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disruptive behavior, focus group, nurse and physician disruptive behavior, qualitative study, workplace aggression, workplace incivility, workplace violence



  1. Walrath, Jo M. PhD, RN
  2. Dang, Deborah PhD, RN, NEA-BC
  3. Nyberg, Dorothy MS, RN


Disruptive behavior in healthcare has been identified as a threat to quality of care, nurse retention, and a culture of safety. A qualitative study elicited registered nurse experiences with disruptive clinician behavior in an acute care hospital. A conceptual framework was developed to provide a structure for organizing and describing this complex construct that includes 4 primary concepts: disruptive behaviors and its triggers, responses, and impacts.