How to Handle Student Incivility

This blog discusses the difficult subject of student incivility and practical strategies that nurse educators can employ to effectively handle these situations. Specialties Educators Article

It's a sad and indisputable fact that our society is becoming increasingly rude and narcissistic. The emphasis now is on an individual's "rights," but not taking personal responsibility or accepting the consequences for one's actions and decisions. (Witness the sad behavior of some elected officials.) The vast majority of nursing students are professional, earnest, ethical, and carefully follow the policies of the nursing program. That said, there is a tiny minority of students whose behavior can be quite distressful for educators.

Examples of incivility can be

  • Making threats (whether explicit or implied)
  • Bullying
  • Rudeness and disrespect (e.g., use of cell phones and texting in class)
  • Sense of entitlement (e.g., demanding the instructor to do this or that)

This is by no means an inclusive list.

What are some practical strategies for educators to employ when confronted by these sorts of behaviors?

  • First and foremost, KNOW your learning institution's and nursing program's policies for student and faculty behavior (e.g., student handbook).
  • Enforce the policies by clearly and explicitly stating in your syllabus what student behaviors are expected and what behaviors will not be tolerated, along with the consequences.
  • Be consistent, professional, and impartial. Don't fall into the trap of reacting emotionally but take the time to carefully and thoughtfully respond.
  • Address the behavior immediately. Sometimes it's easier just to ignore unprofessional behavior, but be advised that such behavior rarely gets better on its own. In fact, the entire learning environment can rapidly disintegrate if the incivility is not dealt with.
  • Document, document, document.
  • Know and follow your chain of command.

Since your syllabus is your learning contract between you and the learners, it is important to proactively address these types of situations.

Examples of clauses from my class syllabi at two different colleges

  1. Students should be familiar with and follow the class etiquette rules. Students are expected to remain alert and respectfully attentive in class. Respect the faculty lecturer, other students, and the learning environment. No whispering or texting during lecture. No talking when someone else is speaking - one speaker at a time. Disruptive students may be asked to leave.
  2. Please turn all cell phones and beepers off prior to entering the classroom. Texting is expressly forbidden in class. Students found texting in class will be asked to leave.
  3. Personal laptops must be used to take notes during lectures. No surfing the Internet during class.
  4. Make sure that your use of laptop computers is strictly restricted to matters being discussed in class. While using your computers, take measures to avoid distraction for your fellow students. For example, turn off the sound. Make sure that cell phones are turned off when the class begins. A failure to do so may result in a grade of zero in class participation.
  5. Common courtesy is defined in the statements that follow: All cell phones or beepers must be turned off during class. Arrive on time, and stay for the entire class period. In this course, we begin with the assumption that the opinions, positions and perspectives of others are worthy of respect. At the same time, we will challenge one another to support and defend our viewpoints with clear and logical arguments. In all events, we treat persons with dignity and respect, even if we personally reject their views. If you need to leave the room at any time for toilet breaks, please close the door quietly after you.

What have been your experiences with students displaying incivil or disruptive behavior? What has worked for you in dealing with these unpleasant situations? Students, we also welcome your perspectives. Thank you in advance.

Specializes in Gerontological, cardiac, med-surg, peds.

Excellent advice, Gators1! Thank you for setting the bar high in your courses. This bit of advice was given me early in my nurse educator career: "Set the bar high. People will generally rise (or lower themselves) to meet the expectations required of them."

Specializes in Psych ICU, addictions.
1. No cell phones, texting, or personal laptops allowed during clinical. We do clinical on a psychiatric unit so they are not allowed for privacy/confidentiality reasons. Any student caught texting or using any type of technology gets a verbal warning first and then an academic warning if he/she continues to not follow the hospital's and school's policies.

As a psychiatric nurse, please let your students know that when they attend groups, they should be participating in them. If they choose not to participate, they should at least be sitting there quietly and paying attention. They should not be whispering to each other or to patients, reading, texting, sleeping, playing games, etc. My patients do care about their groups and nothing gets a nursing student removed from my unit faster than patients complaining about inappropriate student behavior. My staff and I can tolerate more--such as the two chatterboxes that I wrote about--but I will not tolerate anything that compromises patient treatment.

