Post on 15-Feb-2016
description
Kerri Peschock, BSN, RN, SRNAVerna Thomas, BSN, RN, SRNA
Objectives
Define the disruptive providerDescribe disruptive behaviors
affecting CRNA’sExplain the effects disruptive
behavior has on an organizationList strategies to reduce disruptive
behaviors
JCAHO Sentinel Event Alert
SENTINEL EVENT ALERT #40
The Joint Commission, 2008
What does the disruptive provider look like?
Behavioral Contributors
Insult Victims
Condensation
Berated
Abusive language
Disrespectful Interaction
Yelling
0% 20%
40%
60%
80%
100%
Common Disruptive Behaviors
Common Disrup-tive Behaviors
Disruptive Behavior & the CRNA
Absenteeism & Turnover
Staff Shortages
Staff Dissatisfaction
Financial Costs
Patient Safety
Organizational Commitment
VS
Strategies
Kicking and screaming not required
Facility Standards
Studer Group, Vanderbilt CPPA, 2009
Facility Interventions
Studer Group, Vanderbilt CPPA, 2009
Effective Communication
Questions
Final Thoughts&
ReferencesAHC Media LLC (2011). Communication key to reducing disruptive behavior. Hospital Peer Review,
36(5), 49-60.
Felblinger, D. M. (2009). Bullying, incivility, and disruptive behaviors in healthcare setting:
identification, impact and intervention. Frontiers of Health Services Management, 25(4), 13-23.
Higgins, B. L., & MacIntosh, J. (2010). Operating room nurses’ perceptions of the effects of physician-
perpetrated abuse. International Nursing Review, 57, 321-327.
Jericho, B. G., Mayer, D., & McDonald, T. (2011). Disruptive behaviors in healthcare. Journal of
Anesthesiology, 28(2), 1-14.
Sakellaropoulos, A., Pires, J., Estes, D., & Jasinski, D. (2011). Workplace aggression: Assessment of
prevalence in the field of nurse anesthesia. American Association of Nurse Anesthetists, 79(4),
51-57.
Studer Group, Vanderbilt CPPA (2009, June). Resources for dealing with 'special' colleagues. Retrieved January 26, 2013, from
http://www.studergroup.com/content/disruptive_behaviors/disruptive_behavior_product_sheet.pdf
The Joint Commission (2008, July 9). Behaviors that undermine a culture of safety. Retrieved January 5,
2013, from http://www.jointcommission.org/assets/1/18/SEA_40.PDF
Walrath, J. M., Dang, D., & Nyberg, D. (2010). Hospital rns' experiences with disruptive behavior.
Journal of Nursing Care Quality, 25(2), 105-116.
Yildirim, D. (2009). Bullying among nurses and its effects. International Nursing Review, 56, 504-511.
YouTube (2007). Dr cox season one (best moments). Retrieved January 26, 2013, from
http://www.youtube.com/watch?v=EYm5bbCKh44
YouTube (2010). The replacements - Quicksand. Retrieved January 26, 2013, from http://www.youtube.com/watch?v=i3O-
kYwM8qY