Exposure to incivility does not hinder speaking up: a randomised controlled high-fidelity simulation-based study.
Vauk S, Seelandt JC, Huber K, et al. Exposure to incivility does not hinder speaking up: a randomised controlled high-fidelity simulation-based study. Br J Anaesth. 2022;129(5):776-787. doi:10.1016/j.bja.2022.07.050.
Prior studies have demonstrated rudeness and incivility undermines patient safety. In this study, hospital staff participated in a simulated scenario with scripted, randomly assigned responses to speaking up (civil, pseudo-civil, or rude). Unexpectedly, participants were more likely to speak up following the rude response than either the civil or pseudo-civil responses. The authors describe potential reasons for this unexpected finding.