What Is the 'Cup of Coffee' Conversation as an Intervention?

The Cup of Coffee Conversation is a peer-to-peer approach developed by Dr Gerald Hickson and colleagues at Vanderbilt University. It’s designed to tactfully address unprofessional behaviour in its earliest stages — not with confrontation, but through respectful reflection and accountability.

Delivered informally, often one-to-one in private, the conversation shares a single observed incident of concerning behaviour. There's no judgement, there's no telling. It is a quiet but powerful nudge that prompts the recipient to reflect — before a pattern of incivility can take hold.

 

                 “Most people who undermine safety or culture don’t know they’re doing it — but silence

                    can be mistaken for endorsement.”
                                  – Adapted from the work of Dr Hickson and the Vanderbilt CPPA

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Why These Conversations Matter

Unaddressed incivility can erode trust, hinder communication, and compromise patient safety. The 'Cup of Coffee' approach empowers healthcare professionals to:

• Address issues promptly: Tackling behaviours early prevents escalation.

• Promote self-awareness: Encouraging reflection can lead to behavioural change.

• Strengthen team cohesion: Open dialogue fosters mutual respect and understanding.

 

By integrating this intervention into daily practice, teams can maintain a positive and professional environment.

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Aligning with Our Mission

At Civility Saves Lives, we believe that fostering a culture of respect and professionalism is essential for effective healthcare delivery. The 'Cup of Coffee' intervention complements our initiatives by providing a practical tool for addressing incivility.

Our training programmes incorporate this approach, equipping teams with the skills to have constructive conversations that reinforce positive behaviours and organisational values.