Evidence map›Paper›PMID 38509641›Full record

ArticleSociology of health & illness2025

Incivility experiences of racially minoritised hospital staff, consequences for them and implications for patient care: An international scoping review.

Olivia Joseph, Ghazala Mir, Beth Fylan, Pam Essler, Rebecca Lawton

Abstract readScoping Review
In one paragraph

Article in Sociology of health & illness, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Olivia JosephFaculty of Medicine and Health, School of Psychology, University of Leeds, Leeds, UK.ORCID 0000-0002-5751-2002
Ghazala MirFaculty of Medicine and Health, Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.ORCID 0000-0002-5277-6885
Beth FylanNational Institute for Health Research (NIHR) Yorkshire and Humber Patient Safety Research Collaboration, Bradford, UK.
Pam EsslerNational Institute for Health Research (NIHR) Yorkshire and Humber Patient Safety Research Collaboration, Bradford, UK.
Rebecca LawtonFaculty of Medicine and Health, School of Psychology, University of Leeds, Leeds, UK.

Funding

National Institute for Health Research Yorkshire and Humber Patient Safety Research Collaboration
6 · The paper itself

Abstract

Workplace incivility is a pervasive complex problem within health care. Incivility manifests as subtle disrespectful behaviours, which seem inconsequential. However, evidence demonstrates that incivility can be harmful to targets and witnesses through negative emotions, poorer mental health, reduced job satisfaction, diminished performance and compromised patient care. It is unclear to what extent existing research critically explores how ethnicity, culture and racism influence how hospital staff experience incivility. This global scoping review systematically analysed existing research exploring the specific ways incivility manifests and impacts racially minoritised hospital workers. Of 2636 academic and 101 grey literature articles, 32 were included. Incivility experiences were categorised into four themes: (1) Cultural control, (2) Rejection of work contributions, (3) Disempowerment at work and (4) Managerial indifference. The included articles highlighted detrimental consequences, such as negative emotions, silencing, withdrawal and reduced support-seeking behaviours. Few studies presented evidence regarding the negative impacts of incivility on patient care. Racialisation and racial dynamics are a significant factor for hospital-based incivility. Currently we do not know the extent to which racialised incivility is associated directly or, perhaps either via burnout or disengagement, indirectly with poorer care. This knowledge can inform the creation of comprehensive, evidence-based interventions to address this important issue.

Indexed as

IncivilityPatient CarePersonnel, HospitalRacismWorkplaceHumansJob Satisfactionhealthcare workersquality of carescoping reviewworkforce equityworkplace incivility

Identifiers

PMID38509641
PMCPMC11684503

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.