Conflictmngt

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Conflictmngt

  1. 1. Nurse-physician Conflict and its management <br /> Dr. Krupesh Thacker<br />
  2. 2. IntroductionDefinition<br />“Conflict is a process that begins when <br />an individual or group perceives differences and opposition between <br />him- or herself and another individual <br />or group about interests, beliefs, or values that matter to him or her.” <br />(De Dreu, Harinck, & Van, 1999; Wall & Callister, 1995)<br />
  3. 3. Intro cont…<br /><ul><li>Conflicts occurs in routine life
  4. 4. Different person different personality
  5. 5. Changing health care system – increased interaction- more chances of conflicts
  6. 6. Effects-positive& negative</li></li></ul><li>Physician-Nurse conflict<br /><ul><li>Increased education of nurses
  7. 7. More rights/responsibilities in patient’s treatment
  8. 8. Difficult for physicians to accept such autonomy
  9. 9. May find difficulties to trust diagnosis by nurses
  10. 10. Nurses feel stress and job dissatisfaction
  11. 11. Affect the nurse-physician relationship
  12. 12. Conflict may occur</li></li></ul><li>Conflict assessment<br />Framework for the assessment of conflict <br />The components are PEPRS: <br /><ul><li>Parties involved
  13. 13. Events/issues (goals, behavior)
  14. 14. Power
  15. 15. Regulation of conflict(limiting factors, solution used)
  16. 16. Style of management </li></li></ul><li>Types of conflict<br />Forte (1997)<br />JEHN (1995)<br /><ul><li>Interpersonal
  17. 17. Intrapersonal
  18. 18. Inter group
  19. 19. Intra group
  20. 20. Task content
  21. 21. Emotional
  22. 22. Administrative</li></li></ul><li>Stage of Conflict<br /><ul><li>Latent conflict : conditions present; but not recognized
  23. 23. Perceived conflict : perceive the occurrence
  24. 24. Felt conflict : take matter seriously, but will not react openly
  25. 25. Manifest conflict : reflects emotions in the behavior
  26. 26. Conflict aftermath : solved and a new working relationship is established</li></li></ul><li> Causes of Conflict<br /><ul><li> Individual characteristics</li></ul>values, education, age, demography<br /><ul><li> Interpersonal factors</li></ul>trust, respect, communication<br /><ul><li> Organizational factors</li></ul> interdependence <br />
  27. 27. Effect of ConflictNegative<br /><ul><li>Job stress
  28. 28. Negative Emotions
  29. 29. Absenteeism
  30. 30. Intent to leave
  31. 31. Medical Errors
  32. 32. Reduced productivity
  33. 33. Patient’s safety
  34. 34. Avoidance
  35. 35. Job dissatisfaction</li></li></ul><li>Effect of ConflictPositive<br />“Conflicts are cracks in a broken system, but they can also be source of creativity” <br /><ul><li>Strong relationships
  36. 36. New better ways
  37. 37. Decrease stress
  38. 38. Increase work capacity
  39. 39. Increase productivity </li></li></ul><li>Conflict Management<br />Avoidance<br />Frequently used by nurse & physician<br />
  40. 40. Managerial Implications<br /><ul><li>Emotional type of conflict
  41. 41. Save time and let both of them (physician-nurse) handle the problem
  42. 42. Should judge the exact time to interfere in the matter, if required </li></li></ul><li>Conflict Management<br />Pressing<br /><ul><li>Power difference
  43. 43. Overestimate self/other’s power
  44. 44. Underestimate self/other’s power
  45. 45. Nurses feel insulted, mental stress, job dissatisfaction, negative emotions </li></li></ul><li>Managerial Implications<br /><ul><li>To deal with emotional type of conflict
  46. 46. Keep a close watch , so whenever required he/she can settle the issue </li></li></ul><li>Conflict Management<br />Accommodation<br /><ul><li>More importance to other’s wish
  47. 47. To avoid unpleasant disputes
  48. 48. In past nurses used more frequently
  49. 49. Study on 354 professional nurses in </li></ul> Thailand in 2000<br /> 41.2% used accommodation <br /> 29.2% used compromising approach <br />
  50. 50. Managerial Implications<br /><ul><li>Often uses this method
  51. 51. Give physicians what they want
  52. 52. Maintain good relations
  53. 53. May become avoidance or pressing for the nurses due to accommodation between manager and physicians </li></li></ul><li>Conflict Management<br />Compromising<br /><ul><li>Both should compromise
  54. 54. Good interpersonal relations</li></ul>According to the study on 126 nursing<br /> students, undergraduate and<br /> graduate students used<br /> compromising approach followed <br /> by avoidance<br />
  55. 55. Conflict Management<br />Collaboration<br />“Nurses and physician working together cooperatively to achieve shared problem solving, conflict resolution, decision making, communication and coordination” <br />
  56. 56. Conflict Management<br />Collaboration<br /><ul><li>New better way
  57. 57. No compromise
  58. 58. Mutual respect
  59. 59. Satisfaction
  60. 60. Co-operative attitude
  61. 61. Increase work capacity
  62. 62. Improve patient’s safety</li></li></ul><li>Cont…<br />Study : in 5 hospitals on 75 physician & 54 head nurses; collaborating method is chosen more frequently by nurses & least frequently by physicians <br />Improving collaborative communication has benefits of increasing patient survival, shortening length of hospital stay, enhancing professional relationships, staff satisfaction.<br />
  63. 63. Cont…<br /><ul><li>Patient’s safety is directly proportional</li></ul> to the physician-nurse communication <br /> that decreases medical errors <br /><ul><li>Must understand the severity of the</li></ul> effect of their conflict on patient’s<br /> life as well as hospital’s productivity<br />
  64. 64. Managerial Implications<br /><ul><li>Collaborative approach is beneficial for physicians, nurses as well as patients
  65. 65. Manager should try to use this approach to deal with physician-nurse conflict </li></li></ul><li>Conclusion<br /><ul><li>Collaborative approach is the best
  66. 66. Physician should understand </li></ul> & accept the change<br /><ul><li>Attain conflict resolution training program
  67. 67. Training improves conflict management skills </li></ul> in professional as well as personal life <br />

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