The DOI matches its Crossref record; 35 of the 35 references it cites were found in a registry or an index.
Perspective: A Culture of Respect, Part 1
Open accessAbstract
A substantial barrier to progress in patient safety is a dysfunctional culture rooted in widespread disrespect. The authors identify a broad range of disrespectful conduct, suggesting six categories for classifying disrespectful behavior in the health care setting: disruptive behavior; humiliating, demeaning treatment of nurses, residents, and students; passive-aggressive behavior; passive disrespect; dismissive treatment of patients; and systemic disrespect.At one end of the spectrum, a single disruptive physician can poison the atmosphere of an entire unit. More common are everyday humiliations of nurses and physicians in training, as well as passive resistance to collaboration and change. Even more common are lesser degrees of disrespectful conduct toward patients that are taken for granted and not recognized by health workers as disrespectful.Disrespect is a threat to patient safety because it inhibits collegiality and cooperation essential to teamwork, cuts off communication, undermines morale, and inhibits compliance with and implementation of new practices. Nurses and students are particularly at risk, but disrespectful treatment is also devastating for patients. Disrespect underlies the tensions and dissatisfactions that diminish joy and fulfillment in work for all health care workers and contributes to turnover of highly qualified staff. Disrespectful behavior is rooted, in part, in characteristics of the individual, such as insecurity or aggressiveness, but it is also learned, tolerated, and reinforced in the hierarchical hospital culture. A major contributor to disrespectful behavior is the stressful health care environment, particularly the presence of "production pressure," such as the requirement to see a high volume of patients.
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Cites
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“44,45 If the physician is not a constructive team player, team efforts fail, and patients suffer the consequences.”
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Landrigan, C. P., Rothschild, J. M., Cronin, J. W., Kaushal, R., Burdick, E., Katz, J. T., Lilly, C. M., Stone, P. H., Lockley, S. W., Bates, D. W., et al. (2004) · New England Journal of Medicine · doi:10.1056/nejmoa041406 · Cited by 1,760
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Relationship Between Burnout and Professional Conduct and Attitudes Among US Medical Students
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Cited by
Risk factors and prevalence of burnout syndrome in the nursing profession
Cañadas-De la Fuente, G. A., Vargas, C., San Luis, C., García, I., Cañadas, G. R., & De la Fuente, E. I. (2015) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2014.07.001 · Cited by 547
Physician Resilience: What It Means, Why It Matters, and How to Promote It
Epstein, R. M., & Krasner, M. S. (2013) · Academic Medicine · doi:10.1097/acm.0b013e318280cff0 · Cited by 509
SABA Study Investigators and the Asian Critical Care Clinical Trials Group, See, K. C., Zhao, M. Y., Nakataki, E., Chittawatanarat, K., Fang, W.-F., Faruq, M. O., Wahjuprajitno, B., Arabi, Y. M., Wong, W. T., et al. (2018) · Intensive Care Medicine · doi:10.1007/s00134-018-5432-1 · Cited by 135
Philibert, I., Nasca, T., Brigham, T., & Shapiro, J. (2013) · Annual Review of Medicine · doi:10.1146/annurev-med-120711-135717 · Cited by 118
Metadata
- Authors
- Leape, L. L., Shore, M. F., Dienstag, J. L., Mayer, R. J., Edgman-Levitan, S., Meyer, G. S., & Healy, G. B.
- Venue
- Academic Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2012-07
- Volume
- 87
- Issue
- 7
- Pages
- 845-852
- ISSN
- 1040-2446 (ISSN-L)
- OpenAlex
- W2170138857
- Cited by
- 359
- References
- 35
- FWCI
- 103.62
- Type
- journal article
- Language
- en
- Open access
- bronze
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