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 OB (with a history of cardiac).

Yeesh. When I was in LPN school this sort of behavior was common. We had students tattle tailing to the instructors that they "saw" so and so ambulating a patient without a gait belt, or saw another person doing this or that. There was one girl who apparently literally tattled on every student in her group.

Another issue the program had, that apparently got much worse after I graduated (I precepted LPN students from that program at the clinic I worked at when they had their peds rotation) was cheating. It got so bad that they had to split the class into separate rooms and assign seating because the head instructor had sort of rigged the one exam to catch the cheaters in their cheat. Sadly, apparently (and yes granted I'm getting this secondhand, but after my time in the program I believe it) these were all foreign students who tried to play the "it's our culture" card "we share". These were the same students who commonly would sit in the back row and talk in their dialect through the entire class...in a tone louder than a murmur.

Once I got my RN and started helping test out LPN students at this school I went to I began to see and appreciate why all my instructors were so brusque and no nonsense. I mean when I was a student I thought they were mean, I thought they were un-approachable and stern to beat the band. Now I understand. Totally. One day when I'm an instructor I hope I can balance approachable with stern, tough but fair. I mean you're not teaching people to cut someone's hair- your messing with someone's life!

And as for the student who had the patient who had a fall- she merely got transferred to another clinical group? Now, I have some sympathy for her, on my first night of clinical for LPN there was a call light that was dinging and dinging and nobody was getting it- not even the staff nurses, they all walked right past, and so I went in and a lady needed to get off the potty, so I helped her, and nearly dropped her... I swallowed the chewing out I got...learned my lesson...but this student also passed a pain pill too? Without an instructor? And she was covering her little accident? To me that sounds like grounds for failing or expulsion. Wow.

Specializes in Level II Trauma Center ICU.

We had some of the same policies at our school. I was shocked, however, to see one of my instructors texting during our class presentations that were worth 25% of our grade. She even left during one of the presentations. I thought it was very disrespectful to all of the work we put into our presentations and wondered how she could effectively evaluate our presentations when she was obviously not paying attention?

Specializes in LTC Family Practice.

I agree, and I went to school in the dark ages where there were rules and if you didn't abide them you were gone. These types of students would have been out the door with no recourse. What happened to plain old respect???? My biggest concern is what type of nurses will these students make? I don't think I'd want one like that as my nurse.

Specializes in school nursing, ortho, trauma.

The problem hinges from the time the children are in elementary school. Growing up, I was the one responsible for my grades. I was the one that had to see that assignments were turned in when due and I was the one that had to do the studying for exams. It seems the culture has shifted. I am a school nurse in a middle school and I can tell you that the idea of a student being responsible for their own actions is almost a foreign concept. If a student turns an assignment in late then the teacher just has to thank their lucky stars that it was turned in at all. Should a teacher take off points for it being late the parents are on the phone complaining to the administration that Little Suzy should have the deadline extended because of XYZ, usually all bullcrap excuses.

This generation's coping skills are horrendous. Do I expect that an 11 y/o will have adult level coping skills? No, but I do expect that they will begin to develop. It seems though, that they are not. What is to blame? Cell phones? Maybe - it's easy now to call and cry to mom and dad whenever you want and parents seem more than willing to fight their kids' battles rather than have them delevop the afore mentioned coping skills and bonus conflict resolution and problem solving skills.

Hold on tight, college professors. You've got some real self entitled doozies coming your way. Stand tough!

Why are computers needed to take notes in class? It's just a portal to outside distractions. I've stopped taking my laptop to class unless I am to work on a powerpoint for a group project. Good old fashioned pen and paper works better for me, as well as recording lectures. I use a Livescribe pen to do both. I can record lectures as well as take notes. It's pretty cool, and it's a much better alternative to using a laptop. This is the website for anyone who is interested: http://www.livescribe.com/en-us/

Specializes in Gerontological, cardiac, med-surg, peds.
dizzyheadspin said:
I fail to see why it is even an issue if another student is using the computer or cell phone. If you aren't participating in what you believe is a distraction, then why would it even be such a bother to you. The use of computers is what kept my class engaged during some of the dreadful lectures. The most avid users of Facebook were the top students in my class. The worst students could barely even operate a computer.

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.

Specializes in Gerontological, cardiac, med-surg, peds.
CCRNDiva said:
We had some of the same policies at our school. I was shocked, however, to see one of my instructors texting during our class presentations that were worth 25% of our grade. She even left during one of the presentations. I thought it was very disrespectful to all of the work we put into our presentations and wondered how she could effectively evaluate our presentations when she was obviously not paying attention?

