Conflict-management training and no tolerance policies for disruptive behavior by nurses and physicians are among the recommendations being promoted to improve the working relationships between clinicians.
Two organizationsthe American College of Physician Executives and American Organization of Nurse Executiveshave developed a set of model policies, online classes and information sources to improve relations and address disruptive behavior.
The collaboration follows the Joint Commissions new standard, which went into effect Jan. 1, stating that hospital leaders must take steps to address disruptive behavior. Although the policies apply to clinicians of all stripes, physicians have groused at the standard because terms were poorly defined and some fear it could subject them to groundless disciplinary actions.
In addition to building communication skills and adopting a no tolerance policy, the ACPE and AONE standards recommend providers find positive ways to recognize and reward appropriate behavior. For example, nurses could identify a physician of the year, and doctors could select a nurse of the year.