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If your Hospital is accredited by the Joint Commission, there are available actions that you can take that may force the hospital's hand. In 2008, disruptive and intimidating behavior by physicians was deemed to be a Sentinel Event. (Revisiting disruptive and inappropriate behavior: Five years after standards introduced | Joint Commission). While Sentinel Events are not required to be reported to the Joint Commission, the hospital is obligated to follow specific protocol in addressing this occurrence. By itself, a Sentinel Event does not jeopardize the facility's accreditation. However, not taking the prescibed action required by the Joint Commission can affect the accreditation. While the hospital may choose not to share the event with the Joint Commission, it may become aware of the event through patients, families, employees and others. If the Joint Commission is made aware of the event, they will contact the hospital to ensure the commission rules are being followed. Pages SE-7,8 of the Joint Commission paper "Sentinal Events (SE)" describes this. (http://www.jointcommission.org/assets/1/6/camh_24_se_all_current.pdf) Every hospital at which I have been employed has been very keen on maintaining their accreditation. This may be a tool that will assist you in getting results.

Intimidation and disruptive behaviors are a Joint Commission sentinel event. Hospitals are required to provide an environment that allows for a zero tolerance of these kinds of events.

I used software that I downloaded from Reference Point Software. It was inexpensive and probably saved me an hour or more on each paper.

If you are concerned about APA formatting, there is software available that will automatically format the entire paper and including the references. It works well with MS Word. When I went for my MSN, I found this software to be invaluable.