SlideShare a Scribd company logo
The Effects of Conflict on
Quality, Retention, and Safety in Healthcare
Organizations
Association for Conflict Resolution National Conference
October 10, 2013
Developed by Care Full Conflict, LLC. All rights reserved.
Dennis M. Dennis, PhD, RN
Consulting Psychologist
Leanne Meier, RN, BSN
Conflict Coach & Trainer
Curt Micka, JD
Conflict Coach, Trainer & Mediator
Richard Sturgeon, MD
Physician Healthcare Executive
Dennis: Rationale, Model, Measures
& Methods
 Importance of Conflict in Healthcare – IOM Study
 Care Full Conflict: A model for healthy Q-R-S Outcomes
Caring - respectful of self and others
Full - concern for the interests of all affected individuals and groups
Careful – deliberate and skillful
 Supports Team STEPPS (DoD and HHS/AHRQ)
 Conflict Dynamics Model - Evidence-based foundation
www.carefullconflict.com
Conflict Skills
•Avoiding
•Yielding
•Hiding Emotions
•Self Criticizing
• Reflective Thinking
• Delay Responding
• Adapting
•Winning at All Costs
•Displaying Anger
•Demeaning Others
•Retaliating
• Perspective Taking
• Creating Solutions
• Expressing Emotions
• Reaching Out
Active
Constructive
Active
Destructive
Passive
Destructive
Passive
Constructive
Leanne
 Recruitment & retention
 Personalities attracted to medical
careers
 Conflict resolution skills
 Impact for the future of health care
and health care professions
www.leannemeiercoaching.com
Richard: Conflict and its natural
consequences in Healthcare
 Disruptive behavior; negative effect on patient
care/safety
 Bad for business; medical errors, patient
experience, ACO, turnover
 What can organizations do?
Richard Sturgeon, MD
Curt: Global Perspective
• International health care agencies often end up competing for limited resources
• Helping such organizations move from competition to collaboration for the
benefit of consumers is a daunting, yet possible, task.
• Collaboration requires both "external" skills (e.g., interest based negotiations) and
"internal" skills (e.g., emotional intelligence, including self awareness, mindfulness
and self-management).
• Staff at all levels need training to assure a shift towards collaboration.
www..conflictmanagementservices.com
Discussion
Care Full Conflict, LLC

More Related Content

More from Association for Conflict Resolution (ACR)

Thompson R.: Race, culture and meaning-making in conflict resolution within m...
Thompson R.: Race, culture and meaning-making in conflict resolution within m...Thompson R.: Race, culture and meaning-making in conflict resolution within m...
Thompson R.: Race, culture and meaning-making in conflict resolution within m...Association for Conflict Resolution (ACR)
 
Steiger: Love and death: Mediation opportunities in end-of-life decision making
Steiger: Love and death: Mediation opportunities in end-of-life decision makingSteiger: Love and death: Mediation opportunities in end-of-life decision making
Steiger: Love and death: Mediation opportunities in end-of-life decision makingAssociation for Conflict Resolution (ACR)
 
Isenhart & Spangle: What happens after bullying? Can or should the bullied fo...
Isenhart & Spangle: What happens after bullying? Can or should the bullied fo...Isenhart & Spangle: What happens after bullying? Can or should the bullied fo...
Isenhart & Spangle: What happens after bullying? Can or should the bullied fo...Association for Conflict Resolution (ACR)
 
Crossing the Bridge from Mediator to Peace Builder: Transforming Local Capaci...
Crossing the Bridge from Mediator to Peace Builder: Transforming Local Capaci...Crossing the Bridge from Mediator to Peace Builder: Transforming Local Capaci...
Crossing the Bridge from Mediator to Peace Builder: Transforming Local Capaci...Association for Conflict Resolution (ACR)
 
Waging Peace – A Post-Conflict Forgiveness and Reconciliation Model for Relig...
Waging Peace – A Post-Conflict Forgiveness and Reconciliation Model for Relig...Waging Peace – A Post-Conflict Forgiveness and Reconciliation Model for Relig...
Waging Peace – A Post-Conflict Forgiveness and Reconciliation Model for Relig...Association for Conflict Resolution (ACR)
 
Dispute Resolution Boards (DRBs): Effective Resolution in the Construction In...
Dispute Resolution Boards (DRBs): Effective Resolution in the Construction In...Dispute Resolution Boards (DRBs): Effective Resolution in the Construction In...
Dispute Resolution Boards (DRBs): Effective Resolution in the Construction In...Association for Conflict Resolution (ACR)
 

More from Association for Conflict Resolution (ACR) (20)