That is just plain wrong and hypocritical. Respect goes both ways. In the class I am teaching this summer as an adjunct, student presentations on the last evening of class count 5% of their grades. I will be sure to give my full and enthusiastic attention.

Specializes in OB (with a history of cardiac).

I think a lot of it stems from the fact that everyone gets so offended so fast. You can't correct someone, you can't discipline someone because it apparently violates their whatever....everyone is so into their rights and each generation gets worse and worse. When I taught preschool in the late 90's early 00's I was so frustrated because the materials we were using were seriously subliminally teaching children to challenge authority, to rebel and to "do your own thing", which in some contexts is fine but there's a tendency to take it overboard, and children get brainwashed into rebellion, and selfish in "looking out for number one" and they don't even know it.

Then 20 years later when they're being taken to task for doing wrong in clinical, they make a huge stink about it and whine about how they're being discriminated against, or being treated unfairly. And because we're so darned PC in this world, there really ain't a thing we can do about it.

In that LPN program I was in, several students were failed. They came back a day later, all of them and went to the dean of nursing and reamed her out about how it was discrimination, and unfair, and must have made some heavy threats because whaddya know? They were right back in class a day or three later. I doubt any of them passed NCLEX, and I don't know if they can appeal that and complain about NCLEX being unfair and discriminatory too, but I bet many have tried...

dudette10 said:
Classroom incivility is rampant, and I'm not sure if my instructors didn't notice or didn't care. It mainly affects other students, especially if they have a seat at the back of the room, where the distractions in front of them are too numerous to overcome. The main culprit in my classes was technology. I began sitting at the front because the distractions from other students who were texting, playing computer games, answering personal emails (rapid click, click, click of keyboards that weren't associated with note-taking), Facebooking, or IMing each other were irritating to me.

Sometimes, I think instructors could ban computers in the classroom all together. I rarely used mine except on test days, and my grades did not suffer by using hand-written notes. Is it a coincidence that the top students in my class did not use technology inappropriately in class?

Totally agree~~~~

whichone said:
Why are computers needed to take notes in class? It's just a portal to outside distractions. I've stopped taking my laptop to class unless I am to work on a powerpoint for a group project. Good old fashioned pen and paper works better for me as well as recording lectures. I use a Livescribe pen to do both. I can record lectures as well as take notes. It's pretty cool, and it's a much better alternative to using a laptop.

Yeah, banning pc in classes could be a good idea.

Specializes in Psych ICU, addictions.

As far as student nurses visiting my unit, I tell them up front that I never hesitate to go to their instructor and/or remove them from the unit at the first sign of unacceptable behavior. Like the OP, I set the ground rules up front and make it clear that they will be obeyed if they wish to have their clinical experience on my unit...and I have gone to instructors and requested that students be removed. I reported a pair not too long ago for spending a majority of their time standing at the nurses station--and being in our way--gossiping to each other instead of interacting with patients. Word must have gotten out--nearly every student from that school that I've had since have been no problem whatsoever. Though I did hear from staff on other units that those original two students have not learned from their mistake. Their loss.

At the beginning of the semester, we go over the clinical course syllabus and I give the students a list of written rules/expectations for the course. Among them are:

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.

2. Tardiness is not tolerated. I tell the students to treat clinical like a real job. I give them the example that if they were working on a unit and just showed up for clinical late without notifying the instructor or staff, they would probably be fired. Clinical is training for the real world. I have never had any issues with chronic tardiness from students.

3. I emphasize professional behavior in their evaluations and add or take off points for it. It is part of their course grade. I developed a grading rubric and take off points for tardiness, disruptive behavior, participation, and other criteria. I have not had any issues since I started doing this.

4. I do not tolerate any bullying or any form of horizontal violence from students towards others (including myself) or staff trying to bully students on the floor. If it does occur, it is nipped in the bud very quickly and professionally. This "nurses that eat their young" mentality is old school and needs to die if the profession is going to advance in a positive direction. I explain to them that it is difficult for others to treat us as professionals when you see a nurse gossiping, backbiting, ect. another nurse. Also, a nurse doing this is poor role model for others.

5. Absences like an illness need a written excuse from a doctor or other provider. I had a student ask me if he could miss clinical so he could go to a social event. I said "sure you can go, but it will be an unexcused absence." He did not go to the event. I feel that when a student registers for a class, it is like a contract between the instructor and student. I am expected to be at XYZ time and date every week and so is the student.

I know I am a strict instructor, but I am very fair. I don't care if a student's dad is the CEO of some big company...he is going to earn that A just like everyone else. My students know what to expect from me and I let them know what their expectations are in clinical. I challenge them to learn and raise the bar high. I try to help them get prepared for the real world so they won't be overwhelmed or drowning as a new grad. It is a very rewarding job...just wish it paid more.