Next Article in Journal
Examination of EMS Decision Making in Determining Suitability of Patient Diversion to Urgent Care Centers
Next Article in Special Issue
Quality Is in the Eye of the Beholder—A Focus Group Study from the Perspective of Ambulance Clinicians, Physicians, and Managers
Previous Article in Journal
The Development of Pathways in Palliative Medicine: Definition, Models, Cost and Quality Impact
Article Menu
Issue 1 (March) cover image

Export Article

Open AccessArticle

Negative Behaviors among Healthcare Professionals: Relationship with Patient Safety Culture

College of Nursing, Medical University of South Carolina, Charleston, SC 29425, USA
Author to whom correspondence should be addressed.
Healthcare 2019, 7(1), 23;
Received: 18 December 2018 / Revised: 21 January 2019 / Accepted: 29 January 2019 / Published: 1 February 2019
PDF [220 KB, uploaded 1 February 2019]


Behaviors that undermine a culture of safety within hospitals threaten overall wellbeing of healthcare workers as well as patient outcomes. Existing evidence suggests negative behaviors adversely influence patient outcomes, employee satisfaction, retention, productivity, absenteeism, and employee engagement. Our objective was to examine the presence of negative behaviors within a healthcare system and the influence of negative behaviors among healthcare workers on perceptions of patient safety culture. Using a cross-sectional design, the negative behaviors in healthcare survey (NBHC) and selected composites of the Agency for Healthcare Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture (HSOPS) were combined within an electronic survey which was administered to physicians, clinical and managerial staff. Exposure to contributing factors of negative behaviors was moderately correlated with elements of HSOPS, including perceptions of teamwork within units, management response to error, and overall patient safety grade. Use of aggression and fear of retaliation were moderately correlated with HSOPS management response to error. Reducing healthcare worker exposure to contributing factors of negative behavior may result in increased perceptions of teamwork within a hospital unit, while addressing use of staff aggression and fear of retaliation potentially positively influences management response to error. View Full-Text
Keywords: patient safety; interprofessional behavior; outcomes; negative behaviors patient safety; interprofessional behavior; outcomes; negative behaviors
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

Share & Cite This Article

MDPI and ACS Style

Layne, D.M.; Nemeth, L.S.; Mueller, M.; Martin, M. Negative Behaviors among Healthcare Professionals: Relationship with Patient Safety Culture. Healthcare 2019, 7, 23.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics



[Return to top]
Healthcare EISSN 2227-9032 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top