Acta Scientific Clinical Case Reports

Short CommunicationVolume 2 Issue 7

A Unit Method of Changing Culture

Deborah L Threats*

Department of Nursing, Veteran Hospital, Washington, DC, USA

*Corresponding Author: Deborah L Threats, Department of Nursing, Veteran Hospital, Washington, DC, USA.

Received: April 23, 2021; Published: June 24, 2021

Citation: Deborah L Threats., et al. “A Unit Method of Changing Culture". Acta Scientific Clinical Case Reports 2.7 (2021): 85-88.


Disruptive behavior has and will continue to be an issue in nursing until it is addressed. We must increase a heightened awareness and educate nursing staff about this behavior. Disruptive behavior has plagued the nursing arena for years. The issue has become so important that it is now included in the curriculum for nursing students. They are learning about a healthy work place environment. Nursing has published several articles on disruptive behavior but it remains a pervasive issue within the work environment.

The unit that I currently work on has tackled the issue with surveys and frank conversations about the matter. The issue persists because nurses have fear of retaliation and feel as if they lack support from management, or nothing will be done by management. We must address this inappropriate behavior in order to decrease and completely eradicate it. Our unit took on the challenge to minimize disruptive behavior by adding the sacred word (a word stated aloud as a clue to the offending individual, thus increasing self awareness), sacred person (a confidant to ventilate frustrations and share ideas), and when all else failed, mediation will take place to allow staff to face the offender (providing staff members a safe place to discuss and remedy the discourse).

The unit’s disruptive behavior has diminished and management has conducted fewer counseling sessions on this behavior.

We have developed a guideline for the unit to assure a continuation of the progress with hopes of decreasing and eventually eliminating disruptive behavior.


Keywords: Disruptive Behavior; Mediation


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    Copyright: © 2021 Deborah L Threats. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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