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NCPD Article

Improving Formal Incivility Reporting in Ambulatory Oncology: Implementing the CIVIC Duty Program

Jeanine N. Gordon

incivility, oncology infusion unit, reporting, education, type 2 workplace violence
CJON 2023, 27(6), 602-606. DOI: 10.1188/23.CJON.602-606

The aim of this quality improvement project was to increase formal reporting of incivility events committed by patients and their visitors on an ambulatory oncology infusion unit. Evidence-based interventions of providing education, raising awareness of existing policies, receiving support from leadership, and reinforcing use of reporting system were implemented and resulted in increased formal incivility reporting.


  • Incivility in the clinical setting can negatively affect patient care and nurse satisfaction.
  • Prevention and mitigation of incivility is challenging because of underreporting.
  • Formal reporting of incivility is needed to determine accurate incidence and prevalence.
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