Related Experiment Video

Updated: Jun 22, 2025

The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress
09:12

The Resident-intruder Paradigm: A Standardized Test for Aggression, Violence and Social Stress

Published on: July 4, 2013

70.8K

Issues and Perspectives for the Study of Disruptive Clinician Behavior

Manabu Fujimoto1

  • 1Institute for Teaching and Learning, Ritsumeikan University, Kyoto, JPN.

Cureus
|June 28, 2024
PubMed

Insights

Disruptive clinician behavior (DCB) causes confusion due to varied definitions. This study proposes a hierarchical model and a policy shift from "zero-tolerance" to "to err is human" to improve patient safety and work environments.

Area of Science:

  • Healthcare Management
  • Patient Safety
  • Organizational Psychology

Background:

  • Disruptive clinician behavior (DCB) presents challenges to patient safety and healthcare professionals' work environments.
  • Conceptual confusion arises from multiple terminologies and ambiguous definitions in DCB research.
  • Subjective classifications lead to overlapping and fluctuating attributes of DCB.

Purpose of the Study:

  • To clarify the definition and structure of disruptive clinician behavior (DCB).
  • To propose a framework for understanding DCB triggers, contributing factors, and influences.
  • To recommend strategies for DCB prevention and mitigation.

Main Methods:

  • Adoption of Rosenberg's definition of DCB: "any inappropriate behavior, confrontation, or conflict, ranging from verbal abuse to physical and sexual harassment."
  • Statistical analysis of field survey data to establish a hierarchical structure for DCB.
  • Organization of duplicated items from existing studies into separate path models based on mutual relationships.

Main Results:

  • A proposed hierarchical structure for understanding DCB.
  • Identified recurring items related to DCB triggers and contributing factors.
  • Development of path models to elucidate DCB mechanisms and impact.

Conclusions:

  • Further research on DCB should focus on elucidating occurrence and impact mechanisms.
  • A policy shift from "zero-tolerance" to "to err is human" is recommended for DCB prevention.
  • Improving healthcare professionals' psychological and social states is a priority for addressing DCB.

Keywords:
definition and attributiondisruptive clinician behaviorhierarchical structureinfluence mechanismoccurrence mechanism

More Related Videos

A Cognitive Paradigm to Investigate Interference in Working Memory by Distractions and Interruptions10:38

A Cognitive Paradigm to Investigate Interference in Working Memory by Distractions and Interruptions

Published on: July 16, 2015

13.6K
Continuous Theta Burst Stimulation of the Posterior Medial Frontal Cortex to Experimentally Reduce Ideological Threat Responses06:42

Continuous Theta Burst Stimulation of the Posterior Medial Frontal Cortex to Experimentally Reduce Ideological Threat Responses

Published on: September 28, 2018

11.6K

Related Concept Videos

Ethical Issues01:27

Ethical Issues

Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
902
Obedience01:08

Obedience

According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
32.9K
Conduct Disorder01:28

Conduct Disorder

Conduct disorder is a complex mental health diagnosis characterized by a repetitive and persistent pattern of behavior that violates societal norms, the rights of others, or age-appropriate rules. The diagnostic criteria for conduct disorder require the presence of at least three problematic behaviors within the past 12 months, with at least one occurring in the past six months. These behaviors are grouped into four categories: aggression toward people and animals; destruction of property;...
31
Personality Disorders: Paranoid and Schizoid01:22

Personality Disorders: Paranoid and Schizoid

Personality disorders represent enduring cognition, affect, and behavior patterns that significantly deviate from societal norms. These maladaptive traits often lead to difficulties in various domains, including interpersonal relationships, occupational settings, and overall psychological well-being. Paranoid personality disorder and schizoid personality disorder are two distinct conditions marked by odd or eccentric behavior.
Paranoid Personality Disorder
Paranoid personality disorder is...
38
Behaviorism01:28

Behaviorism

The field of behaviorism was pioneered by figures such as Ivan Pavlov, John B. Watson, and B.F. Skinner fundamentally shifted the focus of psychology to the observable and controllable aspects of human and animal behavior. This shift marked a critical evolution in the discipline, emphasizing scientific rigor and experimental methodology.
The core premise of behaviorism is its focus on observable behavior rather than internal thoughts or feelings. This approach argues that true scientific...
2.3K
Attribution Theory00:56

Attribution Theory

Behavior is a product of both the situation (e.g., cultural influences, social roles, and the presence of bystanders) and of the person (e.g., personality characteristics). Subfields of psychology tend to focus on one influence or behavior over others. Situationism is the view that our behavior and actions are determined by our immediate environment and surroundings. In contrast, dispositionism holds that our behavior is determined by internal factors (Heider, 1958).
12.9K