Maddineshat Maryam, Oshvandi Khodayar, Kalateh Sadati Ahmad, Rosenstein Alan H, Sadat Moayed Malihe, Khatiban Mahnaz
Ph.D Candidate in Nursing, Student Research Committee, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
Mother and Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.
Int Emerg Nurs. 2021 Mar;55:100962. doi: 10.1016/j.ienj.2020.100962. Epub 2021 Jan 7.
In an emergency setting, the occurrence of disruptive behaviors hinders team participation and cooperation. Exploring nurses' perception of disruptive behaviors can lead to a better identification of these behaviors in emergency departments and the provision of better recommendations. This study aimed to explore nurses' perception of disruptive behaviors among emergency healthcare teams in hospitals affiliated to the Hamadan University of Medical Sciences, Hamadan, Iran.
The study was carried out using qualitative content analysis in 2018-2019. Twenty participants from emergency departments of five hospitals in Hamadan, Iran, were enrolled using purposive sampling. Data were collected using semi-structured interviews that continued until data saturation. Data analysis was performed using Erlingsson and Brysiewicz's qualitative content analysis approach.
Three main themes emerged including observable disruptive behaviors, hidden disruptive behaviors, and trigger factors. Observable disruptive behaviors consisted of two main categories: violence and incivility. Hidden disruptive behaviors included troubling behaviors, poor communication, and irresponsibility. Finally, the trigger factors of disruptive behaviors involved two categories: professional incompetency and workplace discrimination.
Exploring nurses' perception showed that trigger factors such as professional incompetency and workplace discrimination could cause the occurrence of observable and hidden disruptive behaviors in emergency healthcare teams.
在紧急情况下，破坏性行为的发生会阻碍团队参与和合作。探究护士对破坏性行为的认知有助于在急诊科更好地识别这些行为并提供更好的建议。本研究旨在探究伊朗哈马丹医科大学附属医院急诊科医护团队中护士对破坏性行为的认知。
本研究于2018 - 2019年采用定性内容分析法进行。通过目的抽样法从伊朗哈马丹五家医院的急诊科招募了20名参与者。使用半结构化访谈收集数据，持续进行直至数据饱和。采用埃林松和布里斯维茨的定性内容分析方法进行数据分析。
出现了三个主要主题，包括可观察到的破坏性行为、隐藏的破坏性行为和触发因素。可观察到的破坏性行为主要包括两类：暴力和无礼行为。隐藏的破坏性行为包括令人烦恼的行为、沟通不畅和不负责任。最后，破坏性行为的触发因素涉及两类：专业能力不足和职场歧视。
探究护士的认知表明，专业能力不足和职场歧视等触发因素可能导致急诊科医护团队出现可观察到的和隐藏的破坏性行为。
