Creating and sustaining civility in nursing education

Clark Civility Index for Students and Classmates
SOURCE: Clark, C.M. (2017). Creating and sustaining civility in nursing education, 2nd ed, Indianapolis, IN: Sigma Theta Tau International Publishing.
The Clark Civility Index for Students and Classmates used herein is copyrighted property of Dr. Cynthia Clark. This material should not be reproduced in any form without Dr. Clarks expressed written permission.
 
To complete the index, consider the 20 statements listed below. Read each statement carefully. Using a scale of 1- 5; (5) always, (4) usually, (3) sometimes, (2) rarely, (1) never, select the response that most accurately represents the frequency of each behavior by asking yourself…
 
How often does my Team.
 

1. Role model civility, professionalism, and respectful discourse
1-Never
2-Rarely
3-Sometimes
4-Usually
5-Always

2. Add value and meaning to the educational experience
1-Never
2-Rarely
3-Sometimes
4-Usually
5-Always

3. Communicate respectfully (by e-mail, telephone, face-to-face) and really listen
1-Never
2-Rarely
3-Sometimes
4-Usually
5-Always

4. Avoid gossip and spreading rumors
1-Never
2-Rarely
3-Sometimes
4-Usually
5-Always

5. Avoid making sarcastic remarks or gestures (staged yawning, eye-rolling)
1-Never
2-Rarely
3-Sometimes
4-Usually
5-Always

6. Pay attention and participate in class discussion and activities
1-Never
2-Rarely
3-Sometimes
4-Usually
5-Always

7. Use respectful language (avoid racial, ethnic, sexual, gender, religiously biased terms)
1-Never
2-Rarely
3-Sometimes
4-Usually
5-Always

8. Avoid distracting others (misusing media, devices, side conversations) during class
1-Never
2-Rarely
3-Sometimes
4-Usually
5-Always

9. Avoid taking credit for someone elses work or contributions
1-Never
2-Rarely
3-Sometimes
4-Usually
5-Always

10. Co-create and abide by classroom and clinical norms
1-Never
2-Rarely
3-Sometimes
4-Usually
5-Always

11. Address disruptive student behaviors and promote a safe, civil learning environment
1-Never
2-Rarely
3-Sometimes
4-Usually
5-Always

12. Take personal responsibility and stand accountable for my actions
1-Never
2-Rarely
3-Sometimes
4-Usually
5-Always

13. Speak directly to the person with whom I have an issue
1-Never
2-Rarely
3-Sometimes
4-Usually
5-Always

14. Complete my assignments on time and do my share of the work
1-Never
2-Rarely
3-Sometimes
4-Usually
5-Always

15. Arrive to class on time and stay for the duration
1-Never
2-Rarely
3-Sometimes
4-Usually
5-Always

16. Avoid demanding make-up exams, extensions, grade changes, or other special favors
1-Never
2-Rarely
3-Sometimes
4-Usually
5-Always

17. Uphold the vision, mission, and values of my organization
1-Never
2-Rarely
3-Sometimes
4-Usually
5-Always

18. Listen to and seek constructive feedback from others
1-Never
2-Rarely
3-Sometimes
4-Usually
5-Always

19. Demonstrate an openness to other points of view
1-Never
2-Rarely
3-Sometimes
4-Usually
5-Always

20. Apologize and mean it when the situation calls for it
1-Never
2-Rarely
3-Sometimes
4-Usually
5-Always

TOTAL EACH COLUMN
 
 
 
 
 

 
 
TOTAL SCORE ________
Scoring the Civility Index: Add up the number of 1-5 responses to determine your civility score
90-100Very civil
80-89Civil
70-79Moderately civil 60-69Mildly civil
50-59Uncivil
Less than 50Very uncivil
 
Identify one area of personal strength for your team; provide one or two suggestions to continue developing this strength.
 
 

 
Identify one area of personal growth for your team to consider; provide one or two suggestions on how to achieve this area of personal growth.
 
 
2017 Clark