Terry Roumayah RN, BSN, SRNA, CCRN Oakland University/Beaumont Hospital
Kerri Peschock , BSN, RN, SRNA Verna Thomas, BSN, RN, SRNA
description
Transcript of Kerri Peschock , BSN, RN, SRNA Verna Thomas, BSN, RN, SRNA
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Kerri Peschock, BSN, RN, SRNAVerna Thomas, BSN, RN, SRNA
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Objectives
Define the disruptive providerDescribe disruptive behaviors
affecting CRNA’sExplain the effects disruptive
behavior has on an organizationList strategies to reduce disruptive
behaviors
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JCAHO Sentinel Event Alert
SENTINEL EVENT ALERT #40
The Joint Commission, 2008
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What does the disruptive provider look like?
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Behavioral Contributors
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Insult Victims
Condensation
Berated
Abusive language
Disrespectful Interaction
Yelling
0% 20%
40%
60%
80%
100%
Common Disruptive Behaviors
Common Disrup-tive Behaviors
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Disruptive Behavior & the CRNA
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Absenteeism & Turnover
Staff Shortages
Staff Dissatisfaction
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Financial Costs
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Patient Safety
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Organizational Commitment
VS
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Strategies
Kicking and screaming not required
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Facility Standards
Studer Group, Vanderbilt CPPA, 2009
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Facility Interventions
Studer Group, Vanderbilt CPPA, 2009
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Effective Communication
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Questions
Final Thoughts&
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ReferencesAHC Media LLC (2011). Communication key to reducing disruptive behavior. Hospital Peer Review,
36(5), 49-60.
Felblinger, D. M. (2009). Bullying, incivility, and disruptive behaviors in healthcare setting:
identification, impact and intervention. Frontiers of Health Services Management, 25(4), 13-23.
Higgins, B. L., & MacIntosh, J. (2010). Operating room nurses’ perceptions of the effects of physician-
perpetrated abuse. International Nursing Review, 57, 321-327.
Jericho, B. G., Mayer, D., & McDonald, T. (2011). Disruptive behaviors in healthcare. Journal of
Anesthesiology, 28(2), 1-14.
Sakellaropoulos, A., Pires, J., Estes, D., & Jasinski, D. (2011). Workplace aggression: Assessment of
prevalence in the field of nurse anesthesia. American Association of Nurse Anesthetists, 79(4),
51-57.
Studer Group, Vanderbilt CPPA (2009, June). Resources for dealing with 'special' colleagues. Retrieved January 26, 2013, from
http://www.studergroup.com/content/disruptive_behaviors/disruptive_behavior_product_sheet.pdf
The Joint Commission (2008, July 9). Behaviors that undermine a culture of safety. Retrieved January 5,
2013, from http://www.jointcommission.org/assets/1/18/SEA_40.PDF
Walrath, J. M., Dang, D., & Nyberg, D. (2010). Hospital rns' experiences with disruptive behavior.
Journal of Nursing Care Quality, 25(2), 105-116.
Yildirim, D. (2009). Bullying among nurses and its effects. International Nursing Review, 56, 504-511.
YouTube (2007). Dr cox season one (best moments). Retrieved January 26, 2013, from
http://www.youtube.com/watch?v=EYm5bbCKh44
YouTube (2010). The replacements - Quicksand. Retrieved January 26, 2013, from http://www.youtube.com/watch?v=i3O-
kYwM8qY