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Negative behaviours in health care: Prevalence and strategies
Author(s) -
Layne Diana M.,
Nemeth Lynne S.,
Mueller Martina,
Schaffner Marilyn J.,
Stanley Karen M.,
Martin Mary M.,
Wallston Kenneth A.
Publication year - 2019
Publication title -
journal of nursing management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.925
H-Index - 76
eISSN - 1365-2834
pISSN - 0966-0429
DOI - 10.1111/jonm.12660
Subject(s) - aggression , health care , medicine , workplace violence , nursing , psychology , suicide prevention , family medicine , poison control , psychiatry , environmental health , economics , economic growth
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.