1. Nurse-physician Conflict and its management Dr. Krupesh Thacker

2. IntroductionDefinition “Conflict is a process that begins when an individual or group perceives differences and opposition between him- or herself and another individual or group about interests, beliefs, or values that matter to him or her.” (De Dreu, Harinck, & Van, 1999; Wall & Callister, 1995)

4. Different person different personality

5. Changing health care system – increased interaction- more chances of conflicts

7. More rights/responsibilities in patient’s treatment

8. Difficult for physicians to accept such autonomy

9. May find difficulties to trust diagnosis by nurses

10. Nurses feel stress and job dissatisfaction

11. Affect the nurse-physician relationship

13. Events/issues (goals, behavior)

14. Power

15. Regulation of conflict(limiting factors, solution used)

17. Intrapersonal

18. Inter group

19. Intra group

20. Task content

21. Emotional

23. Perceived conflict : perceive the occurrence

24. Felt conflict : take matter seriously, but will not react openly

25. Manifest conflict : reflects emotions in the behavior

28. Negative Emotions

29. Absenteeism

30. Intent to leave

31. Medical Errors

32. Reduced productivity

33. Patient’s safety

34. Avoidance

36. New better ways

37. Decrease stress

38. Increase work capacity

41. Save time and let both of them (physician-nurse) handle the problem

43. Overestimate self/other’s power

44. Underestimate self/other’s power

47. To avoid unpleasant disputes

48. In past nurses used more frequently

49. Study on 354 professional nurses in Thailand in 2000 41.2% used accommodation 29.2% used compromising approach

51. Give physicians what they want

52. Maintain good relations

54. Good interpersonal relationsAccording to the study on 126 nursing students, undergraduate and graduate students used compromising approach followed by avoidance

55. Conflict Management Collaboration “Nurses and physician working together cooperatively to achieve shared problem solving, conflict resolution, decision making, communication and coordination”

57. No compromise

58. Mutual respect

59. Satisfaction

60. Co-operative attitude

61. Increase work capacity

67. Training improves conflict management skills in professional as well as personal life