Also ask them to dress appropriately. I know most schools allow them to wear casual wear to psych clincials. Remind them that they are not at a club or a bar, and trust me--they DO NOT want to attract my patients' attention in that way. Nothing skin-tight, no jeans, no strap tops, no sandals, no overdosing on the makeup and perfume. Even if they complain that "the girls" are big and its hard to find a shirt that fits them right, tell them they can buy/borrow a cheap baggy sweater and wear that...same thing with pants. And that's not my policy; that's the facility's policy. In short, tell them they should dress as though they are going to church or to court.

Meriwhen, those are all good points that I did not mention. The school has a dress code policy and I have sent a couple students home that were dressed inappropriately for clinical. For example, I tell the females not to have cleavage showing or avoid wearing the low cut pants down around their hips. Following the dress code is part of their grade as well.

Regarding the groups...my students are required to lead groups as part of their grade and course expectations. I haven't had any problems with the students whispering, talking during groups, ect.

I am a student and the only people that I see being incivil are the experienced nurses.....

just sayin

Specializes in LTC, Med-Surg.

Meriwhen, my psych clinical instructor had the perfect solution to inappropriate dress. She warned us at the beginning of the semester that she kept a big baggy ugly but professional outfit in her trunk. If we showed up dressed inappropriately, we had two options...change into the ugly suit, or go home and be marked as a no call no show. The first time a girl wore culottes and we saw the ugly suit was also the last time we messed with the dress code! She was an awesome instructor!

Specializes in LTC, Med-Surg.

About the laptop issue...I have to admit that while I lived for clinical and the experience that it afforded me, lecture in the nursing courses left me wanting. I had very good, consistent grades and tests were a non issue. I feel that every instructor is worth hearing through a week of lecture before I decide if they are reading PowerPoint slides at me or if they really are teaching me. I feel every instructor deserves a class full of quiet, respectful and attentive students regardless. I would sit in the very back near the door and with a muted laptop go about my business, keeping a weather ear out for new and pertinent info that was not included on the slides. If there was no attendance policy on lectures, after the first few weeks I would stop going and sit instead in the lounge where I could study in more depth what interested me and not disturb the class. Most of my instructors were fine with that once they saw my grades and work ethic (I still got to school on time and participated in/attended all in-class presentations). They saw that I wasn't trying to sleep in or get out of projects and that I regularly checked in with class and contributed in clinical so they stopped worrying. Those same instructors could be heard reaming out other students regarding attendance but I think the distinction is that some people are capable of learning this way and some need to be spoon fed the slides word for word. I happen to have ADHD and while on the unit it's helpful in the multi tasking department, in lectures it was very frustrating. Nothing wrong with either way as long as you respect the people around you. The few who had attendance policies (not many) usually were also the ones who truly used the slides as a rough guideline for their lecture and were worth attending.

I purposely took the hardest A&P instructor at my school because I wanted to have a strong foundation for my nursing classes. I heard many negative things about her (you had to attend class, if your phone rang, she would ask you to leave class and she required essay answers for physiology exams!!!:chair:) I wound up taking her for both semesters and loved it, there were few distractions, she was thorough and very easy to understand. I finished both classes, then worked as a student assistant/tutor under her for the next several semesters as well. While I was doing that I had the opportunity to interact with some of the easy professor's students and you could tell the difference (one girl could not identify the femur when I was helping her the day before the bone practical exam, but proudly celebrated her "easy" A in the class later.) I also watched students try to argue with my professor about exam grades, tardy notes, cell phones and one guy yelled at her because she took points off for an incomplete written answer. She was always calm and simply told them to check the class policy slip that they signed, point out where she was wrong and she would change it :uhoh21: There were still rude inconsiderate students in her class but for the most part they chose to move elsewhere and shut up.

I put students out of my lectures when they distracted me and other students by chatting. They got one warning then boom...out they went.

Man's disrespect for his fellow man knows no bounds. Nor does foolishness and immaturity.

I agree with some of what everyone has posted on this thread. I feel though as it is not the full picture of what can occur in a classroom. I agree that students should be quiet and respect the speaker. However, when this does not occur, the teacher should give a warning specific to the student involved. If that does not occur, tell them to leave. Stick to your guns. I get annoyed with instructors who do nothing about it.

