title: Disruptive Behaviors in an Emergency Department: the Perspective of Physicians and Nurses.
abstract: Introduction:Disruptive behaviors cause many problems in the workplace, especially in the emergency department (ED).This study was conducted to assess the physician's and nurse's perspective toward disruptive behaviors in the emergency department.Methods:In this cross-sectional study a total of 45 physicians and 110 nurses working in the emergency department of five general hospitals in Bojnurd participated. Data were collected using a translated, changed, and validated questionnaire (25 item). The collected data were analyzed by SPSS ver.13 software.Results:Findings showed that physicians gave more importance to nurse-physician relationships in the ED when compared to nurses' perspective (90% vs. 70%). In this study, 81% of physicians and 52% of nurses exhibited disruptive behaviors. According to the participants these behaviors could result in adverse outcomes, such as stress (97%), job dissatisfaction and can compromise patient safety (53%), quality of care (72%), and errors (70%).Conclusion:Disruptive behaviors could have a negative effects on relationships and collaboration among medical staffs, and on patients' quality of care as well. It is essential to provide some practical strategies for prevention of these behaviors.
authors.affiliation: Department of Nursing, Nursing and Midwifery Faculty, Addiction and Behavioral Sciences Research Center, North Khorasan University of Medical Sciences, Bojnurd, Iran.
authors.forename: Maryam
authors.initials: M
authors.lastname: Maddineshat
authors.affiliation: Practicing Internist, Medical Consultant in Health Care Management, San Francisco, California, USA.
authors.forename: Alan H
authors.initials: AH
authors.lastname: Rosenstein
authors.affiliation: Statistical Consultant, Sabzevar University of Medical Sciences, Sabzevar, Iran and Biostatistician at McGill University, Montreal, Canada.
authors.forename: Arash
authors.initials: A
authors.lastname: Akaberi
authors.affiliation: Department of Midwifery, Nursing and Midwifery Faculty, North Khorasan University of Medical Sciences, Bojnurd, Iran.
authors.forename: Mahbubeh
authors.initials: M
authors.lastname: Tabatabaeichehr
keywords: Attitude; Disruptive behaviors; Emergency department; Physician-nurse relations