Bad behavior in healthcare: an insidious threat to patients, staff, and organizations.

IF 2 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Current Opinion in Cardiology Pub Date : 2024-07-01 Epub Date: 2024-03-20 DOI:10.1097/HCO.0000000000001139
Liz Crowe, Christine M Riley
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引用次数: 0

Abstract

Purpose of review: 'Bad' or unprofessional behavior (UPB) destroys communication, teamwork, and professional wellbeing, presenting a significant threat to patients and staff. Understanding what constitutes 'bad' or UPB and creating broad accountability for its cessation is imperative to patient-centered care and the survival of the multidisciplinary health workforce.

Recent findings: Despite organizational and legislative commitments to provide well tolerated work environments, UPB is endemic in healthcare and continues to harm patients, staff, and organizations. Historically, categories of UPB have been researched separately which dilutes the problem. Typically, these behaviors cluster, are interchangeable, and are committed by same perpetrators. Women, junior staff, and minority groups remain the most prevalent targets. Even low intensity UPBs among health staff dramatically impacts risk to patient lives, limits quality care, and destroys staff wellbeing. Targeted interventions must address all five roles impacted by UPBs: the target, patients, bystanders, the perpetrator, and the organization to effectively eliminate UPBs. Organizational leaders must demonstrate and uphold organizational values and be swift in addressing UPB to limit the impact on teams and patients.

Summary: UPB in the healthcare setting presents a multifactorial threat to patients, staff, and organizations. To ensure the delivery of high-quality patient care, and the wellbeing of the health workforce it is crucial to understand the insidious impact of UPB and target interventions across all five roles.

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医疗保健领域的不良行为:对患者、员工和机构的隐性威胁。
审查目的:不良 "或不专业行为(UPB)会破坏沟通、团队合作和职业健康,对患者和员工构成重大威胁。了解什么是 "不良 "或不专业行为,并建立广泛的责任制来制止这种行为,对于以患者为中心的医疗服务和多学科医疗队伍的生存都是至关重要的:尽管医疗机构和立法机构承诺提供良好的工作环境,但UPB在医疗机构中仍普遍存在,并继续对患者、员工和医疗机构造成伤害。从历史上看,UPB 的类别被分开研究,从而淡化了这一问题。通常情况下,这些行为会聚集在一起,可以相互替换,而且是由相同的行为人实施的。妇女、初级工作人员和少数群体仍然是最普遍的目标。即使是医务人员中强度较低的 UPBs,也会极大地影响患者的生命风险、限制护理质量并破坏员工的身心健康。有针对性的干预措施必须针对受 UPBs 影响的所有五个角色:目标、患者、旁观者、施暴者和组织,才能有效消除 UPBs。组织领导者必须展示和维护组织价值观,并迅速处理 UPB,以限制对团队和患者的影响。摘要:医疗环境中的 UPB 对患者、员工和组织构成了多因素威胁。为确保为患者提供高质量的护理服务,并保障医务人员的健康,了解 UPB 的潜在影响并有针对性地对所有五种角色采取干预措施至关重要。
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来源期刊
Current Opinion in Cardiology
Current Opinion in Cardiology 医学-心血管系统
CiteScore
4.20
自引率
4.30%
发文量
78
审稿时长
6-12 weeks
期刊介绍: ​​​​​​Current Opinion in Cardiology is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With fourteen disciplines published across the year – including arrhythmias, molecular genetics, HDL cholesterol and clinical trials – every issue also contains annotated reference detailing the merits of the most important papers.
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