Improvement strategies to combat disruptive behavior
• Create more opportunities for collaboration and communication through open forums, group discussions, and collaborative workshops.
• Increase availability of training and educational programs for nurses and physicians that focus on improving teamwork and working relationships.
• Improve organizational processes by requiring administrators to take a more proactive approach to avoiding potential confrontations related to staff, scheduling, and equipment.
• Establish a zero-tolerance policy for disruptive behavior, holding nurses and physicians more accountable for their actions.
• Disseminate code-of-conduct policies and reporting guidelines to both nurses and physicians and apply policies consistently and quickly, providing feedback to all involved.
• Ensure appropriate nurse competencies.
• Have physicians sign a code-of-conduct policy when they are credentialed or re-credentialed.
• Appoint a physician leader who will take charge of training and educational programs.
• Provide an ongoing forum to increase physician awareness of issues addressed in this survey and raise awareness of other factors that increase nurses’ stress levels.
• Place physicians on nurse recruitment teams, enabling them to gain a better understanding and appreciation of the factors that are important to nurses as they consider employment opportunities.
• Provide a case study or conduct role-play exercises that allow physicians a firsthand understanding of nurses’ responsibilities and workflow.
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