Disruptive Behavior at Hospitals and Factors Associated to Safer Care: A Systematic Review

Abstract

Disruptive behavior creates a dysfunctional culture that has a negative impact on work relations and influences the quality of care and safety of the patient. The objective of the present work is to provide the best methodological quality scientific evidence available on disruptive behavior at a hospital, the aspect associated with the safety of the patient, and its impact on quality of care. For this, we included studies that addressed the prevalence of disruptive behaviors observed in the area of hospital health and its professionals. The selection, eligibility, data extraction and evaluation of the risk of bias stages were conducted by two researchers, and any discrepancies were solved by a third researcher. The data presented show that disruptive behaviors are frequently observed in the daily life of health professionals, and compromise the quality of care, the safety of the patient, and can lead to adverse effects. The results presented indicate that the appearance of disruptive behaviors compromises the quality of care, the safety of the patient, and the appearance of adverse effects, and can also affect the physical and mental health of the health professionals. PROSPERO registration number: CRD42021248798.

Establishment of hospital resilience framework in urban China: insight from Wuhan City

“…On the other hand, some studies put forward the evaluation framework of hospital resilience from the perspective of hospital management, (Chen et al, 2021 ; Shirali et al, 2016 ; Tharanga & Fernando, 2021 ) such as evaluating the relevant indicators in the four dimensions of technology, organization, society and economy, and considering two types of costs related to hospital resilience: (1) systematic impact of disruption which shows the differences of performance index before and after disasters, and (2) total recovery effort which indicates the costs of recovery action that would be done after disruptions to return the system state to pre-disruption one. (Renzetti & Mango, 2020 ; Moreno-Leal et al, 2021 ; Pacheco, Martimbianco, Roitberg, et al, 2021 ) Shuang Zhong,(Zhong et al, 2015 ) based on the modified Delphi, proves that equipment for on-site rescue, plan initiation, equipment for referral of patients with complex care needs are crucial indicators of a comprehensive framework of hospital resilience. Meanwhile, the individual resilience of hospital staff also is considered as an influencing factor of hospital resilience.…”

Cross-Cultural Adaptation of the Instrument “Nurse–Physician Relationship Survey: Impact of Disruptive Behavior in Patient Care” to the Spanish Context

“…A systematic review has recently been carried out to provide the best methodological quality scientific evidence available on disruptive behavior at a hospital, the aspect associated with the safety of the patient, and its impact on quality of care [ 12 ]. Of the studies identified in the systematic review, many measured disruptive behaviors in specific samples of professional groups such as physicians [ 13 ] or nurses [ 14 , 15 ], in specific clinical areas such as the surgical setting [ 16 ].…”

Factors leading to disruptive behaviours at central hospitals in Harare Metropolitan Province: Radiography managers perspectives

“…The negative consequences of disruptive behaviours (DBs) involving healthcare workers have been shown to threaten the institution's image, staff morale, finances, and patient safety [1] . Therefore, hospital managers need to address this matter early to ensure the pursuit of the hospital's mission and to establish confidence in the facility's operational and business activities and goals.…”

“…More research is required to investigate the problem of DBs in radiography as society is increasingly becoming violent, with a global upsurge in the level of aggression in the workplace [13] . Disruptive behaviours are a major concern for radiographers as they may compromise patient safety [1] . Patient safety is at the centre of all radiographers do [17] .…”