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Disruptive behavior and factors associated with patient safety climate: a cross-sectional study of nurses’ and physicians’ perceptions

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Journal of Nursing Management - 2024 - Moreno-Leal - Disruptive Behavior and Factors Associated with Patient Safety Climate.pdf(375.46 KB)
Date
2024-03-12
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Authors
Moreno Leal, Pedro ; Leal Costa, César ; Díaz Agea, José Luis ; Castaño Molina, María de los Ángeles ; Conesa Ferrer, María Belén ; Oliveira, Adriana Catarina de Souza
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Publisher
Wiley
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Enfermería
DOI
https://doi.org/10.1155/2024/5568390
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info:eu-repo/semantics/article
Description
Abstract
Background. Few studies have analyzed the negative outcomes of disruptive behaviors in the nurse-physician relationship in patient care and their impact on patient safety. +ese multicausal studies signi0cantly relate to organizational, institutional, and professional attitudinal risk factors. Aim. Analyze healthcare professionals’ perceptions of disruptive behavior and factors associated with patient safety climate in the nurse-physician relationship at the hospital level. Methods. A multicenter cross-sectional study was conducted with a sample of 370 nurses and physicians assigned to di3erent public hospitals in the Murcia/Spain region, applying the adapted and validated Spanish version of the Nurse-Physician Relationship Scale: Impact of Disruptive Behavior on Patient Care. +e analysis used proportions or means (standard deviation (SD)), univariate and multivariate linear regression models, and the chi-square test. Results. Disruptive behavior was more prevalent in the ICU (81.6%) and the emergency department (67.8%). Professionals indicate that fear of reprisals is the main barrier to the reporting system. Likewise, stress and frustration are more associated with disruptive behavior and inAuence the safety climate. Conclusion. Professionals indicate that disruptive behaviors can have a negative impact on clinical outcomes. Age and type of service were identi0ed as the most relevant socio-occupational factors. Stress, frustration, and communication problems are the factors that most inAuence the safety climate.
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Disruptive behavior , Patient safety climate , Nurses’ perceptions , Physicians’ perceptions
Citation
Journal of Nursing Management, 2024, Vol. 2024, N. 1 :ID 5568390
URI
http://hdl.handle.net/10201/147871
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