Disruptive Behaviors in Healthcare

Research suggests that nearly 3 in 4 health care providers have experienced some type of disruptive or intimidating behavior in the course of their work. These behaviors bridge the entire spectrum of workers, clinical and non-clinical, and include all levels of employees and medical staff. 9 in 10 healthcare professionals have had to manage the situations and consequences of disruptive behavior reported to them.

Download Study Results

Impact of Unprofessional Behaviors

When supportive policies, processes and training for disruptive behaviors do not exist in an organization, workplace satisfaction is at risk. In a joint study conducted by Studer Group and Vanderbilt University Medical Center – Center for Patient and Professional Advocacy (CPPA), 66% of respondents stated they have considered leaving their jobs. 41% transferred out of the department or left a job as a result of unprofessional behavior. When considering the impact of work environment on effective communications, job satisfaction, safety and clinical outcomes, it is important for every organization to assess their ability and readiness for dealing with disruptive behaviors.

Disruptive Behavior Pyramid

Hickson GB, Pichert JW, Webb LE, Gabbe SG. A complementary approach to promoting professionalism: identifying, measuring and addressing unprofessional behaviors. Acad Med, 82(11):1040-1048 (2007).

Resources from Studer Group and Vanderbilt CPPA

In a joint partnership with Vanderbilt CPPA, Studer Group can provide speakers, facilitators and coaching to support your organization's knowledge, skills and infrastructure to address disruptive behaviors. Outcomes of a session with one of our speakers, facilitators or coaches can be designed to address the following needs:

  • Understanding of Disruptive Behaviors and the current recommendations for creating a culture of safety
  • Discussion of the types of Disruptive Behaviors in healthcare and the effect of disruptive behavior on clinical outcomes and work environment
  • Identification of the organizational processes needed to address disruptive behaviors
  • Introduction to a tiered model approach to addressing disruptive behaviors -- the disruptive behavior pyramid
  • Skill building and training session on addressing first level disruptive behavior discussions with the 'coffee-cup' conversation
  • Skill building and training on addressing second and third level disruptive behavior discussions – 'Awareness' intervention and EDICTS
  • Understanding of types and use of surveillance tools in dealing with disruptive behaviors
  • Review of a GAP analysis the organization can use to evaluate their structure, process and readiness for dealing with disruptive behaviors

Studer Group Experts and Speakers

Gerald B. Hickson, MD
Gerald B. Hickson
, MD, Associate Dean for Clinical Affairs, Director, Center for Patient and Professional Advocacy, Vanderbilt University School of Medicine

Gerald B. Hickson, MD
James W. Pichert
, PhD, Professor of Medical Education, Co-Director, Center for Patient and Professional Advocacy

Gerald B. Hickson, MD
Karen Cook
, RN, Studer Group Coach, 20 years clinical nursing and management

Gerald B. Hickson, MD
Colleen Thornburgh
, MS, Studer Group Coach, 20 years leadership and organization development

Gerald B. Hickson, MD
Craig Deao
, MHA, Studer Group Speaker

Featured Videos

Discouraging Disruptive Behavior: Key Steps to Building a Culture of Safety!
Presented by Vanderbilt University Medical Center (Nashville, TN) & Studer Group

Discouraging Disruptive Behaviors - It starts with a Cup of Coffee!
Vanderbilt University Medical Center (Nashville, TN)


For more information on speaking and coaching services on dealing with "special" colleagues, please contact Stephanie Stephens at (405) 701-4915 or by email at stephanie.stephens@studergroup.com.

Related Resources

A recent study of more than 1500 health care professionals conducted by Studer Group and the Center for Patient and Professional Advocacy at Vanderbilt University (CPPA) shows that 3 in 4 healthcare providers have experienced some type of disruptive or intimidating behavior in the course of their work. (Fig. 1)

Fig. 1

Download an Informational Product Sheet on Disruptive Behavior.

Dealing with "Special" Colleagues Webinar
Featured Speaker: Gerald Hickson, MD, Faculty, Vanderbilt University Medical Center

Additional Related Resources

For Physician Resources, click here.

Read an excerpt from the recently released Engaging Physicians; A Manual to Physician Partnership by Stephen C. Beeson, M.D., which has an entire chapter on Disruptive Behavior.