Disruptive Behaviors in an Emergency Department: the Perspective of Physicians and Nurses

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. In this cross-sectional study a total of 45 physicians...

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Published in:	Journal of caring sciences Vol. 5; no. 3; pp. 241 - 249
Main Authors:	Maddineshat, Maryam, Rosenstein, Alan H, Akaberi, Arash, Tabatabaeichehr, Mahbubeh
Format:	Journal Article
Language:	English
Published:	Iran Tabriz University of Medical Sciences 01-09-2016
Subjects:	Attitude Disruptive behaviors Emergency department Original Physician-nurse relations Disruptive behaviors Emergency department Physician-nurse relations Attitude
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Abstract	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. 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. 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%). 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.
AbstractList	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. 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. 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. 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. 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%). 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.
Author	Tabatabaeichehr, Mahbubeh Akaberi, Arash Rosenstein, Alan H Maddineshat, Maryam
AuthorAffiliation	3 Statistical Consultant, Sabzevar University of Medical Sciences, Sabzevar, Iran and Biostatistician at McGill University, Montreal, Canada 2 Practicing Internist, Medical Consultant in Health Care Management, San Francisco, California, USA 1 Department of Nursing, Nursing and Midwifery Faculty, Addiction and Behavioral Sciences Research Center, North Khorasan University of Medical Sciences, Bojnurd, Iran 4 Department of Midwifery, Nursing and Midwifery Faculty, North Khorasan University of Medical Sciences, Bojnurd, Iran
AuthorAffiliation_xml	– name: 2 Practicing Internist, Medical Consultant in Health Care Management, San Francisco, California, USA – name: 1 Department of Nursing, Nursing and Midwifery Faculty, Addiction and Behavioral Sciences Research Center, North Khorasan University of Medical Sciences, Bojnurd, Iran – name: 3 Statistical Consultant, Sabzevar University of Medical Sciences, Sabzevar, Iran and Biostatistician at McGill University, Montreal, Canada – name: 4 Department of Midwifery, Nursing and Midwifery Faculty, North Khorasan University of Medical Sciences, Bojnurd, Iran
Author_xml	– sequence: 1 givenname: Maryam surname: Maddineshat fullname: Maddineshat, Maryam organization: Department of Nursing, Nursing and Midwifery Faculty, Addiction and Behavioral Sciences Research Center, North Khorasan University of Medical Sciences, Bojnurd, Iran – sequence: 2 givenname: Alan H surname: Rosenstein fullname: Rosenstein, Alan H organization: Practicing Internist, Medical Consultant in Health Care Management, San Francisco, California, USA – sequence: 3 givenname: Arash surname: Akaberi fullname: Akaberi, Arash organization: Statistical Consultant, Sabzevar University of Medical Sciences, Sabzevar, Iran and Biostatistician at McGill University, Montreal, Canada – sequence: 4 givenname: Mahbubeh surname: Tabatabaeichehr fullname: Tabatabaeichehr, Mahbubeh organization: Department of Midwifery, Nursing and Midwifery Faculty, North Khorasan University of Medical Sciences, Bojnurd, Iran
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Snippet	Disruptive behaviors cause many problems in the workplace, especially in the emergency department (ED).This study was conducted to assess the physician's and... Introduction: Disruptive behaviors cause many problems in the workplace, especially in the emergency department (ED).This study was conducted to assess the... Introduction: Disruptive behaviors cause many problems in the workplace, especially in the emergency department (ED).This study was conducted to assess the...
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Title	Disruptive Behaviors in an Emergency Department: the Perspective of Physicians and Nurses
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