Prevention and management of unprofessional behaviour among adults in the workplace: A scoping review.

<h4>Background</h4>Unprofessional behaviour is a challenge in academic medicine. Given that faculty are role models for trainees, it is critical to identify strategies to manage these behaviours. A scoping review was conducted to identify interventions to prevent and manage unprofessiona...

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Main Authors: Andrea C Tricco, Patricia Rios, Wasifa Zarin, Roberta Cardoso, Sanober Diaz, Vera Nincic, Alekhya Mascarenhas, Sabrina Jassemi, Sharon E Straus
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2018-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0201187&type=printable
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author Andrea C Tricco
Patricia Rios
Wasifa Zarin
Roberta Cardoso
Sanober Diaz
Vera Nincic
Alekhya Mascarenhas
Sabrina Jassemi
Sharon E Straus
author_facet Andrea C Tricco
Patricia Rios
Wasifa Zarin
Roberta Cardoso
Sanober Diaz
Vera Nincic
Alekhya Mascarenhas
Sabrina Jassemi
Sharon E Straus
author_sort Andrea C Tricco
collection DOAJ
description <h4>Background</h4>Unprofessional behaviour is a challenge in academic medicine. Given that faculty are role models for trainees, it is critical to identify strategies to manage these behaviours. A scoping review was conducted to identify interventions to prevent and manage unprofessional behaviour in any workplace or professional setting.<h4>Methods</h4>A search of 14 electronic databases was conducted in March 2016, reference lists of relevant systematic reviews were scanned, and grey literature was searched to identify relevant studies. Experimental and quasi-experimental studies that reported on interventions to prevent or manage unprofessional behaviours were included. Studies that reported impact on any outcome were eligible. Two reviewers independently screened articles and completed data abstraction. Qualitative analysis of the definitions of unprofessional behaviour was conducted. Data were charted to describe the study, participant, intervention and outcome characteristics.<h4>Results</h4>12,482 citations were retrieved; 23 studies with 11,025 participants were included. The studies were 12 uncontrolled before and after studies, 6 controlled before and after studies, 2 cluster-randomised controlled trials (RCTs), 1 RCT, 1 non-randomised controlled trial and 1 quasi-RCT. Four constructs were identified in the definitions of unprofessional behaviour: verbal and/or non-verbal acts, repeated acts, power imbalance, and unwelcome behaviour. Interventions most commonly targeted individuals (22 studies, 95.7%) rather than organisations (4 studies, 17.4%). Most studies (21 studies, 91.3%) focused on increasing awareness. The most frequently targeted behaviour change was sexual harassment (4 of 7 studies).<h4>Discussion</h4>Several interventions appear promising in addressing unprofessional behaviour. Most of the studies included single component, in-person education sessions targeting individuals and increasing awareness of unprofessional behaviour. Fewer studies targeted the institutional culture or addressed behaviour change.
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spelling doaj-art-442540a3aab945538f59dea31ba1790b2025-02-05T05:33:10ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01137e020118710.1371/journal.pone.0201187Prevention and management of unprofessional behaviour among adults in the workplace: A scoping review.Andrea C TriccoPatricia RiosWasifa ZarinRoberta CardosoSanober DiazVera NincicAlekhya MascarenhasSabrina JassemiSharon E Straus<h4>Background</h4>Unprofessional behaviour is a challenge in academic medicine. Given that faculty are role models for trainees, it is critical to identify strategies to manage these behaviours. A scoping review was conducted to identify interventions to prevent and manage unprofessional behaviour in any workplace or professional setting.<h4>Methods</h4>A search of 14 electronic databases was conducted in March 2016, reference lists of relevant systematic reviews were scanned, and grey literature was searched to identify relevant studies. Experimental and quasi-experimental studies that reported on interventions to prevent or manage unprofessional behaviours were included. Studies that reported impact on any outcome were eligible. Two reviewers independently screened articles and completed data abstraction. Qualitative analysis of the definitions of unprofessional behaviour was conducted. Data were charted to describe the study, participant, intervention and outcome characteristics.<h4>Results</h4>12,482 citations were retrieved; 23 studies with 11,025 participants were included. The studies were 12 uncontrolled before and after studies, 6 controlled before and after studies, 2 cluster-randomised controlled trials (RCTs), 1 RCT, 1 non-randomised controlled trial and 1 quasi-RCT. Four constructs were identified in the definitions of unprofessional behaviour: verbal and/or non-verbal acts, repeated acts, power imbalance, and unwelcome behaviour. Interventions most commonly targeted individuals (22 studies, 95.7%) rather than organisations (4 studies, 17.4%). Most studies (21 studies, 91.3%) focused on increasing awareness. The most frequently targeted behaviour change was sexual harassment (4 of 7 studies).<h4>Discussion</h4>Several interventions appear promising in addressing unprofessional behaviour. Most of the studies included single component, in-person education sessions targeting individuals and increasing awareness of unprofessional behaviour. Fewer studies targeted the institutional culture or addressed behaviour change.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0201187&type=printable
spellingShingle Andrea C Tricco
Patricia Rios
Wasifa Zarin
Roberta Cardoso
Sanober Diaz
Vera Nincic
Alekhya Mascarenhas
Sabrina Jassemi
Sharon E Straus
Prevention and management of unprofessional behaviour among adults in the workplace: A scoping review.
PLoS ONE
title Prevention and management of unprofessional behaviour among adults in the workplace: A scoping review.
title_full Prevention and management of unprofessional behaviour among adults in the workplace: A scoping review.
title_fullStr Prevention and management of unprofessional behaviour among adults in the workplace: A scoping review.
title_full_unstemmed Prevention and management of unprofessional behaviour among adults in the workplace: A scoping review.
title_short Prevention and management of unprofessional behaviour among adults in the workplace: A scoping review.
title_sort prevention and management of unprofessional behaviour among adults in the workplace a scoping review
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0201187&type=printable
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