Bronson - New Options for Elders & Their Families
Bronson - New Options for Elders & Their FamiliesBronson - New Options for Elders & Their Families
Bronson - New Options for Elders & Their Families
 
Brown - As the World Turns
Brown - As the World TurnsBrown - As the World Turns
Brown - As the World Turns
 
Berman - Impasse is a Fallacy
Berman - Impasse is a FallacyBerman - Impasse is a Fallacy
Berman - Impasse is a Fallacy
 
Pomerantz - Outsourcing
Pomerantz  - OutsourcingPomerantz  - Outsourcing
Pomerantz - Outsourcing
 
Zumeta & Johannessen - Mediator Standards of Conduct
Zumeta & Johannessen - Mediator Standards of ConductZumeta & Johannessen - Mediator Standards of Conduct
Zumeta & Johannessen - Mediator Standards of Conduct
 
Zumeta: Mediators as facilitators
Zumeta: Mediators as facilitatorsZumeta: Mediators as facilitators
Zumeta: Mediators as facilitators
 
Thompson R.: Race, culture and meaning-making in conflict resolution within m...
Thompson R.: Race, culture and meaning-making in conflict resolution within m...Thompson R.: Race, culture and meaning-making in conflict resolution within m...
Thompson R.: Race, culture and meaning-making in conflict resolution within m...
 
Steiger: Love and death: Mediation opportunities in end-of-life decision making
Steiger: Love and death: Mediation opportunities in end-of-life decision makingSteiger: Love and death: Mediation opportunities in end-of-life decision making
Steiger: Love and death: Mediation opportunities in end-of-life decision making
 
Smythe: Ethical communication - A bridge to respectful relationships
Smythe: Ethical communication - A bridge to respectful relationshipsSmythe: Ethical communication - A bridge to respectful relationships
Smythe: Ethical communication - A bridge to respectful relationships
 
Morelli: Working with metaphors in mediation: Beyond feedback and reframing
Morelli: Working with metaphors in mediation: Beyond feedback and reframingMorelli: Working with metaphors in mediation: Beyond feedback and reframing
Morelli: Working with metaphors in mediation: Beyond feedback and reframing
 
Melamed: Online mediation yesterday, today and tomorrow
Melamed: Online mediation yesterday, today and tomorrowMelamed: Online mediation yesterday, today and tomorrow
Melamed: Online mediation yesterday, today and tomorrow
 
Isenhart & Spangle: What happens after bullying? Can or should the bullied fo...
Isenhart & Spangle: What happens after bullying? Can or should the bullied fo...Isenhart & Spangle: What happens after bullying? Can or should the bullied fo...
Isenhart & Spangle: What happens after bullying? Can or should the bullied fo...
 
Fowler: Online ADR case and program management
Fowler: Online ADR case and program managementFowler: Online ADR case and program management
Fowler: Online ADR case and program management
 
Bultz: The parties have settled now what getting it in writing
Bultz: The parties have settled now what getting it in writingBultz: The parties have settled now what getting it in writing
Bultz: The parties have settled now what getting it in writing
 
Crossing the Bridge from Mediator to Peace Builder: Transforming Local Capaci...
Crossing the Bridge from Mediator to Peace Builder: Transforming Local Capaci...Crossing the Bridge from Mediator to Peace Builder: Transforming Local Capaci...
Crossing the Bridge from Mediator to Peace Builder: Transforming Local Capaci...
 
Conciliation: The New Normal
Conciliation: The New NormalConciliation: The New Normal
Conciliation: The New Normal
 
Online Intensive Workshop
Online Intensive WorkshopOnline Intensive Workshop
Online Intensive Workshop
 
Waging Peace – A Post-Conflict Forgiveness and Reconciliation Model for Relig...
Waging Peace – A Post-Conflict Forgiveness and Reconciliation Model for Relig...Waging Peace – A Post-Conflict Forgiveness and Reconciliation Model for Relig...
Waging Peace – A Post-Conflict Forgiveness and Reconciliation Model for Relig...
 
An Integrated Conflict Management System in Corrections
An Integrated Conflict Management System in CorrectionsAn Integrated Conflict Management System in Corrections
An Integrated Conflict Management System in Corrections
 
Dispute Resolution Boards (DRBs): Effective Resolution in the Construction In...
Dispute Resolution Boards (DRBs): Effective Resolution in the Construction In...Dispute Resolution Boards (DRBs): Effective Resolution in the Construction In...
Dispute Resolution Boards (DRBs): Effective Resolution in the Construction In...
 

