فهرست نشریات علمی دسترسی آزاد ایران

INTRODUCTION: Understanding the development and distribution of disruptive behaviour amongmembers of a health‑care team is critical to the safety and quality of patient care in high‑riskenvironments such as operating rooms. The present study identified disruptive behaviour and itseffect on the treatment of patients in the operating room environment.SUBJECTS AND METHODS: This cross‑sectional study used the convenience sampling method toselect 144 operating room physicians and nurses (91 women and 53 men). The study was conductedin the operating rooms of four academic hospitals with different specialties in North Khorasan provincein Iran from December 2013 to September 2014. The data were collected using a translated, modified,and validated questionnaire to investigate the prevalence and consequences of disruptive behaviour,the response of the health care system to the behaviour, factors affecting the creation of conflict andthe spread of disruptive behaviour. Statistical analysis of the data was performed using SPSS 18.RESULTS: Disruptive behaviour was reported by 82.95% physicians and nurses. On average, 39%of physicians and 21% of operating room nurses exhibited disruptive behaviour. Disruptive behaviouris associated with psychological and clinical consequences. Factors such as fear of retaliation (8%),lack of change (43.8%), lack of security (18.1%) and attitude of the organization (14.6%) are significantreasons for the failure to report these behaviours.CONCLUSIONS: The findings suggest that disruptive behaviour occurs and affects treatment andworkflow of treatment teams in the operating room. Interpersonal conflict contributes to the growthof such behaviour; thus, more research should focus on this subject in the future.