Introduction
People must conduct professional behavior to be successful in their professional role and disruptive behavior threatens the patients’ safety. As defined by the Agency for Healthcare Research and Quality, the disruptive behavior is intentional actions that disrespect others and create unsafe environment in delivery of patient care (Juengel). Many factors contribute to the disruptive behavior in the work setting, for example, stress, fatigue, frustration or burn out. This type of behavior causes trouble in achieving desired goals and may delay in patient treatment. This paper will briefly explore how a healthcare professional shows disruptive behavior and ways to correct this behavior.
Recognizing Disruptive Behavior
Like mentioned before, any type of disruptive behavior by healthcare professionals impede the delivery of patient care. As an Health IT professionals, it is their job to, “puts essential information as effortlessly as possible into the physician’s hands, substantively and cost-effectively customized to the needs of medical specialists and sub-specialists, keeps eHealth information secure, and protects patient privacy” (Silverstein). In order to reach highest standard and provide patients with optimal care, all the healthcare professional should exhibit professional behavior and able to handle difficult situations professionally. Usually when someone mentions disruptive behavior, one thinks of overt actions that are unquestionable, such as verbal outbursts, throwing instruments during procedures, and physical threats (Juengel). But there are different ways a person can show disruptive behavior, for example, healthcare professional not communicating properly or refused to cooperate with others, and acce...
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...ce it through training and quick corrective intervention. This provide the healthcare professionals idea help them recognizing the signs, what to do to prevent it, and give ideas on how to handle this type of behavior.
Conclusion:
Professionalism is important aspect of being successful in job, and failure to do so may cause a person his/her job or compromising their as well as healthcare organization their reputation. Disruptive behavior is caused by different factors. Many times people do not recognize the sign and misinterpret the sign as bad day or tiredness, but knowing the sign and seeking support from others is one of the thing a person experiencing frequent disruptive behavior can do to overcome, healthcare organization providing their employees with training and adapting the code of conduct may help prevent or decrease frequency of this type of behavior.
Wilson, B. L. (2013). Horizontal hostility a threat to patient safety. Jona’s Healthare Law, Ethics, and Regulation, 15, 51-57. doi:10.1097/NHL0B013e3182861503
Working at the hospital for a little over a year now I have seen a few instances that are a "near miss", some a failure, and as of today a complete failure in patient safety but is being overlooked in some ways. Being the most recent and fresh in my mind this incident included a known drug addict, and an order that read "pt. may go outside with family". During shift report I asked the night shift RN why a known drug addict has outdoor privileges, when it is hard enough to get anyone the order to go outside. The RN giving report agreed with me, but since the ordering physician wasn 't available we could not challenge the order overnight. As my shift continued I go into the patients room to check on them and the bed was empty the wheelchair was gone and the bathroom was empty. I asked my Clinical assistant and she said that she was never told the patient was leaving (strike 1: patients need to tell staff when they leave the unit). After 30 minutes I looked in the room and the patient was still gone, after an hour the patient returned with a family member (strike 2: patients are allowed 15 minutes off the floor). I quickly went into the room and asked the patient that if they would like to leave the unit they need to notify staff before they leave and patients need to come back to
Safety is a primary concern in the health care environment, but there are still many preventable errors that occur. In fact, a study from ProPublica in 2013 found that between 210,000 and 440,000 patients each year suffer preventable harm in the hospital (Allen, 2013). Safety in the healthcare environment is not only keeping the patient safe, but also the employee. If a nurse does not follow procedure, they could bring harm to themselves, the patient, or both. Although it seems like such a simple topic with a simple solution, there are several components to what safety really entails. Health care professionals must always be cautious to prevent any mishaps to their patients, especially when using machines or lifting objects, as it has a higher
In 1999 Denis Czajkowski walks into a Philadelphia hospital where he has recently been fired after working as a psychiatric nurse. A gun in tow, he begins a 46-hour hostage standoff leading to the death of his former supervisor and another nurse administrator. Denis was sentenced to life in prison, and the reasons of his actions are unknown. One can only speculate what would drive an educated person to that extreme. Could workplace bullying and incivility be involved?
Fierce healthcare reported sometime in June of 2012 that hospitals across the country had received safety report cards from one Leapfrog group. They reported that most facilities got a C or below in the rankings. The report also showed that the biggest hospitals such as the Henry Ford Hospital in Michigan barely got a passing grade. The report cards were meant to inform patients and also to motivate improvements in patient safety, they were faced with a lot of criticism and controversy especially from hospitals that did not pass. This paper will discuss the controversy facing patient safety in the U.S. It will also analyze the effects of the issue and the solutions suggested and currently in place to solve the issue.
