Disruptive Behavior

2016 ◽  
Author(s):  
Sheri A. Keitz ◽  
David J. Birnbach
Keyword(s):  
Operating Room ◽  
Disruptive Behavior ◽  
Disruptive Behaviors ◽  
Hospital Administrators ◽  
Hospital Leadership ◽  
Operating Room Team ◽  
Nurses And Physicians

Misbehavior and disruption in the operating room are an all too common problem. Disruptive behaviors have been observed and experienced by all members of the operating room team, and these behaviors need to be addressed in a timely and appropriate fashion. Sometimes, hospital administrators and hospital leadership know about these problems but do not act, and thus they may be complicit in allowing these problems to continue. This chapter reviews the potential reasons for disruptive behavior among nurses and physicians and provides explanations for organizational reluctance to deal with disruptive behaviors, as well as recommendations to address these issues effectively.

scholarly journals The Prevalence and Outcome of Disruptive Behaviors in Nurses and Physicians: A Descriptive Study in Iranian Health Care Context

2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Mahmoud Saghaei ◽  
Gholamhossein Ahmadzadeh ◽  
Somayeh Haghighat
Keyword(s):  
Health Care ◽  
Disruptive Behavior ◽  
Negative Impact ◽  
Disruptive Behaviors ◽  
Cross Sectional Study ◽  
Treatment Quality ◽  
Negative Effects ◽  
Cross Sectional ◽  
Health Care Context ◽  
Nurses And Physicians

Background: Disruptive behavior is any inappropriate behavior, verbal-physical abuse, and threats that a therapist performs unprofessionally that leads to a significant negative impact on clinical outcomes of patient care and staff collaboration. Objectives: This study was done to investigate the prevalence of disruptive behavior among nurses and physicians and its effects on the health care context. Methods: In this is a descriptive cross-sectional study, 248 medical staff in teaching medical centers affiliated with the Isfahan University of Medical Sciences participated. Data were collected employing a questionnaire with convenience sampling and analyzed by SPSS software using descriptive statistics. Results: Data revealed that 85.5% of the participants had experience disruptive behaviors from nurses and physicians. Also, 74 participants stated that the highest prevalence of disruptive behaviors by nurses and physicians were observed weekly, and 87% believed that these behaviors negatively influenced the treatment process. The probability of emerging problems, dangerous events, medical errors, the impaired patients’ safety, and a decrease in treatment quality sometimes occurs, though it often leads to dissatisfaction of the physician, nurse, and patient. In addition, 71% of the participants stated that there is no behavioral statute, and 89.1% believed that even if such a statute exists, there is no executive support. Conclusions: Due to the negative effects of disruptive behaviors and the prevalence of such behaviors among physicians and nurses, it is recommended to have a statute and management system that guarantees its implementation and train all the staff.

A nonrandomized trial of a behavioral parent training intervention for parents with children with challenging behaviors: In-person versus internet-HOT DOCS

2021 ◽  
pp. 135910452110275
Author(s):  
Heather Agazzi ◽  
Holland Hayford ◽  
Nicholas Thomas ◽  
Cristina Ortiz ◽  
Abraham Salinas-Miranda
Keyword(s):  
Parent Training ◽  
Parenting Stress ◽  
Disruptive Behavior ◽  
Consumer Satisfaction ◽  
Challenging Behaviors ◽  
Disruptive Behaviors ◽  
Behavioral Parent Training ◽  
Post Intervention ◽  
Child Disruptive Behavior ◽  
Post Test

Behavioral parent training (BPT) programs are the first-line interventions for childhood disruptive behaviors. In light of the COVID-19 pandemic, adapting these programs to telehealth modalities is necessary to ensure continued services to children and families. This study evaluates the use of telehealth versus in-person modality to deliver the Helping Our Toddlers, Developing Our Children’s Skills (HOT DOCS) BPT. The study design was quasi-experimental with two nonequivalent groups: in-person HOT DOCS ( n = 152) and internet-HOT DOCS ( n = 46). Participants were caregivers of children ages 2–5 exhibiting disruptive behaviors. Pre- and post-intervention outcome measures were collected for child disruptive behavior and parenting stress and post-test only for consumer satisfaction. Multiple linear and Poisson regression models were performed to assess the effect of class modality on the outcomes. Child disruptive behavior and parenting stress post-test scores for in-person and telehealth groups were not significantly different, even after adjusting for baseline characteristics. Consumer satisfaction scores were significantly more positive for the in-person group. The results of this study provide preliminary evidence for the i-HOT DOCS modality as being as effective as the in-person program. Study findings may be beneficial to practitioners utilizing telehealth interventions during the COVID-19 pandemic and onward.

