Introduction to Disruptive Behavior


Derogatory Remarks Concerning the organization

Disruption of the smooth function of the Health Care group:

Aggressive: Anger outburst, verbal threats, swearing (90%), Physical touch and projecting, objects (20%), Sexual Harassment (10%).

Passive Aggressive: Derogatory comments about establishment, hospital, team, refusing to do tasks (20%).

Passive: Chronically late, not reacting to call (15%), Inappropriate/inadequate chart notes, and not dictating (15 percent). To know more about the disruptive behavior you can refer to the source: Report Unsafe Working Conditions | Unsafe Work Environment.

Clinical Disruptive Behavior

  1. MD turning up the oxytocin pump with no telling nurse
  2. MD or RN refusal to participate in workouts
  3. MD rupturing membranes or adding misoprostol at the Office
  4. RN falsely or dry labs documentation in the chart
  5. MD disappearing or unreachable when on the telephone

The Spectrum of Disruptive Behavior

  1. American Society for Healthcare Risk Management (ASHRM) annual meeting
  2. Survey of 190 respondents:
  3. 31 bodily cases of abuse (kicking, pushing, hitting, choking)
  4. 89 verbal abuse (insults, threats, berating, and tantrums)
  5. 33 casting or breaking (computers, tools, telephones, furniture)
  6. 23 policy conflicts (noncompliance, hypercritical, blame changing)
  7. 14 miscellaneous (guns at work, substance abuse, leaving during operation)

That is About a Spectrum of Unacceptable Behavior

  1. Intimidation that inhibits security conversations
  2. Bodily threats, harassment, actual attacks
  3. Noncompliance with present policies
  4. Sexual harassment
  5. Idiosyncratic, inconsistent, passive-aggressive orders