Maryam Maddineshat
1, Alan H Rosenstein
2, Arash Akaberi
3, Mahbubeh Tabatabaeichehr
4*1 Department of Nursing, Nursing and Midwifery Faculty, Addiction and Behavioral Sciences Research Center, North Khorasan University of Medical Sciences, Bojnurd, Iran
2 Practicing Internist, Medical Consultant in Health Care Management, San Francisco, California, USA
3 Statistical Consultant, Sabzevar University of Medical Sciences, Sabzevar, Iran and Biostatistician at McGill University, Montreal, Canada
4 Department of Midwifery, Nursing and Midwifery Faculty, North Khorasan University of Medical Sciences, Bojnurd, Iran
Abstract
Introduction: Disruptive
behaviors cause many problems in the workplace, especially in the emergency department (ED).This study was conducted to assess
the physician’s and nurse’s perspective toward disruptive behaviors in the
emergency department.
Methods: In
this cross-sectional study a total of 45 physicians and 110 nurses working in the emergency department of
five general hospitals in Bojnurd participated. Data were
collected using a translated, changed, and validated questionnaire
(25 item). The collected data were analyzed by SPSS ver.13
software.
Results: Findings showed that physicians gave more importance to
nurse-physician relationships in the ED when compared to nurses’ perspective (90% vs.
70%). In this study, 81% of physicians and 52% of nurses exhibited disruptive behaviors. According
to the participants these behaviors could result in adverse
outcomes, such as stress (97%), job dissatisfaction and
can compromise patient safety (53%), quality of care
(72%), and errors (70%).
Conclusion: Disruptive behaviors could have a negative
effects on relationships and collaboration among medical staffs, and on patients’
quality of care as well. It is essential to provide some practical strategies
for prevention of these behaviors.