Disruptive Behavior In Nursing: A Case Study

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However, the physician - nurse relationship is not the only one that is threatened by these behaviors. Longo (2010) reported that disruptive behaviors often lead to even more stress for nurses than any acts of aggression from physicians or patients. As mentioned earlier, yelling, insulting others, or a refusal to carry out duties are among the most common types of behaviors reported. The targets of such behavior are often coworkers with less status than the offending individual, as exemplified by the relationships between senior nurses and newly graduated nurses (Longo, 2010). Various articles and literature emphasize that bullying is an ongoing problem in the healthcare setting. Larson (2013) explained that bullying can be evident in nature, …show more content…
The ultimate victims of disruptive behaviors by any healthcare worker are the innocent patients and their families (Rosenstein and O’Daniel, 2008). It is a fact that the consequences of disruptive behaviors on healthcare workers, such as impaired professional relationship, lack of communication, or absence of teamwork can put a great risk on patient care. Many communication issues have been reported to be the major threat to patient safety. In the survey conducted on 4,884 health care workers by the Institute for Safe Medication Practices (ISMP) in 2013, 44 percent of the participants admitted that, “their past experiences with intimidation had altered the way they handle order clarifications or questions about medication orders” (Rosenstein and O’Daniel, 2008, para. 7). Moreover, 33 percent of the participants disclosed that “at least once during the year, they had a concern about a medication order but assumed it was correct rather than interact with an intimidating prescriber” (2008, para. 7). Information that is not reported, or wrong assumptions that are made due to intimidation, can decrease communication, and lack of teamwork, and will result in delays or inappropriate patient treatment that can lead to increased patients’ mortality. All workers of healthcare organizations need to be mindful of this issue since the harmful influence of disruptive …show more content…
As required by TJC (2008), healthcare organizations must establish a Code and Ethics Standards to provide guidance for healthcare workers to ensure that proper behaviors are followed. Despite this action, recent literature shows that unprofessional behaviors still exist in a daily basis (Longo, 2010). For this reason, more action needs to be taken other than simply writing a policy to resolve the issue. Early prevention is the most effective way to minimize disruptive behavior. This can be achieved by re-enforcing the existing code of conduct, ongoing education and training on disruptive behavior, forming a monitoring process, and coaching or mentoring of employees displaying chronic disruptive behavior (Longo, 2010). Early prevention can cost a large amount of money for the organization, but in the long run, it will benefit

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