Objective:To analyze the concept of disruptive behavior in healthcare work. Method: An integrative review carried out in the theoretical phase of a qualitative research substantiated by the theoretical framework of the Hybrid Model of Concept Development. The search for articles was conducted in the CINAHL, LILACS, PsycINFO, PubMed and SciVerse Scopus databases in 2013. Results: 70 scientific articles answered the guiding question and lead to attributes of disruptive behavior, being: incivility, psychological violence and physical/sexual violence; with their main antecedents (intrapersonal, interpersonal and organizational) being: personality characteristics, stress and work overload; and consequences of: workers' moral/mental distress, compromised patient safety, labor loss, and disruption of communication, collaboration and teamwork. Conclusion: Analysis of the disruptive behavior concept in healthcare work showed a construct in its theoretical stage that encompasses different disrespectful conduct adopted by health workers in the hospital context, which deserve the attention of leadership for better recognition and proper handling of cases and their consequences.

This study's aim is to adapt the Health Care Communication Questionnaire in a Spanish sample, and then test the psychometric properties of the adapted instrument. To do so, the questionnaire was adapted for the Spanish context and then applied in a pilot study as well as a final study. The final sample consisted of 200 patients at Morales Meseguer Hospital in Murcia, Spain. The results show that this adaptation's psychometric properties were similar to those of the original questionnaire. As for item analysis, all items obtained discriminant indices > .30. Confirmatory factor analysis revealed the same structure as that of the original questionnaire (χ2/df = 1.345; CFI = .983; IFI = .983; TLI = .977; RMSEA = .042), with indices reflecting adequate goodness of fit. Also, results from the analysis of each dimension's internal consistency had coefficients between .71 and .86. We conclude that the Spanish version of the HCCQ has adequate psychometric properties, is useful, and will serve its purpose in the context in which it will be used.

Introducción: En las últimas décadas se está dando un aumento de la Enfermedad Renal Crónica. Ésta tiene una estrecha relación con los factores de riesgo cardiovascular. Objetivo: conocer la prevalencia y conocimiento de factores de riesgo cardiovascular en una muestra de pacientes sometidos a tratamiento de Diálisis. Material y Método: estudio descriptivo transversal en una clínica de diálisis de la Región de Murcia desde marzo a julio de 2017. La muestra es de 55 pacientes según criterios de inclusión y exclusión. Resultados: De los 55 sujetos, 36 hombres y 19 mujeres, de los cuales sólo el 40% conocía la causa que le había provocado la entrada a diálisis, siendo este conocimiento mayor entre las mujeres que entre los hombres. Se analizó la muestra para ver los factores de riesgo cardiovascular que presentaban. Se hallaron un 40% de pacientes con diabetes mellitus, un 90,9% con hipertensión arterial, un 63,6% presentaban dislipemias, el 47,3% tenían una vida sedentaria, el 69% sobrepeso o algún tipo de obesidad y el 36,4% de los pacientes eran fumadores. Conclusiones: hay una alta prevalencia de factores de riesgo cardiovascular en la población estudiada y la aproximadamente mitad de la muestra los desconoce.

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