Universal versus tailored solutions for alleviating disruptive behavior in hospitals

Israel Journal of Health Policy Research
Talia Berman-Kishony, Shifra Shvarts

Abstract

Disruptive behavior among hospital staff can negatively affect quality of care. Motivated by a standard on disruptive behavior issued by The Joint Commission (LD 3.10), as well as the desire to improve patient care, minimize liability, and improve staff retention, hospitals are setting policies to prevent and resolve disruptive behaviors. However, it is unknown whether uniform conflict management tools are equally effective among different hospital settings. We surveyed residents and nurses to identify similarities and differences among hospital departments in the antecedents, characteristics, and outcomes of disruptive behaviors, and in the effectiveness of conflict management tools. We used a quantitative questionnaire-based assessment to examine conflict perceptions in eight different hospital departments at Rambam Medical Center in Haifa, Israel. Most participants (89 %) reported witnessing disruptive behavior either directly or in other parties; the most significant causes were identified as intense work, miscommunication, and problematic personalities. The forms of these behaviors, however, varied significantly between departments, with some more prone to expressed conflicts, while others were characterized by hidden disr...Continue Reading

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Dec 3, 2016·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Alexander VillafrancaEric Jacobsohn
Jan 11, 2018·Academic Medicine : Journal of the Association of American Medical Colleges·Joseph HopkinsManisha Desai
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Jan 11, 2021·International Emergency Nursing·Maryam MaddineshatMahnaz Khatiban
Dec 2, 2019·The Journal of Surgical Research·Frank GleasonBrenessa Lindeman

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