ArticleJournal of nursing management2024
Disruptive Behavior and Factors Associated with Patient Safety Climate: A Cross-Sectional Study of Nurses' and Physicians' Perceptions.
Article in Journal of nursing management, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
3 citing papers in PubMed.
- The Effect of Nursing Practice Environment, Individual and Occupational Characteristics on Nurses' Attitudes Towards Medical Error: A Cross-Sectional Study.Nursing open · 2026Article
- The Influence of Organizational and Social Work Environmental Factors on Patient Safety Climate.Journal of nursing management · 2026Article
- Reporting a Patient Safety Culture in Global Health: Evidence From Sierra Leone.Journal of nursing management · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
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Abstract
Background: Few studies have analyzed the negative outcomes of disruptive behaviors in the nurse-physician relationship in patient care and their impact on patient safety. These multicausal studies significantly relate to organizational, institutional, and professional attitudinal risk factors. Aim: Analyze healthcare professionals' perceptions of disruptive behavior and factors associated with patient safety climate in the nurse-physician relationship at the hospital level. Methods: A multicenter cross-sectional study was conducted with a sample of 370 nurses and physicians assigned to different public hospitals in the Murcia/Spain region, applying the adapted and validated Spanish version of the Nurse-Physician Relationship Scale: Impact of Disruptive Behavior on Patient Care. The analysis used proportions or means (standard deviation (SD)), univariate and multivariate linear regression models, and the chi-square test. Results: Disruptive behavior was more prevalent in the ICU (81.6%) and the emergency department (67.8%). Professionals indicate that fear of reprisals is the main barrier to the reporting system. Likewise, stress and frustration are more associated with disruptive behavior and influence the safety climate. Conclusion: Professionals indicate that disruptive behaviors can have a negative impact on clinical outcomes. Age and type of service were identified as the most relevant socio-occupational factors. Stress, frustration, and communication problems are the factors that most influence the safety climate.
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