The effects of an incivility-based virtual simulation on nursing students perceived self-efficacy.

• What is currently known about this topic. ○ Incivility, rude and discourteous behaviors towards others, is an established, well-known problem in nursing (Fida et al., 2018). It is pervasive within the nursing culture, and researchers have consistently documented it across the nursing continuum in education and practice (Layne et al., 2019). Current published nursing research is lacking on how curriculum within undergraduate nursing programs prepares students to identify and address incivility in their nursing practice. • What the paper adds to the existing knowledge. ○ Self-efficacy is cultivated by experience. This study's participants were provided with a safe environment to observe and learn about identifying and addressing incivility. Nursing educators should consider including virtual simulation addressing incivility in nursing in the curriculum. This study demonstrated that this teaching strategy can increase nursing students' self-efficacy. This knowledge can inform future research, curriculum development, and nursing practice surrounding the prevention of and strategies to address incivility- which when addressed successfully could lead to improved patient outcomes with fewer adverse safety events due to improved care provider communication, successful assimilation of nurses into the nursing workforce by empowering nursing students, and less turnover and burnout experienced by nurses. When strategies and skills for identifying and addressing incivility are included in the nursing curriculum, students learn ways to cope with the effects of incivility and experience increased resilience (Sidhu & Park, 2018). • How the information in your manuscript can be applied to practice. ○ Findings from this study showed a significant increase in participants' self-efficacy in identifying and addressing incivility in nursing after completing the Civility Mentor modules. Nursing students who complete the Civility Mentor modules or similar virtual activities will be better prepared to address incivility in their practices. Incivility is an established, well-known problem within the nursing culture. The purpose of this study was to determine the effect of participating in an incivility-based virtual simulation on undergraduate nursing students' perceived self-efficacy. (1) Describe the GSE scores of the study cohort and examine the association between pre-and post-intervention scores. (2) Explore students' perceptions of how participation affected their ability to identify and address incivility. A mixed-methods research design was utilized to determine the relationship between students' completion of an incivility-based virtual simulation and their self-efficacy in identifying and addressing incivility. The study compared pre- and post-intervention General Self-Efficacy Scale (GSE) scores and identified significant findings and themes among qualitative data collected. IRB approval was obtained for the study. Paired t-test results indicated a significant association between pre- and post-GSE scores with participants in the post-intervention group having significantly higher scores (Mean = 34.6, SD = 4.1). The themes that emerged from the qualitative data collected included communication, self-confidence, conflict resolution, and vicarious learning. Findings from this study showed a significant increase in participants' self-efficacy in identifying and addressing incivility in nursing after completing the intervention. [ABSTRACT FROM AUTHOR]