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:: Volume 23, Issue 2 (Summer 2021) ::
EBNESINA 2021, 23(2): 48-57 Back to browse issues page
The role of dominance and subordination in the disruptive behaviors of nurses working at military hospitals: a qualitative content analysis
Mahboobeh Afzali , Abbas Ebadi , Jamileh Mokhtari-nouri
Medicine- Quran and Hadith Research Center, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran , mokhtari@bmsu.ac.ir
Abstract:   (226 Views)
Background and aims: The existence of disruptive behaviors in medical centers is a long term problem that has very negative consequences for nurses, organizations, and patients. Since the disruptive behaviors are a complex, multi-dimensional, interactive, and social phenomenon, and they are depended on the culture and religion of each community; therefore, this study aimed to explore perceptions of nurses on disruptive behaviors in the Iranian medical centers.
Methods: This qualitative study was conducted with the participation of 15 nurses working in six military hospitals in Tehran, Iran in 2016. The targeted sampling method was used during semi-structured interviews to collect data. Data analysis was performed by contractual content analysis and was conducted continuously and simultaneously with the data collection.
Results: Two main categories and five subcategories were recognized, including: 1) domination in nursing (bullying and violence, abuse of power); and 2) subordination in nursing (lack of power over physicians, silence and passive compromise, hatred of organization and reduced self-confidence).
Conclusion: One of the most important reasons for nurses’ disruptive behaviors is the phenomenon of oppression, dominance­subordination in nursing, and power hierarchy in Iranian medical centers. Therefore, in order to solve this problem and improve professional behaviors, the concept of empowering nurses to deal with dominance­subordination in nursing should be emphasized.

 
Keywords: Dominance-Subordination, Disruptive behaviors, Nurses, Military Hospitals
Full-Text [PDF 882 kb]   (122 Downloads)    
Type of Study: Original |
Received: 2021/02/16 | Accepted: 2021/07/10 | Published: 2021/08/1
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Afzali M, Ebadi A, Mokhtari-nouri J. The role of dominance and subordination in the disruptive behaviors of nurses working at military hospitals: a qualitative content analysis. EBNESINA. 2021; 23 (2) :48-57
URL: http://ebnesina.ajaums.ac.ir/article-1-951-en.html


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Volume 23, Issue 2 (Summer 2021) Back to browse issues page
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