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Nurses’ experiences of unprofessional behaviors in the emergency department: A qualitative study

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  • Naser Parizad
  • Hadi Hassankhani
  • Azad Rahmani
  • Eesa Mohammadi
  • Violeta Lopez
  • Michelle Cleary

Abstract

The nursing profession is focused on serving others and has high expectations that each member behaves professionally and ethically, as articulated in nursing codes of practice and conduct. Where these are not upheld, inappropriate and unprofessional workplace behaviors follow. Regrettably, unprofessional behavior is neither new nor constrained to the nursing profession, but is known to negatively impact staff and workplace relationships, and importantly, patient safety and care. The aim of this qualitative study was to explore Iranian nurses’ experiences of professional communication between colleagues in the emergency department. Fifteen individual interviews were conducted. The overarching theme to emerge from the data was workplace communication, supported by two subthemes: unprofessional behavior and stressors in the workplace. Individually and collectively, these subthemes demonstrated staff attitudes and behaviors that are inconsistent with expectations of professional behavior and practice. Management proactively addressing unprofessional workplace behaviors is fundamental to establishing and maintaining positive workplace environments and supporting safe, quality patient care.

Suggested Citation

  • Naser Parizad & Hadi Hassankhani & Azad Rahmani & Eesa Mohammadi & Violeta Lopez & Michelle Cleary, 2018. "Nurses’ experiences of unprofessional behaviors in the emergency department: A qualitative study," Nursing & Health Sciences, John Wiley & Sons, vol. 20(1), pages 54-59, March.
    • Handle: RePEc:wly:nuhsci:v:20:y:2018:i:1:p:54-59
    DOI: 10.1111/nhs.12386
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    References listed on IDEAS

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    1. Fereshteh Najafi & Masoud Fallahi‐Khoshknab & Fazlollah Ahmadi & Asghar Dalvandi & Mehdi Rahgozar, 2017. "Human dignity and professional reputation under threat: Iranian Nurses' experiences of workplace violence," Nursing & Health Sciences, John Wiley & Sons, vol. 19(1), pages 44-50, March.
    2. Lydia E Hamblin & Lynnette Essenmacher & Mark J Upfal & Jim Russell & Mark Luborsky & Joel Ager & Judith E Arnetz, 2015. "Catalysts of worker‐to‐worker violence and incivility in hospitals," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(17-18), pages 2458-2467, September.
    3. Jie Chen & Nancy M. Daraiseh & Kermit G. Davis & Wei Pan, 2014. "Sources of work‐related acute fatigue in United States hospital nurses," Nursing & Health Sciences, John Wiley & Sons, vol. 16(1), pages 19-25, March.
    4. Mei Fen Tan & Violeta Lopez & Michelle Cleary, 2015. "Nursing management of aggression in a Singapore emergency department: A qualitative study," Nursing & Health Sciences, John Wiley & Sons, vol. 17(3), pages 307-312, September.
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    Cited by:

    1. Craig Lockwood & Raluca Sfetcu, 2020. "Ethics in quality improvement: Reimagining the clinician role," Nursing & Health Sciences, John Wiley & Sons, vol. 22(3), pages 483-485, September.
    2. Abid Hussain & Dr. Muhammad Bux Burdey, 2023. "Mediating Role Of Emotional Intelligence Between The Relationship Of Occupational Stress And Clinical Performance Among Nurses," Bulletin of Business and Economics (BBE), Research Foundation for Humanity (RFH), vol. 12(3), pages 177-184.
    3. Hsin-Ju Chou & Kai-Yu Tseng, 2020. "The Experience of Emergency Nurses Caring for Patients with Mental Illness: A Qualitative Study," IJERPH, MDPI, vol. 17(22), pages 1-11, November.

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