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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

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Hospital RNs' experiences with disruptive behavior: a qualitative study.

Jo M Walrath¹, Deborah Dang, Dorothy Nyberg

¹Johns Hopkins University School of Nursing, Baltimore, Maryland 21218, USA.

Journal of Nursing Care Quality

|November 26, 2009

Summary

Disruptive clinician behavior threatens healthcare quality and safety. Understanding registered nurse experiences is key to addressing these issues and improving the work environment.

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Area of Science:

Healthcare Management
Nursing Practice
Patient Safety

Background:

Disruptive behavior in healthcare settings poses significant risks.
It negatively impacts quality of care, nurse retention, and the overall safety culture.
Registered nurses (RNs) are often at the forefront of experiencing and witnessing such behaviors.

Purpose of the Study:

To explore and understand registered nurse experiences with disruptive clinician behavior in an acute care hospital.
To develop a conceptual framework for organizing and describing disruptive behavior, its triggers, responses, and impacts.

Main Methods:

A qualitative study was conducted.
Data were elicited from registered nurses in an acute care hospital setting.

Main Results:

The study identified key aspects of registered nurse experiences with disruptive behavior.
A conceptual framework was developed, encompassing four primary concepts: the behaviors themselves, their triggers, the responses to them, and their ultimate impacts.

Conclusions:

Disruptive clinician behavior is a complex issue with far-reaching consequences in healthcare.
The developed conceptual framework offers a structured approach to understanding and addressing disruptive behaviors to enhance patient safety and nurse retention.