Do clinician disruptive behaviors make an unsafe environment for patients?

Journal of Nursing Care Quality

Volumn 31, Issue 2, 2016, Pages 115-123

  Dang, Deborah ^a   Bae, Sung Heui ^b   Karlowicz, Karen A ^c   Kim, Miyong T ^d  

^a JOHNS HOPKINS HOSPITAL   (United States)

^b Ewha Womans University   (South Korea)

^c OLD DOMINION UNIVERSITY   (United States)

^d UNIVERSITY OF TEXAS AT AUSTIN   (United States)

Author keywords

Clinician disruptive behaviors; Job satisfaction; Patient harm; Work environment; Workplace incivility

Indexed keywords

AGGRESSION; CROSS-SECTIONAL STUDY; HEALTH PERSONNEL ATTITUDE; HUMAN; JOB SATISFACTION; MEDICAL STAFF; PATIENT SAFETY; PROBLEM BEHAVIOR; PSYCHOLOGY; PUBLIC RELATIONS; QUESTIONNAIRE; UNITED STATES; WORKPLACE;

AGGRESSION; ATTITUDE OF HEALTH PERSONNEL; CROSS-SECTIONAL STUDIES; HUMANS; INTERPROFESSIONAL RELATIONS; JOB SATISFACTION; MEDICAL STAFF, HOSPITAL; PATIENT SAFETY; PROBLEM BEHAVIOR; SURVEYS AND QUESTIONNAIRES; UNITED STATES; WORKPLACE;

EID: 84960446670     PISSN: 10573631     EISSN: 15505065     Source Type: Journal    
DOI: 10.1097/NCQ.0000000000000150     Document Type: Article

References (19)

1. Walrath JM, Dang D, Nyberg D. An organizational assessment of disruptive clinician behavior: findings and implications. J Nurs Care Qual. 2013;28(2):110-121.
2. Dang D, Nyberg D, Walrath JM, Kim MT. Development and validation of the Johns Hopkins disruptive clinician behavior survey [published online ahead of print July 28, 2014]. Am J Med Qual. doi: 1062860614544193.
3. Smetzer JL, Cohen MR. Intimidation: practitioners speak up about this unresolved problem. Jt Comm J Qual Patient Saf. 2005;31(10):594-599.
4. Pearson CM, Porath CL. On the nature, consequences and remedies of workplace incivility: no time for "nice"? Think again. Acad Manage Exec. 2005;19(1):7-18.
5. Andersson LM, Pearson CM. Tit for tat? The spiraling effect of incivility in the workplace. Acad Manage Rev. 1999;24(3):452-471. doi: 10.2307/259136.
6. Walrath JM, Dang D, Nyberg D. Hospital RNs' experiences with disruptive behavior: a qualitative study. J Nurs Care Qual. 2010;25(2):105-116.
7. Institute for Safe Medication Practices. Results from ISMP survey on workplace intimidation. https://ismp.org/Survey/surveyresults/Survey0311.asp. Published 2004. Accessed March 2015.
8. Rosenstein AH, O'Daniel M. A survey of the impact of disruptive behaviors and communication defects on patient safety. Jt Comm J Qual Patient Saf. 2008;34(8):464-471.
9. Rosenstein AH. Nurse-physician relationships: impact on nurse satisfaction and retention. Am J Nurs. 2002;102(6):26-34.
10. Rosenstein AH, Russell H, Lauve R. Disruptive physician behavior contributes to nursing shortage: study links bad behavior by doctors to nurses leaving the profession. Physician Exec J. 2002;28(6):8-11.
11. Rosenstein AH, O'Daniel M. Impact and implications of disruptive behavior in the perioperative arena. J Am Coll Surg. 2006;203(1):96-105.
12. Rosenstein AH, O'Daniel M. Disruptive behavior and clinical outcomes: perceptions of nurses and physicians: nurses, physicians, and administrators say that clinicians' disruptive behavior has negative effects on clinical outcomes. Am J Nurs. 2005;105(1):54-64.
13. Rosenstein AH. The quality and economic impact of disruptive behaviors on clinical outcomes of patient care. Am J Med Qual. 2011;26(5):372-379.
14. Rosenstein A. Early intervention can help prevent disruptive behavior. Physician Exec J. 2009;35(6):14-15.
15. Rosenstein A. Addressing disruptive behaviors in the organizational setting: the win-win approach. J Med Pract Manage. 2013;28(6):348-350.
16. Rosenstein AH. Physician stress and burnout: what can we do? Physician Exec. 2012;38(6):22-26, 28, 30.
17. Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol. 1986;51:1173-1182.
18. Rosenstein AH, O'Daniel M. Managing disruptive physician behavior: impact on staff relationships and patient care. Neurology. 2008;70(17):1564-1570.
19. Scott SD, Hirschinger LE, Cox KR, McCoig M, Brandt J, Hall LW. The natural history of recovery for the healthcare provider "second victim" after adverse patient events. Qual Saf Health Care. 2009;18:325-330.