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3-center study identifies main causes of unprofessional behavior among hospitalists
Date:6/12/2012

expedite care (62%), signing out a patient over the phone when it could have been done in person (41%) and making fun of other physicians to colleagues (40%). But when the researchers looked at how many observed those same behaviours in colleagues, the figures were much higher, at 80%, 80.5%, 66% and 67.5% respectively.

The four key factors or patterns underlying unprofessional behavior accounted for 76% of the variations in the survey responses and had the greatest impact on the overall findings.

Job characteristics - such as clinical time, administrative time and night work - together with age and hospital site were all associated with different patterns of unprofessional behavior.

For example, hospitalists with less clinical time were more likely to report behaviors relating to making fun of others. Young hospitalists and those who had any administrative duties were more likely to participate in behaviors related to workload management. And hospitalists who worked nights were more likely to report behaviors related to time pressures.

"Interventions to promote professionalism should take institutional culture into account and should focus on behaviors with the highest participation rates" concludes Dr Arora.

Dr. Kevin O'Leary, a co-investigator from Northwestern University summarized "Although this study found that unprofessional behavior was thankfully rare, such behavior is unacceptable in a professional hospital setting and needs to be addressed."


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Contact: Amy Molnar
healthnews@wiley.com
Wiley-Blackwell
Source:Eurekalert

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