The recent focus on physician well-being has highlighted the prevalence of burnout, psychological distress, and “disruptive behavior.” However, the prevention and treatment of disruptive physician behavior has been limited by lack of empirical data. Disruptive behavior is a complex construct with no consistent definition. The AMA describes it as “personal conduct, whether verbal or physical, th...

Background: A small number of longitudinal studies on the predictive value of stressrelated neurobiological parameters for several measures of future disruptive behavior, have revealed promising results. We assessed the predictive value of heart rate, heart rate variability (HRV) and cortisol for future rule-breaking behavior and reactive and proactive aggression, taking into account disruptive...

OBJECTIVE Increased knowledge about the mechanisms by which some individuals are at risk for early onset of cannabis use might contribute to the improvement of prevention efforts. We focus on the roles of early-adolescent high-intensity pleasure, disruptive behavior, and their interplay in the prediction of onset of cannabis use 2 years later. METHOD Data from 81% (n = 1,804) of the participa...

BACKGROUND A recent survey was conducted to assess the significance of disruptive behaviors and their effect on communication and collaboration and impact on patient care. SURVEY VHA West Coast administered a 22-question survey instrument--Nurse-Physician: Impact of Disruptive Behavior on Patient Care--to a convenience sample. Of the 388 member hospitals (in four VHA regions) invited, 102 hos...

Disruptive behaviors have been shown to have a significant negative impact on staff relationships, team collaboration, communication flow, and patient outcomes of care. They can be a major factor in contributing to the occurrence of adverse events that compromise quality care and patient safety and can put the patient and organization at increased risk. Whereas organizations generally are not r...

The goal of this study was to examine the effect of physical modifications on the academic engagement and disruptive behavior of Deaf or Hard-of-Hearing students in self-contained classrooms. Three classrooms at a school for the Deaf were modified after consultation with the classroom teachers. The modifications of the classroom environment included changes in seating arrangements, classroom or...

High rates of aggressive-disruptive behavior exhibited by children during their initial years of elementary school increase their risk for significant behavioral adjustment problems with teachers and peers. The purpose of the present study was to examine the unique and combined contributions of child vulnerabilities and school context to the development of aggressive-disruptive student behavior...