Negative behaviours in health care: Prevalence and strategies

Journal of Nursing Management
Diana M LayneKenneth A Wallston

Abstract

To evaluate the effectiveness of a professionalism taskforce and the prevalence of negative behaviours across interdisciplinary groups at a south-eastern US academic medical centre. Negative behaviours within health care organisations may undermine patient safety. These behaviours are associated with decreased productivity, increased turnover, and poor patient and staff outcomes. A pre-post study design using an adapted instrument, the Negative Behaviors in HealthCare (NBHC) survey, assessed perceptions of negative behaviours by physicians, clinical, and managerial staff both before and after a professionalism taskforce was convened in 2012 to identify and promulgate key strategies to improve behaviours. The 1,980 respondents completed the pre-survey in January 2012 and 1,423 completed the post-survey in 2014. Significant reductions in use of lateral aggression (LA) and vertical aggression (VA) (χ2  = 5.65, p < 0.017), observation of LA and VA (χ2  = 4.90, p < 0.027), and experience with contributing factors associated with negative behaviours (χ2  = 9.03, p < 0.003) were identified. Findings suggest that a professionalism taskforce guiding key strategies to elevate professionalism significantly affected beliefs about lateral a...Continue Reading

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Citations

Jun 5, 2020·The Journal of Nursing Education·Jeanette M OlsenRita Sperstad
Aug 7, 2019·Journal of Nursing Management·Diana M LayneShakira Henderson
Sep 13, 2019·Journal of Nursing Measurement·Diana M LayneKenneth A Wallston
May 15, 2019·Nursing Management·Elizabeth Angelo
Dec 12, 2020·Nursing Management·Thompson H ForbesMelvin Swanson

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