Home Current Issue Previous Issues CE For Authors Journal Info
Skip Navigation LinksHome > January/March 2009 - Volume 32 - Issue 1 > Crucial Conversations: The Most Potent Force for Eliminating...
You could be reading the full-text of this article now...
If you have access to this article through your institution, you can view this article in OvidSP.
Critical Care Nursing Quarterly:
doi: 10.1097/01.CNQ.0000343136.57813.f6
Original Article

Crucial Conversations: The Most Potent Force for Eliminating Disruptive Behavior

Grenny, Joseph BS

Collapse Box

Abstract

The Joint Commission announced this year that rude language and hostile behavior pose serious threats to patient safety and quality of care. And, for good reason. The Silence Kills study, conducted by VitalSmarts and the American Association of Critical-Care Nurses, reveals that more than three fourths of caregivers regularly work with doctors or nurses who are condescending, insulting, or rude.

But while these disruptive and disrespectful behaviors can be hurtful, what prompted The Joint Commission to address them as a condition of accreditation is the mounting evidence that these behaviors are also harmful. The Silence Kills study found that more than 20% of healthcare professionals have seen actual harm come to patients as a result of such behavior.

The most powerful force over human behavior is social influence. People will do almost anything to gain acceptance or avoid rejection. If healthcare leaders want to not only secure the well-being of patients but also increase employee retention and engagement, the most immediate and effective thing they can do is to change this culture of silence.

Healthcare leaders who want to engage social influence to eliminate disruptive behavior will have to break the code of silence in 4 crucial conversations.

© 2009 Lippincott Williams & Wilkins, Inc.

Login

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.