Nurses’ perception of disruptive behaviors in emergency department healthcare teams: A qualitative study

Maddineshat, Maryam; Oshvandi, Khodayar; Sadati, Ahmad Kalateh; Rosenstein, Alan H.; Moayed, Malihe Sadat; Khatiban, Mahnaz

doi:10.1016/j.ienj.2020.100962

Cited by 8 publications

(6 citation statements)

References 20 publications

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“…The absence of sexual harassment may be because the Student Experience of Bullying during Clinical Placement targeted nursing students with significantly higher proportions of women and lower social status. The presence of the 2 professional factors in our scales may be because this study 8,15,16,19 broadly defined the scope of disruptive clinician behavior based on previous studies.…”

Section: Structure Of Disruptive Clinician Behaviormentioning

confidence: 99%

“…27 Previous studies reported that nonmalicious and hidden behavior gradually became malicious and overt. 20 Interpersonal aggressions was arranged in one dimension (hidden-observable) 19,35 in order of escalation: silent aggression, personal aggression, and power harassment. Fujimoto et al 35 examined the effects of disruptive clinician behaviors in Japan and found that hidden disruptive behaviors negatively affected victims' psychological and social adjustment.…”

Section: Interpersonal Disruptive Behaviormentioning

confidence: 99%

“…Other studies included job-related categories such as harassment and passive-aggressive behavior. [15][16][17][18][19] These studies highlighted that the conceptual range of disruptive behavior was not constant. In addition, a threat was often categorized as psychological aggression 8,15,17 and as bullying/harassment.…”

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confidence: 99%

“…In addition to incivility and violence, psychological aggression is generally used as a category of disruptive behavior. Other studies included job-related categories such as harassment and passive-aggressive behavior 15–19 . These studies highlighted that the conceptual range of disruptive behavior was not constant.…”

mentioning

confidence: 99%

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Development of a Psychological Scale for Measuring Disruptive Clinician Behavior

Fujimoto,

Shimamura,

Miyazaki

et al. 2023

J Patient Saf

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Objectives Disruptive clinician behavior worsens communication, information transfer, and teamwork, all of which negatively affect patient safety. Improving safety in medical care requires an accurate assessment of the damage caused by disruptive clinician behavior. Psychometric scales complement case reports, but existing scales have significant limitations. Therefore, this study developed a psychometric scale based on the psychological paradigm to assess disruptive clinician behavior. Methods The scale was developed through a sequence of steps. First, we used an open-ended questionnaire targeting 712 nurses, content analysis, and content validity assessment by 5 experts to determine valid items for disruptive clinical behavior. Next, an Internet questionnaire survey targeting 1000 health care staff, exploratory factor analysis, and subfactor analysis was conducted to identify necessary and sufficient factors. Then, we calculated difficulty level and discriminative power. We also conducted a field questionnaire survey targeting 84 staff in a hospital. Finally, we calculated ω coefficients and then used confirmatory factor analysis to verify the fit of the hypothesized model. Results Our open-ended survey involving 478 nurses identified 47 codes in 9 categories. The questionnaire survey involving hospital 1000 medical staff identified 6 factors, with 1 factor subdivided into 4 subfactors and 1 into 2 subfactors. The goodness of fit of the hypothesized 10-factor models with factor pairs and groups was confirmed. Conclusions We developed a psychometric scale measuring subjective assessments of harm covering various disruptive clinician behaviors. The scale complements interviews and case reports by generating valid, reliable scores for various disruptive clinician behaviors in health care institutions.

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Section: Structure Of Disruptive Clinician Behaviormentioning

confidence: 99%

Section: Interpersonal Disruptive Behaviormentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Development of a Psychological Scale for Measuring Disruptive Clinician Behavior

Fujimoto,

Shimamura,

Miyazaki

et al. 2023

J Patient Saf

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“…Researchers from all over the world have started to analyze the presence of incivility in various sectors, with nursing being the most studied area. In a recent study, Maddineshat et al (2021), investigating context of emergency departments, found that professional incompetency and workplace discrimination were the cause of observable disruptive behaviors. Such uncivil behaviors negatively impact individuals’ mental health, leading to emotional agitation and emotional exhaustion (Lim et al , 2008; Nitzsche et al , 2018; Vuolo, 2018; Wing et al , 2015).…”

Section: Theoretical Backgroundmentioning

confidence: 99%

Knowledge sharing, learning engagement and workplace incivility among research scholars: the mediating role of self-esteem

Gupta,

Apoorva,

Chaudhuri

et al. 2023

JKM

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Purpose Over the last two decades, there has been a significant increase in incivility within the higher education sector, potentially due to mounting pressure and demands on academics, both collectively and individually. The effects on various aspects of academia, such as knowledge and learning, however, remain largely unexplored. The purpose of this research is to fill the gap by performing a theoretical trend analysis and subsequently empirically investigating the impact of workplace incivility on research scholars’ learning engagement and knowledge sharing intentions, including the mediating role of self-esteem. Design/methodology/approach This study uses a three-stage methodological process: first, a thorough theoretical (bibliographic) analysis of scientific publications, using Biblioshiny, to identify the trends of workplace incivility; second, an empirical, qualitative exploration of the emergent themes and subthemes based on 102 in-depth interviews with research scholars, using NVivo 12 Plus; and third, quantitative testing, using 154 responses and structural equation modeling. Findings The authors verify a visible negative association between incivility and learning engagement, incivility and knowledge sharing intentions as well as self-esteem’s mediating effect on this relationship. Also, the thematic analysis revealed three distinct themes: the type of incivility; reasons for such incidences; and the impact of such incidences on research scholars. Research limitations/implications The research bears implications both to theory and practice. Regarding the former, the gravity and graveness of incivility versus knowledge and learning, within the academic workplace environment, are not simply highlighted, but analyzed and refined, with explicit findings of both scholarly and practicable worth; that also provide solid foundations and avenues for future research. Originality/value Further to its primary findings, the research contributes to extant knowledge by elucidating and explicating the topic, both theoretically and empirically, as well as by presenting implications for theory and practice. Regarding practical implications, this research sheds light on how to develop an appropriate organizational culture that facilitates learning engagement and increases knowledge sharing intentions, by nurturing the identified explicit and underlying motivators of civility.

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Facilitators, barriers and opportunities in workplace wellbeing: A national survey of emergency department staff

Anderson

Pio²,

Jones

et al. 2021

International Emergency Nursing

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Nurses’ perception of disruptive behaviors in emergency department healthcare teams: A qualitative study

Cited by 8 publications

References 20 publications

Development of a Psychological Scale for Measuring Disruptive Clinician Behavior

Development of a Psychological Scale for Measuring Disruptive Clinician Behavior

Knowledge sharing, learning engagement and workplace incivility among research scholars: the mediating role of self-esteem

Facilitators, barriers and opportunities in workplace wellbeing: A national survey of emergency department staff

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