Introduction: Academic incivility is one of the major concerns
among nursing student that disrupts the learning process and
influences the quality of nursing care. Investigating a useful
strategy can be a crucial action in reducing the problem. The
purpose of this study was to evaluate the nursing student’s
perceptions of using scenario-based education to improve civility.
Methods: An explanatory mixed method approach was employed.
Nursing students who were studying in the second and third years
participated in research (N=81).. Eight sessions were designed for
discussion regarding the scenarios that were directed by a faculty
leader. Changes in the students’ perception were evaluated four
weeks after the sessions by a questionnaire. Data were analyzed
using paired t-test and calculation of mean scores. Ten focus
groups were conducted and content analysis identifed two themes
and four subthemes. Both the qualitative and quantitative data
were analysed separately and the findings were merged in the
Results: There was a significant difference between the student’s
perceptions for the perceived level and occurrence rate of incivility
before and after the intervention (P<0.05). The major themes
found included awareness of the importance of incivility and
capability to change uncivil behavior. The results from the mixed
method study showed that the program increased awareness and
capability to change uncivil behaviors.
Conclusion: This research provided an extended understanding
of the outcomes of the scenario- based education on nursing
student’s perceived behaviors and strengthened their beliefs and
capabilities about civil behaviors. It can be applied as an effective
strategy to raise the perception of the program value and use.