sahar Mirzaei - PhD candidate. Student Research Committee, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
marzieh pazokian - Assistant Professor of Nursing, School of Nursing and Midwifery, Clinical Research Development Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Foroozan Atashzadeh- Shoorideh - Professor, Department of Psychiatric Nursing and Management, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Seyed Amir Hosein Pishgooie - Associate professor. Nursing Faculty. Aja University of Medical Sciences Tehran, Iran.

Background: Operating room nurses are exposed to disruptive behaviors in different situations in operating room that affect them and their performance.Aim: The present study was performed with aim to explore the experiences of Iranian operating room nurses regarding disruptive behaviors in operating room settings.Method: This descriptive qualitative study was conducted in different university hospitals of Tehran. The data were collected by deep semi-structured interviews with ۱۷ operating room nurses who were purposefully selected. Finally, the data were analyzed by the conventional content analysis approach.Results: In this study, four categories were extracted, including "activity in a poisonous atmosphere", "role negligence", "escape to a safety margin for adaptation", and "Indirect confrontation". The theme was "struggle in a limbo atmosphere caused by disruptive behaviors".Implications for Practice: Considering to the effect of disruptive behavior, it seems necessary to take training measures for improving "team-working" in operation room settings. Nursing managers can use the results of this research to determine patient care policies in the operating room in order to promote patient safety and improve the quality of care. It also seems necessary to design and implement a training program to evaluate its effect on changing disruptive behaviors.

Content Analysis, Operating Rooms, Operating room nurses, Problem behavior