I have also had instructors be wildly unprepared for class. Maybe some of the lack of civility goes to the fact that the instructor is unprepared and students are sick of it. Another aspect I think of is the attendance policy. I think its fair to say that people who are in college are adults and should act like it. However I think it is unfair to require attendance to lecture, students should be allowed to decide whether lecture would be beneficial to them. I think that would help eliminate people who choose to talk the entire time during class and have students who really want to be there. This would not apply to clinical but lecture alone. I have never had attendance be a requirement prior to nursing school. I graduated with a bachelor in finance so I have had 4 years of college already. I went to mostly all my classes. I also see students going to class dead sick because attendance was a requirement and they didn't want to have to make it up ro get in trouble or whatever. That is ridiculous.

I also see a lot of instructors not enforcing rules in general and only applicable to 'certain' people in the class that they deemed unworthy. The 'sometime' stipulation of rules was annoying to see. I never had problems with the instructors. However, seeing that kind of behavior with the instructors did not make me want to be respectful because I saw severe inequality.

Specializes in Geriatrics and Quality Improvement,.

I love this topic, and recetly attended a seminar by Susan Luparell on this. You all here make many many good points, and I am in agreement with your actions, and ideas. I am just seeking my masters, and will be keeping an eye out for situations lilke this, as I am sure it is not just in the preliminary educative years that it occurs. People think they are the boss in all kinds of situations.

Being loud dosent make you right, it just make you loud. Talking over me dosent make you right, it makes you obnoxious. Calling my superior dosent scare me, I have already been to that office and anticipated your "I'm telling mom!" behavior. We are on the same page, my boss and I. The next appointment I have is next month to discuss this. Feel free to come back then, or discuss it now, calmly.

When we did a little role play on it, an experienced educator who has been through this many time with multiple bahaviors was actually backing down from my calm even tone, distinct answers, and directness.

I hope I can still apply these lessons you have here to my charm bag!

Definatley a topic Id love to know more about too!

I am currently a student. I love the instructors at my school. If I was an instructor I guarantee my students would hate my guts... and I wouldn't care one bit. Not only should students be respectful, but if they realized the gravity of becoming a nurse and the amount of responsibility that will be in their hands every shift, then they would be taking thier lectures and clinicals a bit more seriously. I'd be throwing people out of class and clinical and writing them up left and right if they were socializing or goofing off. It irritates me to no end, and I expect nothing but professionalism from other students.

Now, in clinicals we are allowed to carry our cell phones as long as the ringers are turned off. We are allowed to use them outside of patient view in order to look up information, which is the only time I have used mine. Alot of our students have the davis drug guide app downloaded and use it frequently.

I did say something to the students in our lecture this last semester who would talk incessantly. Our instructor actually stopped lecture, was standing there staring at them, and they had no idea. They just continued thier conversation until I turned around and loudly said something to them. I just couldn't take it anymore. I think I was angrier than the instructor to be honest. I do have to say that most of the really rude students didn't make it past the 1st semester thankfully.

We also have very few students who bring laptops in. Only one takes notes in lecture that fashion, and most students use recorders. I don't think I would mind too much as long as thats whats the laptop was being used for and it wasn't too loud. If the whole class had laptops it might be a problem.

Specializes in IMCU.
VickyRN said:
One or two years ago, I had a student who had severe ADHD in one of my classes. The least little thing was a terrible distraction. He could hear the students on either side of him texting and it caused him to lose focus in class. As it was, he was struggling to maintain a passing grade. The student promptly reported the ones who were texting, which was a big help to me, because I could not see this taking place from the podium. So my point here is that texting, the clang, clang of computer keys, people whispering, moving around, etc., can significantly distract some students (particularly those with learning disabilities) and hinder learning in the classroom. That is why this type of behavior is rude, inconsiderate, and disruptive.

Vicky,

I agree that the texting etc. is rude but if a student is so completely distracted in a controlled environment like a classroom how does that bode for them practicing as a nurse?

Before everyone goes bonkers -- this is an honest question that I have never asked a professional educator. I am not getting at people with ADHD.