title: Common risky behaviours checklist: a tool to assist nurse supervisors to assess unsafe practice.
abstract: OBJECTIVE
  To describe the development of the Common Risky Behaviour Checklist, a tool to aid nurse supervisors in determining when a nurse may be questionably fit to perform, particularly in cases of substance abuse.
  
  
  BACKGROUND
  A significant number of nurses may have substance use disorders that could manifest as unsafe performance at work, and nurse supervisors lack the tools to assess a nurse's fitness to perform at work.
  
  
  METHODS
  Job analysis techniques were used to identify the critical impairment behaviours for the tool. Job analysis is a legally defensible, multi-stage process used in the organisational psychology field to develop work performance assessments.
  
  
  RESULTS
  A screening tool was developed for nurse supervisors to assess when a nurse may be questionably fit to perform.
  
  
  CONCLUSIONS
  The development of this checklist is one of several needed advancements in order to address the issue of fitness to perform and patient safety.
  
  
  CONCLUSIONS
  The Common Risky Behaviour Checklist offers nurse managers assistance in protecting patient safety by providing a quick (one-page), systematic, behaviour-based method to collect information that can inform urgent decisions, trigger performance corrections and can complement formal organisational documentation processes in cases of unsafe practice due to substance abuse.
authors.affiliation: Oregon Nurses Foundation, Tualatin, OR, USA.
authors.forename: David M
authors.initials: DM
authors.lastname: Cadiz
authors.affiliation: Industrial/Organizational Psychology, Departmemt of Psychology, Portland State University, OR, USA.
authors.forename: Donald M
authors.initials: DM
authors.lastname: Truxillo
authors.affiliation: Oregon Nurses Foundation, Tualatin, OR, USA.
authors.forename: Chris
authors.initials: C
authors.lastname: O'Neill
mesh_terms: D002983:Clinical Competence / Q000592:standards*; D006801:Humans; D009718:Nurse Administrators; D009741:Nursing Staff, Hospital / Q000941:ethics*; D009922:Oregon; D012308:Risk Management; D012309:Risk-Taking; D019966:Substance-Related Disorders; D011795:Surveys and Questionnaires
keywords: common risky behaviour checklist; nurse fitness to perform; substance abuse; unsafe practice