PAST WORK
Manuscripts and Open Access Articles
Forest, A., Adams, B., Krestow, O., Yasinski, L., & Villafranca, A. (2025). Transforming from victim to survivor—Part 2: Fixing the systems that enable disruptive intraoperative behaviour. Operating Room Nurses Association of Canada Journal, 42(2), 11–19.
Accédez ici à l’article complet en français.
Villafranca, A., Adams, B., Krestow, O., Forest, A., & Yasinski, L. (2025). Transforming from victim to survivor—Part 1: Strategies for clinicians to safeguard themselves, colleagues, and patients from disruptive intraoperative behaviour. Operating Room Nurses Association of Canada Journal, 42(1), 56–64.
Accédez ici à l’article complet en français.
Villafranca, A., Fast, I., Turick, M., Jacoboshn, E. (2023) Clinician responses to disruptive intraoperative behaviour: patterns and norms derived from a multinational survey. Canadian Journal of Anesthesia. 71(4):490-502
Fast, I., Villafranca, A., Heinrichs, B., Jacobsohn, E. (2020) Disruptive behavior in the operating room is under-reported: an international survey. Canadian Journal of Anesthesia, volume 67(1): 177–185.
Villafranca, A., Hiebert, B., Hamlin, C., Young, A., Parveen, D., Arora, R. Avidan, M.,
Jacobsohn, E. (2019) Prevalence and predictors of exposure to disruptive behaviour in the operating room. Canadian Journal of Anesthesia; 66(7): 781–794. Access the full text article
Villafranca, A., Magid, K., Young, A., Fast, I., Jacobsohn, E. (2019) Abusive behavior in Canadian and US operation rooms. Canadian Journal of Anesthesia; 66(7): 795–802.
Villafranca, A., Fast, I., Jacobsohn, E. (2018) Disruptive behavior in the operating
room: Prevalence, consequences, prevention and management. Current Opinion in Anaesthesiology; 31(3):366-374.
Villafranca, A., Hamlin, C., Robinson, S., Rodebaugh, T., Jacoboshn, E. Development of scales to measure exposure and responses to disruptive intraoperative behavior. J Patient Saf. 2021 Oct 1;17(7): e607-e614.
Take the exposure questionnaire online
Villafranca, A., Hamlin, C., Jacobsohn, E. (2017) Letter to the editor: Physical and
psychological abuse in Canadian operating rooms. Canadian Journal of Anesthesia. Feb; 64(2):236-237.
Villafranca, A., Hamlin, C., Enns, S., Jacobsohn, E. (2017) Disruptive behaviour in the perioperative setting: A contemporary review. Canadian Journal of Anesthesia. Feb; 64(2):128-140.
Recent Conference Presentations
“Shining a light on shadows: Dark Network theory as a lens to mitigate disruptive OR behavior”,
Concurrent session: Operating room nurses association of Canada Conference 2026
60 minutes
Calgary, AB, CAN
"Development and early-stage validation of a scale measuring exposure to disruptive behavior in paramedicine."
Villafranca, A.; Adams, B.; McDonald, M.
Canadian Paramedic Research Day 2026
Online
"Exposure to disruptive behavior is associated with turnover intentions and motivates actual turnover."
Adams, B.S., Villafranca, A., Forest, A., Rajamohan, R.
European Operating Room Nurses Association conference 2026
Dubrovnik, Croatia.
"Understanding the perpetration of disruptive intraoperative behavior: Looking beyond averages with perpetration mapping, patterning, and pairing."
Villafranca, A.; Macdonald, I.; Adams, B., Jacobsohn, E., Brudney, S.
European Operating Room Nurses Association conference 2026
Dubrovnik, Croatia.
"Why don’t clinicians report disruptive behaviour? Dissatisfaction with management’s response and group-based variation in perceived barriers."
Villafranca, A.; Milos, A.
European Operating Room Nurses Association conference 2026
Dubrovnik, Croatia.
