The impact of interprofessional incivility on medical performance, service and patient care: a systematic review

ABSTRACT The stressful nature of the medical profession is a known trigger for aggression or abuse among healthcare staff. Interprofessional incivility, defined as low-intensity negative interactions with ambiguous unclear intent to harm, has recently become an occupational concern in healthcare. While incivility nursing been widely investigated, its prevalence physicians and impact on patient care are poorly understood. This review summarises current understanding effects interprofessional performance, service care. A structured search screening literature returned 13 studies diverse origin, methodology, quality, size population type. consensus that common nurses both psychological clinical outcomes, resulting stress, compromised safety poor quality Junior staff affected more often than consultants, higher rates radiology, general surgery, neurosurgery cardiology. Incivility also undermines team particularly perioperative settings. In care, associated complications, errors, mortality, Patients whose surgeons have record can be at risk complications. appears systemic must addressed accordingly. analysis was limited by methodological weaknesses included studies, which highlights need high-quality empirical research. would benefit NHS other stakeholders when designing targeted interventions. particular, establishing quantitative methods identifying measuring will crucial improving our phenomenon.