Disruptive behavior in a high-power distance culture and a three-dimensional framework for curbing it
Autor: | Sandy Lim, Inthrani Raja Indran, Chay Hoon Tan, E-Yang Goh, Eugene Tay, Deborah Chung, Yew Kwan Tong, Kamala Devi |
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Rok vydání: | 2021 |
Předmět: |
Problem Behavior
medicine.medical_specialty Leadership and Management business.industry Strategy and Management Health Policy Public health Disruptive behavior Physician-Nurse Relations Organizational commitment Public relations Public health care Cross-Sectional Studies Harm Physicians Health care medicine Humans Hofstede's cultural dimensions theory Psychology business Quality of Health Care |
Zdroj: | Health Care Management Review. 47:133-143 |
ISSN: | 1550-5030 0361-6274 |
Popis: | BACKGROUND Disruptive behavior can harm high-quality care and is prevalent in many Western public health systems despite increasing spotlight on it. Comparatively less knowledge about it is available in Asia, a region commonly associated with high-power distance, which may limit its effectiveness in addressing disruptive behavior. PURPOSE The aim of this study was to develop a comprehensive framework for tackling disruptive behavior among health care professionals in a public health system. METHODOLOGY A nationwide cross-sectional study relying on the Nurse-Physician Relationship Survey was conducted in Singapore. Four hundred eighty-six public health care professionals responded. RESULTS Two hundred ninety-eight doctors (95.5%) and 163 nurses (93.7%) had witnessed a form of disruptive behavior. Doctors observed disruptive behavior committed by other doctors and nurses much more frequently than did nurses. Doctors made stronger associations between disruptive behavior and negative employee outcomes and between disruptive behavior and negative patient outcomes. Qualitative analyses of participants' open-ended answers produced a multipronged three-dimensional approach for tackling disruptive behavior: (a) deterrent measures, (b) development of knowledge and skills, and (c) demonstration of organizational commitment through proper norms, empathizing with staff, and structural reforms. PRACTICE IMPLICATIONS Disruptive behavior is a multifaceted problem requiring a multipronged approach. Our three-dimensional framework is a comprehensive approach for giving health care professionals the capability, opportunity, and motivation to address disruptive behavior effectively. |
Databáze: | OpenAIRE |
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