An organizational assessment of disruptive clinician behavior: findings and implications.
This study investigated registered nurses' (RNs) and physicians' (MD) experiences with disruptive behavior, triggers, responses, and impacts on clinicians, patients, and the organization. Using the Disruptive Clinician Behavior Survey for Hospital Settings, it was found that RNs experienced a significantly higher frequency of disruptive behaviors and triggers than MDs; MDs (45% of 295) and RNs (37% of 689) reported that their peer's disruptive behavior affected them most negatively. The most frequently occurring trigger was pressure from high census, volume, and patient flow; 189 incidences of harm to patients as a result of disruptive behavior were reported. Findings provide organizational leaders with evidence to customize interventions to strengthen the culture of safety.
Johns Hopkins University School of Nursing, Baltimore, Maryland 21205, USA. jmwalrath@jhmi.edu
Jo M
JM
Walrath
Deborah
D
Dang
Dorothy
D
Nyberg
D000328:Adult; D000374:Aggression / Q000523:psychology*; D001519:Behavior; D003220:Conflict, Psychological; D003625:Data Collection; D005260:Female; D006801:Humans; D008297:Male; D008505:Medical Staff, Hospital / Q000458:organization & administration* / Q000523:psychology*; D008875:Middle Aged; D009741:Nursing Staff, Hospital / Q000458:organization & administration* / Q000523:psychology*; D019555:Physician-Nurse Relations