Disruptive Behavior Between Physicians and Nurses: The Role of the Physician Leader

2.50
Hdl Handle:
http://hdl.handle.net/10755/335063
Category:
Full-text
Type:
Presentation
Title:
Disruptive Behavior Between Physicians and Nurses: The Role of the Physician Leader
Other Titles:
Symposium: Workplace Behaviors Affecting Patient Safety: Role of Nurses and Physicians as Partners in Change
Author(s):
Kuroki, Helen M.
Lead Author STTI Affiliation:
Non-member
Author Details:
Helen M. Kuroki, MD, kurokiH@MLHS.org
Abstract:
Session presented on Saturday, July 26, 2014: Purpose: Disruptive behavior interferes with building a culture of safety and teamwork. Physicians and nurses play a major role in patient outcomes. Physicians often view their role as providing care solely for a patient, rather than as a collaborator, partner or member of the healthcare team. As part of a culture of safety program, physicians within a hospital system were educated about error prevention tools with specific emphasis on understanding the power gradient and how it negatively affects safety, teamwork and the work environment. The education included role play and group discussion of a clinical situation that involved disruptive behavior. Discussion focused on strategies needed to build collaborative relationships among the healthcare team in order to ensure quality outcomes and a safe environment for patients and staff. Measurement of changes in behavior related to the training was of interest. The Vice President of Medical Affairs and Vice President of Patient Care Services who had been involved in physician nurse collaboration processes decided to use an established survey related to disruptive behavior as a method to collect baseline data from physicians and nurses across the system and assess the current environment. The results are being used to improve safety and communication. Methods: The 2009 American College of Physician Executives (ACPE) survey related to disruptive behavior was replicated following approval of the system IRB in March 2013. A blast e-mail announcing the survey was sent to all nurses and physicians across the system and then the online survey was launched the following week, including directions for informed consent. Results: Seven hundred and eighty six physicians and nurses participated in the survey with participants recorded from all five hospitals. Using the 2009 ACPE survey for comparison, survey findings were similar in type of disruptive behavior and frequency of occurrence, with yelling as the primary disruptive behavior followed by degrading comments and insults. The respondents from both the 2009 ACPE study and the 2013 study indicate that the problem of disruptive behavior still overwhelmingly exists in their organizations. Conclusion: Disruptive behavior continues to affect patient safety and the work environment. Findings from this survey are being used to identify and address nurse-physician relationship issues that negatively influence patient care and the work environment.
Keywords:
crucial conversations; power gradient; accountability
Repository Posting Date:
17-Nov-2014
Date of Publication:
17-Nov-2014 ; 17-Nov-2014
Other Identifiers:
INRC14E07
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleDisruptive Behavior Between Physicians and Nurses: The Role of the Physician Leaderen
dc.title.alternativeSymposium: Workplace Behaviors Affecting Patient Safety: Role of Nurses and Physicians as Partners in Changeen
dc.contributor.authorKuroki, Helen M.en
dc.contributor.departmentNon-memberen
dc.author.detailsHelen M. Kuroki, MD, kurokiH@MLHS.orgen
dc.identifier.urihttp://hdl.handle.net/10755/335063-
dc.description.abstractSession presented on Saturday, July 26, 2014: Purpose: Disruptive behavior interferes with building a culture of safety and teamwork. Physicians and nurses play a major role in patient outcomes. Physicians often view their role as providing care solely for a patient, rather than as a collaborator, partner or member of the healthcare team. As part of a culture of safety program, physicians within a hospital system were educated about error prevention tools with specific emphasis on understanding the power gradient and how it negatively affects safety, teamwork and the work environment. The education included role play and group discussion of a clinical situation that involved disruptive behavior. Discussion focused on strategies needed to build collaborative relationships among the healthcare team in order to ensure quality outcomes and a safe environment for patients and staff. Measurement of changes in behavior related to the training was of interest. The Vice President of Medical Affairs and Vice President of Patient Care Services who had been involved in physician nurse collaboration processes decided to use an established survey related to disruptive behavior as a method to collect baseline data from physicians and nurses across the system and assess the current environment. The results are being used to improve safety and communication. Methods: The 2009 American College of Physician Executives (ACPE) survey related to disruptive behavior was replicated following approval of the system IRB in March 2013. A blast e-mail announcing the survey was sent to all nurses and physicians across the system and then the online survey was launched the following week, including directions for informed consent. Results: Seven hundred and eighty six physicians and nurses participated in the survey with participants recorded from all five hospitals. Using the 2009 ACPE survey for comparison, survey findings were similar in type of disruptive behavior and frequency of occurrence, with yelling as the primary disruptive behavior followed by degrading comments and insults. The respondents from both the 2009 ACPE study and the 2013 study indicate that the problem of disruptive behavior still overwhelmingly exists in their organizations. Conclusion: Disruptive behavior continues to affect patient safety and the work environment. Findings from this survey are being used to identify and address nurse-physician relationship issues that negatively influence patient care and the work environment.en
dc.subjectcrucial conversationsen
dc.subjectpower gradienten
dc.subjectaccountabilityen
dc.date.available2014-11-17T13:43:16Z-
dc.date.issued2014-11-17-
dc.date.issued2014-11-17en
dc.date.accessioned2014-11-17T13:43:16Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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