"The impact of workplace culture and clinician personality on exposure to disruptive intraoperative behaviour."
Villafranca, A; Adams, B.; Rosenstein, A, Brudney, S., Jacobsohn, E..
2025 Laparoscopic Surgeons of Great Britain and Ireland conference
London, UK.
“Disrupting the disruption: Reducing the incidence and impact of disruptive behavior in the operating room”.
Concurrent session: Operating room nurses association of Canada Conference 2021
60 minutes
Online
"Disruptive and Unprofessional Behavior in the Perioperative Period: Definition, Consequences, Prevention and Management."
Villafranca, A. (co-presenter Eric Jacobsohn)
American Society of Anesthesiologists, American Society of Anesthesiologists annual meeting 2018
60 minutes
San Francisco, CA, USA
"Clinician responses to disruptive behavior in the operating room."
Villafranca, A., Fast, I., Hamlin, C., Jacobsohn, E.
American Society of Anesthesiologists annual meeting 2018
San Francisco, CA, USA
"Predictors of self-labeling as being bullied in the operating room."
Villafranca, A., Hiebert, B., Magid, K., Jacobsohn, E.
American Society of Anesthesiologists annual meeting 2018
San Francisco, CA, USA
"Typologies of personal exposure to disruptive behavior in the operating room: A latent class analysis."
Magid, K., Villafranca, A., El-Gabalawy, R., Fast, I., Jacbosohn, E.
American Society of Anesthesiologists annual meeting 2018
San Francisco, CA, USA
"Abusive behavior in the operating room: prevalence and predictors."
Villafranca, A., Young, A., Hamlin, C., Arora, R., Jacobsohn, E.
American Society of Anesthesiologists annual meeting 2017
Boston, Massachusetts, USA
"Disruptive intraoperative behavior: reporting to management and satisfaction with management’s response."
Henrichs, B., Villafranca, A., Avidan, M., Jacobsohn, E.
American Association of Nurse Anesthetists conference 2017
Seattle, Washington, USA
"Perpetrators of bullying and incivility in the operating room: a multinational survey of 6142 clinicians."
Hamlin, C., Villafranca, A., Enns, S., Parveen, D., Jacobsohn, E.
American Society of Anesthesiologists annual meeting 2016
Chicago, USA
"Bullying and incivility in the operating room: Survey responses from 7465 clinicians."
Villafranca, A., Hamlin, C., Parveen, D., Jacobsohn, E.
American Society of Anesthesiologists annual meeting 2016
Chicago, USA
"Exposure to Negative Intraoperative Behavior-7465 survey responses"
Villafranca, A., Hamlin, C., Jacobsohn, E.
World Congress of Anaesthesiologists 2016
Hong Kong, China
"Exposure to negative intraoperative behaviors alters the residency applications of some students."
Villafranca, A., Hamlin, C., Benoit, P., Jacobsohn, E.
World Congress of Anaesthesiologists 2016
Hong Kong, China
"The NBOR Study (Negative Behavior in Operating Rooms) and its implications for India."
Villafranca, A., Arya, V., Jacobsohn, E.
Indian Society of Anesthesiology Conference 2016
Jaipur, India
Invited Presentations
The McNally project (paramedicine, national)
Surveying Sensitive Terrain: Lessons from Measuring Disruptive Behavior Between Clinicians
January 24, 2025
Operating room nurses association of Canada (nursing, national).
“Disruptive Behaviours: Reducing Their Impact for a Better Tomorrow”
May 2, 2017
Manitoba operating room nurses association (nursing, provincial).
“Disruptive behavior in the operating room: what is the problem and how should clinicians respond?”
March 4, 2017
Children’s Hospital OR nurses group, Health Sciences Centre, University of Manitoba.
“Negative intraoperative behaviours: the latest findings and current thinking”.
September 17, 2014
Manitoba operating room nurses association (nursing, provincial).
“Intraoperative behaviours survey: what we’ve learned so far…”.
April 28, 2014