Ajmal Farooq, Junaid Sarfraz, Yaseen Rafi, Idrees Shabir, Tahreem

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Abstract

Background: Disruptive behaviors underlie many workplace problems. This type of behaviors may lead to poor performance of young doctors due to the effects on interpersonal relationships, communication transfer, team collaboration caused by these behaviors which eventually result in compromised patient management. Aim: To explore young doctors' perceptions of disruptive behaviors in work place of emergency department of a District Hospital. Methodology: A phenomenological study approach was conducted from Jun 2019 to Dec 2019 to identify influence of various environmental and situational factors in an emergency department of a District hospital in the evolution of under training postgraduate doctor’s disruptive behaviors. A purposive sampling was done to select participants from (general Surgery, Medicine, OBG/GYN, pediatric medicine) departments. Four focus groups (six participants/group) and four individuals were selected. After getting written informed consent data was collected through discussion with focus groups and in-depth interviews with four individuals. The analysis of collected data was done with NVIVO software. Results: The four categories of factors (social, organizational, environmental and individual) influencing the normal behaviors were found during the study. Conclusions: It was concluded that there are numerous variables behind a disruptive behavior and suggestions were made/ given for the improvement of teaching and training of these under-training postgraduate doctors in the emergency department. While theoretically driven concept through this study of disruptive behavior amongst these doctors may also help other investigators to probe this phenomenal issue in other workplaces. Keywords: Disruptive behaviors, emergency department, young doctors



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