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How can interventions more directly address drivers of unprofessional behaviour between healthcare staff?

Aunger, Justin A.; Abrams, Ruth; Mannion, Russell; Westbrook, Johanna I; Jones, Aled; Wright, Judy M; Pearson, Mark; Maben, Jill

Authors

Justin A. Aunger

Ruth Abrams

Russell Mannion

Johanna I Westbrook

Aled Jones

Judy M Wright

Jill Maben



Abstract

Unprofessional behaviours (UBs) between healthcare staff are widespread and have negative impacts on patient safety, staff well-being and organisational efficiency. However, knowledge of how to address UBs is lacking. Our recent realist review analysed 148 sources including 42 reports of interventions drawing on different behaviour change strategies and found that interventions insufficiently explain their rationale for using particular strategies. We also explored the drivers of UBs and how these may interact. In our analysis, we elucidated both common mechanisms underlying both how drivers increase UB and how strategies address UB, enabling the mapping of strategies against drivers they address. For example, social norm-setting strategies work by fostering a more professional social norm, which can help tackle the driver 'reduced social cohesion'. Our novel programme theory, presented here, provides an increased understanding of what strategies might be effective to adddress specific drivers of UB. This can inform logic model design for those seeking to develop interventions addressing UB in healthcare settings.

Citation

Aunger, J. A., Abrams, R., Mannion, R., Westbrook, J. I., Jones, A., Wright, J. M., Pearson, M., & Maben, J. (2024). How can interventions more directly address drivers of unprofessional behaviour between healthcare staff?. BMJ Open Quality, 13(3), Article e002830. https://doi.org/10.1136/bmjoq-2024-002830

Journal Article Type Article
Acceptance Date Jun 22, 2024
Online Publication Date Jul 8, 2024
Publication Date Jul 8, 2024
Deposit Date Jul 15, 2024
Publicly Available Date Jul 16, 2024
Journal BMJ Open Quality
Electronic ISSN 2399-6641
Publisher BMJ Publishing Group
Peer Reviewed Peer Reviewed
Volume 13
Issue 3
Article Number e002830
DOI https://doi.org/10.1136/bmjoq-2024-002830
Public URL https://hull-repository.worktribe.com/output/4736730

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Publisher Licence URL
http://creativecommons.org/licenses/by/4.0

Copyright Statement
© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/
This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.





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