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Review
. 2021 Dec 23;10(1):19.
doi: 10.3390/healthcare10010019.

Disruptive Behavior at Hospitals and Factors Associated to Safer Care: A Systematic Review

Pedro Moreno-Leal  1 , César Leal-Costa  2 , José Luis Díaz-Agea  1 , Ismael Jiménez-Ruiz  2 , Antonio Jesús Ramos-Morcillo  2 , María Ruzafa-Martínez  2 , Adriana Catarina De Souza Oliveira  1
Affiliations
Review

Disruptive Behavior at Hospitals and Factors Associated to Safer Care: A Systematic Review

Pedro Moreno-Leal et al. Healthcare (Basel). .

Abstract

Disruptive behavior creates a dysfunctional culture that has a negative impact on work relations and influences the quality of care and safety of the patient. The objective of the present work is to provide the best methodological quality scientific evidence available on disruptive behavior at a hospital, the aspect associated with the safety of the patient, and its impact on quality of care. For this, we included studies that addressed the prevalence of disruptive behaviors observed in the area of hospital health and its professionals. The selection, eligibility, data extraction and evaluation of the risk of bias stages were conducted by two researchers, and any discrepancies were solved by a third researcher. The data presented show that disruptive behaviors are frequently observed in the daily life of health professionals, and compromise the quality of care, the safety of the patient, and can lead to adverse effects. The results presented indicate that the appearance of disruptive behaviors compromises the quality of care, the safety of the patient, and the appearance of adverse effects, and can also affect the physical and mental health of the health professionals. PROSPERO registration number: CRD42021248798.

Keywords: adverse effects; disruptive behavior; doctor-nurse relationships; patient safety; systematic review.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
This figure shows the flow diagram utilized for the review, based on the PRISMA model (2020).
See this image and copyright information in PMC

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