Negative behaviours in health care: Prevalence and strategies.
| Autor: | Layne DM; Medical University of South Carolina, Charleston, SC., Nemeth LS; Medical University of South Carolina, Charleston, SC., Mueller M; Medical University of South Carolina, Charleston, SC., Schaffner MJ; Medical University of South Carolina, Charleston, SC., Stanley KM; Medical University of South Carolina, Charleston, SC., Martin MM; Medical University of South Carolina, Charleston, SC., Wallston KA; Vanderbilt University, Nashville, TN. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of nursing management [J Nurs Manag] 2019 Jan; Vol. 27 (1), pp. 154-160. Date of Electronic Publication: 2018 Aug 31. |
| DOI: | 10.1111/jonm.12660 |
| Abstrakt: | Aim: To evaluate the effectiveness of a professionalism taskforce and the prevalence of negative behaviours across interdisciplinary groups at a south-eastern US academic medical centre. Background: Negative behaviours within health care organisations may undermine patient safety. These behaviours are associated with decreased productivity, increased turnover, and poor patient and staff outcomes. Methods: A pre-post study design using an adapted instrument, the Negative Behaviors in HealthCare (NBHC) survey, assessed perceptions of negative behaviours by physicians, clinical, and managerial staff both before and after a professionalism taskforce was convened in 2012 to identify and promulgate key strategies to improve behaviours. Results: The 1,980 respondents completed the pre-survey in January 2012 and 1,423 completed the post-survey in 2014. Significant reductions in use of lateral aggression (LA) and vertical aggression (VA) (χ 2 = 5.65, p < 0.017), observation of LA and VA (χ 2 = 4.90, p < 0.027), and experience with contributing factors associated with negative behaviours (χ 2 = 9.03, p < 0.003) were identified. Conclusions: Findings suggest that a professionalism taskforce guiding key strategies to elevate professionalism significantly affected beliefs about lateral and vertical aggression. Implications for Nursing Management: Decreasing negative behaviours in health care will require additional strategies and consistent implementation. Additional research addressing fear, retaliation, and job stress, and linking these behaviours to patient safety outcomes, is required. (© 2018 John Wiley & Sons Ltd.) |
| Databáze: | MEDLINE |
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