Recently uploaded

Cervical screening – taking care of your health flipchart (Vietnamese)
Cervical screening – taking care of your health flipchart (Vietnamese)Cervical screening – taking care of your health flipchart (Vietnamese)
Cervical screening – taking care of your health flipchart (Vietnamese)Cancer Institute NSW
 
ANATOMY OF THE LOWER URINARY TRACT AND MALE [Autosaved] [Autosaved].pptx
ANATOMY OF THE LOWER URINARY TRACT AND MALE [Autosaved] [Autosaved].pptxANATOMY OF THE LOWER URINARY TRACT AND MALE [Autosaved] [Autosaved].pptx
ANATOMY OF THE LOWER URINARY TRACT AND MALE [Autosaved] [Autosaved].pptxBright Chipili
 
𝕔ALL #𝕘IRLS Service in Jaipur %(8901183002)# Jaipur #𝕔ALL #𝕘IRLS
𝕔ALL #𝕘IRLS Service in Jaipur %(8901183002)#  Jaipur #𝕔ALL #𝕘IRLS𝕔ALL #𝕘IRLS Service in Jaipur %(8901183002)#  Jaipur #𝕔ALL #𝕘IRLS
𝕔ALL #𝕘IRLS Service in Jaipur %(8901183002)# Jaipur #𝕔ALL #𝕘IRLSlakehe2738
 
180-hour Power Capsules For Men In Ghana
180-hour Power Capsules For Men In Ghana180-hour Power Capsules For Men In Ghana
180-hour Power Capsules For Men In Ghanahealthwatchghana
 
Retinal consideration in cataract surgery
Retinal consideration in cataract surgeryRetinal consideration in cataract surgery
Retinal consideration in cataract surgeryKafrELShiekh University
 
A thorough review of supernormal conduction.pptx
A thorough review of supernormal conduction.pptxA thorough review of supernormal conduction.pptx
A thorough review of supernormal conduction.pptxSergio Pinski
 
Introducing VarSeq Dx as a Medical Device in the European Union
Introducing VarSeq Dx as a Medical Device in the European UnionIntroducing VarSeq Dx as a Medical Device in the European Union
Introducing VarSeq Dx as a Medical Device in the European UnionGolden Helix
 
MALE REPRODUCTIVE TOXICITY STUDIES(Toxicokinetics).pptx
MALE REPRODUCTIVE TOXICITY STUDIES(Toxicokinetics).pptxMALE REPRODUCTIVE TOXICITY STUDIES(Toxicokinetics).pptx
MALE REPRODUCTIVE TOXICITY STUDIES(Toxicokinetics).pptxKhanSabit
 
Why invest into infodemic management in health emergencies
Why invest into infodemic management in health emergenciesWhy invest into infodemic management in health emergencies
Why invest into infodemic management in health emergenciesTina Purnat
 
Integrated Neuromuscular Inhibition Technique (INIT)
Integrated Neuromuscular Inhibition Technique (INIT)Integrated Neuromuscular Inhibition Technique (INIT)
Integrated Neuromuscular Inhibition Technique (INIT)Anjali Parmar
 
Non-Invasive assessment of arterial stiffness in advanced heart failure patie...
Non-Invasive assessment of arterial stiffness in advanced heart failure patie...Non-Invasive assessment of arterial stiffness in advanced heart failure patie...
Non-Invasive assessment of arterial stiffness in advanced heart failure patie...Catherine Liao
 
Arterial health throughout cancer treatment and exercise rehabilitation in wo...
Arterial health throughout cancer treatment and exercise rehabilitation in wo...Arterial health throughout cancer treatment and exercise rehabilitation in wo...
Arterial health throughout cancer treatment and exercise rehabilitation in wo...Catherine Liao
 
Young at heart: Cardiovascular health stations to empower healthy lifestyle b...
Young at heart: Cardiovascular health stations to empower healthy lifestyle b...Young at heart: Cardiovascular health stations to empower healthy lifestyle b...
Young at heart: Cardiovascular health stations to empower healthy lifestyle b...Catherine Liao
 
Relationship between vascular system disfunction, neurofluid flow and Alzheim...
Relationship between vascular system disfunction, neurofluid flow and Alzheim...Relationship between vascular system disfunction, neurofluid flow and Alzheim...
Relationship between vascular system disfunction, neurofluid flow and Alzheim...Catherine Liao
 
Impact of cancers therapies on the loss in cardiac function, myocardial fffic...
Impact of cancers therapies on the loss in cardiac function, myocardial fffic...Impact of cancers therapies on the loss in cardiac function, myocardial fffic...
Impact of cancers therapies on the loss in cardiac function, myocardial fffic...Catherine Liao
 