The Effects of Peer Tutoring and Self-Management Training on On-Task, Academic, and Disruptive Behaviors

1993 ◽  
Vol 18 (2) ◽  
pp. 118-128 ◽  
Author(s):  
Sandra Hogan ◽  
Mary Anne Prater
Keyword(s):  
Academic Performance ◽  
General Education ◽  
Disruptive Behavior ◽  
Peer Tutoring ◽  
Disruptive Behaviors ◽  
Management Training ◽  
Self Management ◽  
Behaviorally Disordered ◽  
Task Behavior ◽  
On Task Behavior

The effects of peer tutoring and self-management on on-task behavior and academic performance (tutee) as well as disruptive behaviors (tutor) were examined. The tutor had been identified as behaviorally disordered and the tutee as learning disabled. During the peer tutoring condition the tutee improved his on-task and academic performance but the tutor's disruptive behavior did not change. Self-management was initiated for both subjects. During self-monitoring the tutee's on-task behavior improved above that during peer tutoring. The tutor self-monitored his disruptive behavior but only slight improvements were observed. A self-instructional component was then added and the disruptive behavior was eliminated. For both subjects, a multiple baseline across-settings design was applied and results were observed across resource and general education English and mathematics classes.

scholarly journals Disruptive behaviors among nurses in Israel – association with listening, wellbeing and feeling as a victim: a cross-sectional study

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Sigal Shafran Tikva ◽  
Avraham N. Kluger ◽  
Yulia Lerman
Keyword(s):  
Disruptive Behavior ◽  
Disruptive Behaviors ◽  
Well Being ◽  
Cross Sectional Study ◽  
Incremental Validity ◽  
Sectional Study ◽  
Cross Sectional ◽  
Final Sample ◽  
Low Levels ◽  
Structured Questionnaire

Abstract Objectives To examine the association between listening and disruptive behaviors and the association between disruptive behavior and the wellbeing of the nurse. To test whether constructive and destructive listening has an incremental validity. Methods A structured questionnaire survey that measured the (constructive & destructive) listening climate at work, exposure to disruptive behaviors, well-being and feeling as a victim. We presented this survey using the Qualtrics software. Results Of the final sample of 567 respondents who reported that they were nurses, MAge = 38.41, 67% indicated that they were exposed to some form of disruptive behavior. Experiencing listening in the ward was associated with low levels of exposure to disruptive behaviors; exposure to disruptive behaviors, in turn, predicted reduction in the nurses’ wellbeing; the reduction in wellbeing was especially pronounced among nurses who felt like a victim. Each of the facets of the listening measure—constructive listening and destructive listening—had incremental validity in predicting exposure to disruptive behaviors. Finally, the effect of exposure to disruptive behavior on wellbeing was curvilinear. Conclusions Disruptive behavior is a major challenge to the workplace well-being for nurses. The victim mentality has an adverse impact on nurses. Preventive efforts aimed at reducing disruptive behaviors among nurses and decreasing their sense of victimization are crucial for the well-being of nurses.

Robotic Surgery and the Operating Room Team

2005 ◽  
Vol 49 (11) ◽  
pp. 1070-1073 ◽  
Author(s):  
Fuji Lai ◽  
Eileen Entin
Keyword(s):  
Patient Safety ◽  
Robotic Surgery ◽  
Human Factors ◽  
Operating Room ◽  
New Technologies ◽  
Improve Patient Safety ◽  
Robotic Systems ◽  
Team Members ◽  
Operating Room Team ◽  
Full Benefit

Robotic surgery has the potential to revolutionize the field of surgery and improve patient safety. However, despite the advantages robotic surgery can offer, there are multiple human factors-related issues that may prevent these systems from realizing their full benefit. This study identified some of the salient human factors issues and considerations that need to be addressed for integration of new technologies such as robotic systems into the Operating Room of the future. We conducted in-depth interviews with operating team members and other stakeholders who have experience with robotic surgery to identify workflow, teamwork, training, and other clinical acceptance issues. Addressing these and other human factors issues will help the integration of surgical robotic systems into use for the ultimate goal of improving patient safety and healthcare quality.

Disruptive behavior in the operating room

2018 ◽  
Vol 31 (3) ◽  
pp. 366-374 ◽  
Author(s):  
Alexander Villafranca ◽  
Ian Fast ◽  
Eric Jacobsohn
Keyword(s):  
Operating Room ◽  
Disruptive Behavior

scholarly journals “Disruptive behavior” in the operating room: A prospective observational study of triggers and effects of tense communication episodes in surgical teams

PLoS ONE ◽  
2019 ◽  
Vol 14 (12) ◽  
pp. e0226437 ◽  
Author(s):  
Sandra Keller ◽  
Franziska Tschan ◽  
Norbert K. Semmer ◽  
Eliane Timm-Holzer ◽  
Jasmin Zimmermann ◽  
...  
Keyword(s):  
Observational Study ◽  
Operating Room ◽  
Disruptive Behavior ◽  
Prospective Observational Study ◽  
Surgical Teams

Laser Surgery of the Larynx: The Case for Caution

1992 ◽  
Vol 71 (11) ◽  
pp. 593-595 ◽  
Author(s):  
Robert Thayer Sataloff ◽  
Joseph R. Spiegel ◽  
Mary Hawkshaw ◽  
Alyson Jones
Keyword(s):  
Special Education ◽  
Operating Room ◽  
Co2 Laser ◽  
Laser Surgery ◽  
Vocal Fold ◽  
Thermal Injury ◽  
Surgical Skill ◽  
Laryngeal Surgery ◽  
Laryngeal Lesions ◽  
Operating Room Team

Laser surgery has been advocated for treatment of many laryngeal lesions. Although the CO2 laser has many advantages, its safe use requires special education of the surgeon and operating room team, and considerable surgical skill. Several dangers inherent in laser use for laryngeal surgery must be considered. These include vocal fold scarring secondary to thermal injury, loss of histopathologically important tissue through vaporization, airway fire and others. Laser-related complications must be considered whenever use of this instrument is contemplated.

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