methods: This descriptive qualitative study was conducted in 2021. A total of 20 participants were selected from among nursing students and faculty through purposive sampling. Data were collected using in-depth semi-structured interviews and analyzed via a qualitative content analysis approach.
Results: Data analysis revealed five categories including ghost students, unconditional freedom, disruptive learning behaviors, academic dishonesty, and ignoring the rules of the online learning environment.
Conclusion: Incivility in the online learning environment disrupts the teaching-learning process and undermines instructor-student relationships. Given that disrespectful and threatening behaviors, even to a small degree, can significantly affect the learning environment, it is essential to recognize such behaviors. As uncivil behaviors in virtual nursing education can affect education by developing inappropriate behavioral and communication patterns in students, leading to the violation of professional ethics and patients’ rights, it is necessary to pay attention to this critical issue by conducting further studies and designing interventions to correct it.

Highlights

Maryam Moghimian (Google Scholar) (PubMed)

Sedigheh Farzi (Google Scholar) (PubMed)

Abbas Abbaszadeh (Google Scholar) (PubMed)

Amir Shahzeydi (Google Scholar) (PubMed)

Fatemeh Farzi (Google Scholar) (PubMed)

Amir Musarezai (Google Scholar) (PubMed)

Keywords

  1. Nikkhah Farkhani Z, Rahimniya F, Kazemi M, Shirazi A. An analysis of nurses ethical behavior toward persons accompanying a patient based on the theory of virtue ethics. J Qual Res Health Sci. 2015;3(4):363-76. [Persian].
  2. Clark CM, Werth L, Ahten S. Cyber-bullying and incivility in the online learning environment, part 1: addressing faculty and student perceptions. Nurse Educ. 2012;37(4):150-6. doi: 1097/NNE.0b013e31825a87e5.
  3. Gallo VJ. Incivility in nursing education: a review of the literature. Teach Learn Nurs. 2012;7(2):62-6. doi: 1016/j. teln.2011.11.006.
  4. Pourtaleb N, Fathi Azar E, Adib Y. Investigation of teachers’ lived experiences of student’s bullying behavior: a phenomenological approach. J Qual Res Health Sci. 2020;8(2):143-53.
  5. Lampley TM, Curia M, Vottero B, Hensel D. Experiences of incivility among faculty and students in online nursing education: a qualitative systematic review protocol. JBI Database System Rev Implement Rep. 2016;14(12):119-26. doi: 11124/jbisrir-2016-003228.
  6. MacDonald CD, Roberts-Pittman B. Cyberbullying among college students: prevalence and demographic differences. Procedia Soc Behav Sci. 2010;9:2003-9. doi: 1016/j. sbspro.2010.12.436.
  7. McNeill J, Dunemn K, Einhellig KS, Clukey L. Exploring nursing student and faculty perceptions of incivility in the online learning environment. J Nurs Educ Pract. 2016;7(5):45- 54.
  8. Swartzwelder K, Clements P, Holt K, Childs G. Confronting incivility in the online classroom. J Christ Nurs. 2019;36(2):104-11. doi: 1097/cnj.0000000000000591.
  9. Kopp JP, Finney SJ. Linking academic entitlement and student incivility using latent means modeling. J Exp Educ. 2013;81(3):322-36. doi: 1080/00220973.2012.727887.
  10. Crosslin K, Golman M. “Maybe you don’t want to face it”–college students’ perspectives on cyberbullying. Comput Human Behav. 2014;41:14-20. doi: 1016/j. chb.2014.09.007.
  11. Minor MA, Smith GS, Brashen H. Cyberbullying in higher education. J Educ Res Pract. 2013;3(1):2.
  12. Galbraith MW, Jones MS. Understanding incivility in online teaching. J Adult Educ. 2010;39(2):1-10.
  13. Clark CM. Incivility in Nursing Education: Student Perceptions of Uncivil Faculty Behavior in the Academic Environment. University of Idaho; 2006.
  14. Irwin A, Irvine C, Bekes B, Nordmann E. Location! Location. Location? Investigating the impact of status and context on incivility in academia. J Furth High Educ. 2021;45(1):30-48. doi: 1080/0309877x.2019.1702930.
  15. Sheikhbahaeddinzadeh E, ashktorab t. Qualitative Research Methodology in Nursing: Constructivism and Structuralism. J Qual Res Health Sci. 2022;11(1):27-34. doi: 22062/ jqr.2022.91886.
  16. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105- 12. doi: 1016/j.nedt.2003.10.001.
  17. Guba EG. ERIC/ECTJ annual review paper: criteria for assessing the trustworthiness of naturalistic inquiries. Educ Commun Technol. 1981;29(2):75-91.
  18. Clark CM, Farnsworth J, Landrum RE. Development and description of the incivility in nursing education (INE) survey. J Theory Constr Test. 2009;13(1):7-15.
  19. Clark CM, Nguyen DT, Barbosa-Leiker C. Student perceptions of stress, coping, relationships, and academic civility: a longitudinal study. Nurse Educ. 2014;39(4):170-4. doi: 1097/nne.0000000000000049.
  20. Nouhi E, Seyed Bagher Maddah S, Abbaszadeh A. Collaborative learning experiences of nursing students in the clinical learning setting: a qualitative study. J Qual Res Health Sci. 2021;10(1):29-36. doi: 22062/jqr.2021.91600.
  21. Noohi E, Abbaszadeh A, Sayed Bagher Madah S, Borhani F. Collaborative learning experiences in problem-based learning (PBL) education: a qualitative study. J Qual Res Health Sci. 2013;1(4):255-67. [Persian].
  22. Ibrahim SA, Qalawa SA. Factors affecting nursing students’ incivility: as perceived by students and faculty staff. Nurse Educ Today. 2016;36:118-23. doi: 1016/j.nedt.2015.08.014.
  23. Frisbee K, Griffin MQ, Luparell S. Nurse educators: incivility, job satisfaction, and intent to leave. Midwest Q (Pittsb). 2019;60(3):270-90.
  24. Altmiller G. Student perceptions of incivility in nursing education: implications for educators. Nurs Educ Perspect. 2012;33(1):15-20. doi: 5480/1536-5026-33.1.15.
  25. Masoumpoor A, Borhani F, Abbaszadeh A, Rassouli M. Nursing instructors’ perception of students’ uncivil behaviors: a qualitative study. Nurs Ethics. 2017;24(4):483-92. doi: 1177/0969733015611071.
  26. Masoumpoor A, Borhani F, Abbaszadeh A, Rassouli M. Nursing students’ perceptions of teachers’ uncivil behaviors: a qualitative research. J Med Ethics Hist Med. 2017;10:10.
  27. Masoumpoor A, Abbaszadeh A, Rassouli M, Alavimajd H. Critical review of scales of incivility behaviors in nursing education. Med Ethics J. 2017;11(40):93-102. [Persian].