Disruptive Behavior and Factors Associated with Patient Safety Climate: A Cross-Sectional Study of Nurses’ and Physicians’ Perceptions

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. These multicausal studies significantly relate to organizational, institutional, and professional attitudinal risk factors. Aim:...

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Autores: Moreno Leal, Pedro, Leal Costa, César, Díaz Agea, José Luis, Castaño Molina, María, Conesa Ferrer, María, Souza Oliveira, Adriana Catarina
Formato: artículo
Fecha de publicación:2024
País:España
Recursos:Universidad Católica San Antonio de Murcia (UCAM)
Repositorio:RIUCAM. Repositorio Institucional de la Universidad Católica San Antonio de Murcia
OAI Identifier:oai:repositorio.ucam.edu:10952/10849
Acesso em linha:http://hdl.handle.net/10952/10849
Access Level:acceso abierto
Palavra-chave:Physician-Nurse Relations
Problem Behavior
Patient Safety
Cross-Sectional Studies
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spelling Disruptive Behavior and Factors Associated with Patient Safety Climate: A Cross-Sectional Study of Nurses’ and Physicians’ PerceptionsMoreno Leal, PedroLeal Costa, CésarDíaz Agea, José LuisCastaño Molina, MaríaConesa Ferrer, MaríaSouza Oliveira, Adriana CatarinaPhysician-Nurse RelationsProblem BehaviorPatient SafetyCross-Sectional StudiesBackground: Few studies have analyzed the negative outcomes of disruptive behaviors in the nurse-physician relationship in patient care and their impact on patient safety. These multicausal studies significantly 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 different 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. The 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 influence the safety climate. Conclusion: Professionals indicate that disruptive behaviors can have a negative impact on clinical outcomes. Age and type of service were identified as the most relevant socio-occupational factors. Stress, frustration, and communication problems are the factors that most influence the safety climate.EnfermeríaEnfermería2024info:eu-repo/semantics/articlehttp://hdl.handle.net/10952/10849reponame:RIUCAM. Repositorio Institucional de la Universidad Católica San Antonio de Murciainstname:Universidad Católica San Antonio de Murcia (UCAM)Inglésinfo:eu-repo/semantics/openAccessoai:repositorio.ucam.edu:10952/108492026-06-07T18:35:21Z
dc.title.none.fl_str_mv Disruptive Behavior and Factors Associated with Patient Safety Climate: A Cross-Sectional Study of Nurses’ and Physicians’ Perceptions
title Disruptive Behavior and Factors Associated with Patient Safety Climate: A Cross-Sectional Study of Nurses’ and Physicians’ Perceptions
spellingShingle Disruptive Behavior and Factors Associated with Patient Safety Climate: A Cross-Sectional Study of Nurses’ and Physicians’ Perceptions
Moreno Leal, Pedro
Physician-Nurse Relations
Problem Behavior
Patient Safety
Cross-Sectional Studies
title_short Disruptive Behavior and Factors Associated with Patient Safety Climate: A Cross-Sectional Study of Nurses’ and Physicians’ Perceptions
title_full Disruptive Behavior and Factors Associated with Patient Safety Climate: A Cross-Sectional Study of Nurses’ and Physicians’ Perceptions
title_fullStr Disruptive Behavior and Factors Associated with Patient Safety Climate: A Cross-Sectional Study of Nurses’ and Physicians’ Perceptions
title_full_unstemmed Disruptive Behavior and Factors Associated with Patient Safety Climate: A Cross-Sectional Study of Nurses’ and Physicians’ Perceptions
title_sort Disruptive Behavior and Factors Associated with Patient Safety Climate: A Cross-Sectional Study of Nurses’ and Physicians’ Perceptions
dc.creator.none.fl_str_mv Moreno Leal, Pedro
Leal Costa, César
Díaz Agea, José Luis
Castaño Molina, María
Conesa Ferrer, María
Souza Oliveira, Adriana Catarina
author Moreno Leal, Pedro
author_facet Moreno Leal, Pedro
Leal Costa, César
Díaz Agea, José Luis
Castaño Molina, María
Conesa Ferrer, María
Souza Oliveira, Adriana Catarina
author_role author
author2 Leal Costa, César
Díaz Agea, José Luis
Castaño Molina, María
Conesa Ferrer, María
Souza Oliveira, Adriana Catarina
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Physician-Nurse Relations
Problem Behavior
Patient Safety
Cross-Sectional Studies
topic Physician-Nurse Relations
Problem Behavior
Patient Safety
Cross-Sectional Studies
description 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. These multicausal studies significantly 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 different 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. The 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 influence the safety climate. Conclusion: Professionals indicate that disruptive behaviors can have a negative impact on clinical outcomes. Age and type of service were identified as the most relevant socio-occupational factors. Stress, frustration, and communication problems are the factors that most influence the safety climate.
publishDate 2024
dc.date.none.fl_str_mv 2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/10952/10849
url http://hdl.handle.net/10952/10849
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv reponame:RIUCAM. Repositorio Institucional de la Universidad Católica San Antonio de Murcia
instname:Universidad Católica San Antonio de Murcia (UCAM)
instname_str Universidad Católica San Antonio de Murcia (UCAM)
reponame_str RIUCAM. Repositorio Institucional de la Universidad Católica San Antonio de Murcia
collection RIUCAM. Repositorio Institucional de la Universidad Católica San Antonio de Murcia
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,812429

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