Kerri Peschock, BSN, RN, SRNAVerna Thomas, BSN, RN, SRNA

Scrubs2:15-2:53

Objectives

Define the disruptive providerDescribe disruptive behaviors

affecting CRNA’sExplain the effects disruptive

behavior has on an organizationList strategies to reduce disruptive

behaviors

JCAHO Sentinel Event Alert

SENTINEL EVENT ALERT #40

The Joint Commission, 2008

What does the disruptive provider look like?

Behavioral Contributors

Insult Victims

Condensation

Berated

Abusive language

Disrespectful Interaction

Yelling

0% 20%

40%

60%

80%

100%

Common Disruptive Behaviors

Common Disrup-tive Behaviors

Disruptive Behavior & the CRNA

Reflection

The Replacements1:41-2:15

Absenteeism & Turnover

Staff Shortages

Staff Dissatisfaction

Financial Costs

Patient Safety

Organizational Commitment

VS

Strategies

Kicking and screaming not required

Facility Standards

Studer Group, Vanderbilt CPPA, 2009

Facility Interventions

Studer Group, Vanderbilt CPPA, 2009

Effective Communication

Questions

Final Thoughts&

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