The hemodynamic and autonomic determinants of elevated blood pressure in obes...
The hemodynamic and autonomic determinants of elevated blood pressure in obes...The hemodynamic and autonomic determinants of elevated blood pressure in obes...
The hemodynamic and autonomic determinants of elevated blood pressure in obes...Catherine Liao
 
PT MANAGEMENT OF URINARY INCONTINENCE.pptx
PT MANAGEMENT OF URINARY INCONTINENCE.pptxPT MANAGEMENT OF URINARY INCONTINENCE.pptx
PT MANAGEMENT OF URINARY INCONTINENCE.pptxdrtabassum4
 
DECIPHERING COMMON ECG FINDINGS IN ED.pptx
DECIPHERING COMMON ECG FINDINGS IN ED.pptxDECIPHERING COMMON ECG FINDINGS IN ED.pptx
DECIPHERING COMMON ECG FINDINGS IN ED.pptxdrwaque
 
TEST BANK For Wong’s Essentials of Pediatric Nursing, 11th Edition by Marilyn...
TEST BANK For Wong’s Essentials of Pediatric Nursing, 11th Edition by Marilyn...TEST BANK For Wong’s Essentials of Pediatric Nursing, 11th Edition by Marilyn...
TEST BANK For Wong’s Essentials of Pediatric Nursing, 11th Edition by Marilyn...kevinkariuki227
 
Aptopadesha Pramana / Pariksha: The Verbal Testimony
Aptopadesha Pramana / Pariksha: The Verbal TestimonyAptopadesha Pramana / Pariksha: The Verbal Testimony
Aptopadesha Pramana / Pariksha: The Verbal TestimonyDr KHALID B.M
 

Recently uploaded (20)

Cervical screening – taking care of your health flipchart (Vietnamese)
Cervical screening – taking care of your health flipchart (Vietnamese)Cervical screening – taking care of your health flipchart (Vietnamese)
Cervical screening – taking care of your health flipchart (Vietnamese)
 
ANATOMY OF THE LOWER URINARY TRACT AND MALE [Autosaved] [Autosaved].pptx
ANATOMY OF THE LOWER URINARY TRACT AND MALE [Autosaved] [Autosaved].pptxANATOMY OF THE LOWER URINARY TRACT AND MALE [Autosaved] [Autosaved].pptx
ANATOMY OF THE LOWER URINARY TRACT AND MALE [Autosaved] [Autosaved].pptx
 
𝕔ALL #𝕘IRLS Service in Jaipur %(8901183002)# Jaipur #𝕔ALL #𝕘IRLS
𝕔ALL #𝕘IRLS Service in Jaipur %(8901183002)#  Jaipur #𝕔ALL #𝕘IRLS𝕔ALL #𝕘IRLS Service in Jaipur %(8901183002)#  Jaipur #𝕔ALL #𝕘IRLS
𝕔ALL #𝕘IRLS Service in Jaipur %(8901183002)# Jaipur #𝕔ALL #𝕘IRLS
 
180-hour Power Capsules For Men In Ghana
180-hour Power Capsules For Men In Ghana180-hour Power Capsules For Men In Ghana
180-hour Power Capsules For Men In Ghana
 
Retinal consideration in cataract surgery
Retinal consideration in cataract surgeryRetinal consideration in cataract surgery
Retinal consideration in cataract surgery
 
A thorough review of supernormal conduction.pptx
A thorough review of supernormal conduction.pptxA thorough review of supernormal conduction.pptx
A thorough review of supernormal conduction.pptx
 
Introducing VarSeq Dx as a Medical Device in the European Union
Introducing VarSeq Dx as a Medical Device in the European UnionIntroducing VarSeq Dx as a Medical Device in the European Union
Introducing VarSeq Dx as a Medical Device in the European Union
 
MALE REPRODUCTIVE TOXICITY STUDIES(Toxicokinetics).pptx
MALE REPRODUCTIVE TOXICITY STUDIES(Toxicokinetics).pptxMALE REPRODUCTIVE TOXICITY STUDIES(Toxicokinetics).pptx
MALE REPRODUCTIVE TOXICITY STUDIES(Toxicokinetics).pptx
 
Why invest into infodemic management in health emergencies
Why invest into infodemic management in health emergenciesWhy invest into infodemic management in health emergencies
Why invest into infodemic management in health emergencies
 
Integrated Neuromuscular Inhibition Technique (INIT)
Integrated Neuromuscular Inhibition Technique (INIT)Integrated Neuromuscular Inhibition Technique (INIT)
Integrated Neuromuscular Inhibition Technique (INIT)
 
Non-Invasive assessment of arterial stiffness in advanced heart failure patie...
Non-Invasive assessment of arterial stiffness in advanced heart failure patie...Non-Invasive assessment of arterial stiffness in advanced heart failure patie...
Non-Invasive assessment of arterial stiffness in advanced heart failure patie...
 