Following a study published by the Bureau of Labor Statistics (2016), workers in health care and social assistance settings are five times more likely to be victims of nonfatal assaults or violent attacks compared to the average worker in other occupations. Examples of healthcare violence can include verbal or physical threats and physical attacks by patients (U.S. Bureau of Labor Statistics, 2016). A report done by the American Nurses Association (ANA) found that 43% of nurses and nursing students had been verbally or physically threatened by a patient or a patient’s family member, and 24% had been assaulted (Potera, 2016). These numbers are only taking into consideration for the nurses who do decide to report an assault. Violence is extremely under reported due to lack of a reporting policy, lack of faith in the reporting system, and fear of retaliation (Workplace Violence in Healthcare, 2016). Cultural factors are also a reason as to why underreporting occurs. “Caregivers feel a professional and ethical duty to do no harm to their patients, sometimes putting their own safety and health at risk to help a patient” (Workplace Violence in Healthcare, 2016). The nurse has a responsibility to the patient and will sometimes allow the patient’s bad
... of potential threats such as unauthorized access of the patient information. Health care leaders must always remind their employees that casual review for personal interest of patients ' protected health information is unacceptable and against the law just like what happened in the UCLA health systems case (Fiske, 2011). Health care organizations need clear policies and procedures to prevent, detect, contain, and correct security violations. Through policies and procedures, entities covered under HIPAA must reasonably restrict access to patient information to only those employees with a valid reason to view the information and must sanction any employee who is found to have violated these policies.In addition, it is critical that health care organizations should implement awareness and training programs for all members of its workforce (Wager, Lee, & Glaser, 2013).
According to the report provided by the consultant, the employees at this facility were not taking precautions in safeguarding the patient’s health information. Therefore, the employees at this facility were in violation of the Health Insurance Portability and Accountability Act (HIPPA). It is important for employees to understand the form of technology being used and the precautions they must take to safeguard patient information.
Therefore, this position statement is relevant because these abuses can be seen in day-to-day healthcare environment. The effects of violence in nursing can be harmful to the proper function within a workplace. It can be damaging to the nursing profession and patient care. According to (Johnston et al., 2010, p.36), workplace violence is “spreading like a ‘superbug.’” Studies have shown, that lateral violence, nurse-on-nurse, has been one of the highest incidence of violence within the workplace. Also, statistics have shown that lateral violence has one of the most emotional impacts on an individual. This will be further discussed below. For these reasons, it is important for healthcare workers to validate the detrimental effects violence can have in the workplace, and be prepared to combat and prevent workplace violence.
When professionals in the health sector are compliant to the standards and ethics of practice, then accidents in the sector and any activities that undermine patient safety are bound to be addressed. In particular, whistleblowers in the sector should also be protected to improve service delivery in the health sector.
In the provision of a high quality care, many factors influence the way it is provided; however, IC is crucial. A healthy work environment would result from open communication among the staff, it would increase the employees and patients’ level of satisfaction and sense of well-being. Good communication is the cornerstone for the IC, it is a complex process which requires to develop some skills to learn how to transmit some information. One of the most common factors leading to medical errors, are due to miscommunication, sometimes because the message is not clearly sent, and others because it is not clearly received or it is misunderstood (Danna, 2015). In terms of communication non-verbal communication must be taken into consideration as well; body language, facial expressions, use of space, and touch, entail conscious or unconscious movements and gestures, also impacts the communication among the staff and
Healthcare professionals in the medical office should be friendly and open. Patients entering the medical office should be greeted immediately with a smile and having a gentle touch also let the patient know you care. “Healthcare professionals in a medical office are held to a higher standard than most professions because they are dealing with the dignity of patients and the ability to be healed” (Wolff). Educating the staff to be professional in the medical office represents the office as being excellent in patient care. Patient-centered care success is required by the whole office which is treatment and patient experience, from the time they enter the office until they leave.
Keeping patients safe is essential in today’s health care system, but patient safety events that violate that safety are increasing each year. It was only recently, that the focus on patient safety was reinforced by a report prepared by Institute of medicine (IOM) entitled ” To err is human, building a safer health system”(Wakefield & Iliffe,2002).This report found that approx-imately 44,000 to 98,000 deaths occur each year due to medical errors and that the majority was preventable. Deaths due to medical errors exceed deaths due to many other causes such as like HIV infections, breast cancer and even traffic accidents (Wakefield & Iliffe, 2002). After this IOM reports, President Clinton established quality interagency coordination task force with the help of government agencies. These government agencies are responsible for making health pol-icies regarding patient safety to which every HCO must follow (Schulman & Kim, 2000).
Staff behaviors control the performance and capabilities of an organization. Most workers display productive or counterproductive productive behaviors that have effect on workers, clients, and programs. The ability to control these behaviors is a necessary part of delivering exceptional services. Many workers automatically adopt behaviors that fit in with the best interest of the organization. Although these behaviors are common, some employees fail to follow order and create havoc for others around them. Productive behavior allows workers to perform daily functions whereas counterproductive behaviors develop issues that are costly. Good behavior contributes to goals and objectives set by the organization (Britt & Jex, 2008).
Honesty and integrity are very important in the medical field. We as healthcare workers are given such trust and responsibility. We should always strive to do our best and when faced with tough situations. When we don't always know what to do or the proper way to react we should always be honest. Let our superiors know what is going on and ask for advice when we need to. This would show that we are honest. When we come into contact with patients they rely on us to do the right thing and always perform our job with integrity. Often people’s lives are in our hands. We have to care about the patient and care about our job in order to continue to provide quality care. If someone hates their job they are not going to give their best in every way they can. The medical field is not a place for that person.