When an employee refuses to follow a direct order from a supervisor, this is a direct challenge of management's right to run a health care organization. This is considered to be

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Insubordination is the act of willfully disobeying an order or directive from a superior. It is a direct challenge to management's authority and can result in disciplinary action or even termination of employment. Misconduct and delinquency refer more generally to unacceptable behavior, while poor performance implies a lack of skill or effort rather than outright defiance of authority.

When an Employee Refuses to Follow a Direct Order from a Supervisor