Nursing

Address disruptive clinician behavior in your hospital

Staff Development Weekly: Insight on Evidence-Based Practice in Education, February 16, 2007

Want to receive articles like this one in your inbox? Subscribe to Staff Development Weekly: Insight on Evidence-Based Practice in Education!

When The Joint Commission opened its field review in 2005 for the proposed 2007 National Patient Safety Goals, one topic attracted a deluge of passionate (and sometimes horrifying) stories, anecdotes, and pleas for help: disruptive clinician behavior. Although the proposal did not make the final list of 2007 goals, The Joint Commission said it will again be included on this year's field review for its list of possible 2008 goals. Aside from preparing for a possible disruptive clinicians goal in 2008, there are steps that you can take to begin examining the issue in your facility and making changes.

1.  Clear expectations about acceptable behavior (e.g., a universal code of conduct) that applies to everyone. Define what you want (e.g., teamwork) and what you don't want (e.g., assault), and then have accompanying policies developed with staff input and leadership enforcement.

2.  Training, coaching, and mentoring for those who struggle with parameters.

3.  Monitoring for a culture of violations.

4.  Early intervention for even mild violations.

5.  Progressive discipline for repeated violations.

6.  Consistent response and enforcement.

 

To get more information, go to <A href=" http://www.hcpro.com/ppv-66211.html"><b> Briefings on Patient Safety (BOPS).</b></a> For the cost of just three stories, you can get the entire February issue of BOPS. <A href=" http://www.hcpro.com/ppv-66207.html ">Click here</a> to choose between the PDF and HTML versions for just $30. Subscribers to the online version of BOPS have free access to this article. Subscribers to the print newsletter can find this article in their February issue.



Want to receive articles like this one in your inbox? Subscribe to Staff Development Weekly: Insight on Evidence-Based Practice in Education!

Most Popular

Related Articles