Influence of Disruptive Behaviors in Japanese Medical Setting on Medical Staffs’ Adaptation and Patient Safety

Abstract

  Disruptive behaviors in medical sitting are taken sufficient measures in the US as serious threats to patient safety. Meanwhile, in Japan, we have not recognized accurately disruptive behaviors yet. Therefore, this study elucidated the nature of disruptive behaviors in Japanese medical sitting and adverse effects on medical staff’s adaptation and patient safety. The questionnaire of disruptive behaviors in a medical setting was conducted for Japanese nurses. The categorical factor analysis identified spiteful disruptive behaviors such as instructive harassment and covert denigrating, and barefaced disruptive behaviors such as overt rejection and direct browbeating. The former made victims’ psychological and social adaptation worse, the latter was a menace to patient safety. Ultimately, countermeasures for 2 types of disruptive behaviors were discussed.