DNP 840 Describe two workplace behaviors you may encounter from key stakeholders that may negatively impact your DPI Project Re: Topic 6 DQ 2
DNP 840 Describe two workplace behaviors you may encounter from key stakeholders that may negatively impact your DPI Project
Re: Topic 6 DQ 2
Behaviors that undermine a culture of safety within hospitals threaten overall wellbeing of healthcare workers as well as patient outcomes. Existing evidence suggests negative behaviors adversely influence patient outcomes, employee satisfaction, retention, productivity, absenteeism, and employee engagement. Behaviors such as being disrespectful and the feeling of overwhelmed will impact the success of the project. Disrespectful behavior chills communication and collaboration, undercuts individual contributions to care, undermines staff morale, increases staff resignations and absenteeism, creates an unhealthy or hostile work environment, causes some to abandon their profession, and ultimately harms patients. These behaviors have been linked to adverse events, medical errors, compromises in patient safety, and even patient mortality. Disrespect causes the recipient to experience fear, anger, shame, confusion, uncertainty, isolation, self-doubt, depression, and a whole host of physical ailments, such as insomnia, fatigue, nausea, and hypertension. These feelings diminish a person’s ability to think clearly, make sound judgments, and speak up regarding questions or concerns. Disrespectful behavior is also at the root of difficulties encountered in developing team-based approaches to improving care. Patient confidence has also been undermined by disrespectful behaviors, making patients less likely to ask questions or provide important information.
To address some of these behavior we have to use emotional intelligence strategies. Establish a standard, assertive communication process for health care staff who must convey important information. Stating the problem along with its rationale and a potential solution can improve assertive communication. Provide mandatory hospital-wide education for all staff about the impact of disrespectful behavior and appropriate professional behavior as defined by the code of conduct. Provide skill-based training in communication methods, relationship building, business etiquette, behavioral techniques to confront and address disrespect, conflict resolution, assertiveness training, team training, and how to report disrespectful behaviors. According to Grissinger (2017), Use role-playing, vignettes, or aggression scenarios to strengthen skills associated with assertive communication, conflict resolution, and interpersonal interactions. One health system provides leaders with a toolkit that includes talking points regarding the impact of disrespectful behavior, the code of conduct, definitions, surveys, communication/teamwork guides, key articles and intranet resources, “no retribution” policy, and a letter from the chief executive officer outlining full leadership support. Certain aspects of the workplace environment are key to combatting disrespect, including a fair and just culture, respectful management of serious adverse events, and transparency so staff members feel safe talking about disrespectful behavior without fear of reprisal.
Grissinger M. (2017). Disrespectful Behavior in Health Care: Its Impact, Why It Arises and Persists, And How to Address It-Part 2. P & T : a peer-reviewed journal for formulary management, 42(2), 74–77.
Layne, D. M., Nemeth, L. S., Mueller, M., & Martin, M. (2019). Negative Behaviors among Healthcare Professionals: Relationship with Patient Safety Culture. Healthcare (Basel, Switzerland), 7(1), 23. https://doi.org/10.3390/healthcare7010023
