Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Ethics and Bioethics01:22

Ethics and Bioethics

1.3K
Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
1.3K
Ethical Dilemmas II01:30

Ethical Dilemmas II

938
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
938
Obedience01:08

Obedience

32.8K
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,...
32.8K
Ethical Issues01:27

Ethical Issues

861
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:
861
Nursing Ethical Principles II01:27

Nursing Ethical Principles II

924
Ethical principles are essential in guiding nurses to fulfill their responsibilities, focusing on the quality of nursing care and decision-making. These principles, including autonomy, beneficence, non-maleficence, justice, and fidelity, shape the ethical framework within healthcare settings.
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...
924
Nurses' Legal Responsibilities III01:16

Nurses' Legal Responsibilities III

639
Nurse-to-nurse relationships are legally required to adhere to professional standards, ensuring a respectful and positive working environment. Professional conduct demands that nurses treat all colleagues respectfully and courteously, fostering a productive, supportive workplace. Nurses must actively eliminate bullying, discrimination, and harassment to maintain a safe and inclusive environment.
Cultivating a culture of collaboration and mutual respect among nurses transcends mere enhancement...
639

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Physician Unionization: Opportunities and Challenges for Anesthesiologists in the United States.

Anesthesia and analgesia·2023
Same author

Decision making, situation awareness, and communication skills in the operating room.

International anesthesiology clinics·2013
Same author

Predictive value of the National Institutes of Health Stroke Scale and the Mini-Mental State Examination for neurologic outcome after coronary artery bypass graft surgery.

The Journal of thoracic and cardiovascular surgery·2009
Same author

Management of anesthesia equipment failure: a simulation-based resident skill assessment.

Anesthesia and analgesia·2009
Same author

Effects of modified ultrafiltration on coagulation as measured by the thromboelastograph.

The journal of extra-corporeal technology·2009
Same author

Performance of residents and anesthesiologists in a simulation-based skill assessment.

Anesthesiology·2007

Related Experiment Video

Updated: Jun 9, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

23.6K

Ethical Approach to the Abusive/Disruptive Physician.

Richard L Wolman1, Joseph F Kras2

  • 1Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.

Anesthesiology Clinics
|October 23, 2024
PubMed
Summary

Unprofessional conduct in healthcare harms patients and teams. Structured interventions and anonymous reporting are crucial, but must address potential misuse to ensure a safe environment.

Keywords:
Behavioral peer reviewCulture of safetyDisruptive and abusive behaviorRemediationUnprofessional behavior and harm

More Related Videos

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

70.7K
Setup and Execution Of the Blindfolded Code Training Exercise
05:25

Setup and Execution Of the Blindfolded Code Training Exercise

Published on: March 29, 2019

9.4K

Related Experiment Videos

Last Updated: Jun 9, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

23.6K
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

70.7K
Setup and Execution Of the Blindfolded Code Training Exercise
05:25

Setup and Execution Of the Blindfolded Code Training Exercise

Published on: March 29, 2019

9.4K

Area of Science:

  • Medical Ethics
  • Healthcare Management
  • Patient Safety

Background:

  • Abusive, intimidating, and disruptive behaviors undermine patient safety and team well-being.
  • Such conduct negatively impacts healthcare professionals, including trainees, and can lead to adverse patient outcomes.
  • Existing frameworks like The Joint Commission and the AMA Code of Medical Ethics mandate intervention.

Purpose of the Study:

  • To emphasize the necessity of structured intervention for unprofessional conduct in healthcare.
  • To highlight the importance of anonymous reporting systems for addressing disruptive behaviors.
  • To acknowledge and address the potential for misuse of anonymous reporting systems.

Main Methods:

  • Review of established guidelines from The Joint Commission and the AMA Code of Medical Ethics.
  • Analysis of the impact of disruptive behaviors on patient outcomes and healthcare teams.
  • Discussion of essential components for intervention processes: anonymity, impartial evaluation, and graded response.

Main Results:

  • Disruptive behaviors are antithetical to a culture of safety and negatively affect patient care.
  • Structured intervention processes are required to manage and mitigate these behaviors.
  • Anonymous reporting systems, while beneficial, carry the risk of being weaponized.

Conclusions:

  • Implementing structured processes for intervention is critical for maintaining a safe healthcare environment.
  • Balancing the need for anonymous reporting with safeguards against misuse is essential.
  • Protecting all healthcare team members and ensuring positive patient outcomes requires addressing disruptive conduct effectively.