Arterial health throughout cancer treatment and exercise rehabilitation in wo...
Arterial health throughout cancer treatment and exercise rehabilitation in wo...Arterial health throughout cancer treatment and exercise rehabilitation in wo...
Arterial health throughout cancer treatment and exercise rehabilitation in wo...
 
Young at heart: Cardiovascular health stations to empower healthy lifestyle b...
Young at heart: Cardiovascular health stations to empower healthy lifestyle b...Young at heart: Cardiovascular health stations to empower healthy lifestyle b...
Young at heart: Cardiovascular health stations to empower healthy lifestyle b...
 
Relationship between vascular system disfunction, neurofluid flow and Alzheim...
Relationship between vascular system disfunction, neurofluid flow and Alzheim...Relationship between vascular system disfunction, neurofluid flow and Alzheim...
Relationship between vascular system disfunction, neurofluid flow and Alzheim...
 
Impact of cancers therapies on the loss in cardiac function, myocardial fffic...
Impact of cancers therapies on the loss in cardiac function, myocardial fffic...Impact of cancers therapies on the loss in cardiac function, myocardial fffic...
Impact of cancers therapies on the loss in cardiac function, myocardial fffic...
 
The hemodynamic and autonomic determinants of elevated blood pressure in obes...
The hemodynamic and autonomic determinants of elevated blood pressure in obes...The hemodynamic and autonomic determinants of elevated blood pressure in obes...
The hemodynamic and autonomic determinants of elevated blood pressure in obes...
 
PT MANAGEMENT OF URINARY INCONTINENCE.pptx
PT MANAGEMENT OF URINARY INCONTINENCE.pptxPT MANAGEMENT OF URINARY INCONTINENCE.pptx
PT MANAGEMENT OF URINARY INCONTINENCE.pptx
 
DECIPHERING COMMON ECG FINDINGS IN ED.pptx
DECIPHERING COMMON ECG FINDINGS IN ED.pptxDECIPHERING COMMON ECG FINDINGS IN ED.pptx
DECIPHERING COMMON ECG FINDINGS IN ED.pptx
 
TEST BANK For Wong’s Essentials of Pediatric Nursing, 11th Edition by Marilyn...
TEST BANK For Wong’s Essentials of Pediatric Nursing, 11th Edition by Marilyn...TEST BANK For Wong’s Essentials of Pediatric Nursing, 11th Edition by Marilyn...
TEST BANK For Wong’s Essentials of Pediatric Nursing, 11th Edition by Marilyn...
 
Aptopadesha Pramana / Pariksha: The Verbal Testimony
Aptopadesha Pramana / Pariksha: The Verbal TestimonyAptopadesha Pramana / Pariksha: The Verbal Testimony
Aptopadesha Pramana / Pariksha: The Verbal Testimony
 

The Impact of Conflict Measured by the Quality, Results and Service (QRS) in Healthcare Organizations

  • 1. The Effects of Conflict on Quality, Retention, and Safety in Healthcare Organizations Association for Conflict Resolution National Conference October 10, 2013 Developed by Care Full Conflict, LLC. All rights reserved. Dennis M. Dennis, PhD, RN Consulting Psychologist Leanne Meier, RN, BSN Conflict Coach & Trainer Curt Micka, JD Conflict Coach, Trainer & Mediator Richard Sturgeon, MD Physician Healthcare Executive
  • 2. Dennis: Rationale, Model, Measures & Methods  Importance of Conflict in Healthcare – IOM Study  Care Full Conflict: A model for healthy Q-R-S Outcomes Caring - respectful of self and others Full - concern for the interests of all affected individuals and groups Careful – deliberate and skillful  Supports Team STEPPS (DoD and HHS/AHRQ)  Conflict Dynamics Model - Evidence-based foundation www.carefullconflict.com
  • 3. Conflict Skills •Avoiding •Yielding •Hiding Emotions •Self Criticizing • Reflective Thinking • Delay Responding • Adapting •Winning at All Costs •Displaying Anger •Demeaning Others •Retaliating • Perspective Taking • Creating Solutions • Expressing Emotions • Reaching Out Active Constructive Active Destructive Passive Destructive Passive Constructive
  • 4. Leanne  Recruitment & retention  Personalities attracted to medical careers  Conflict resolution skills  Impact for the future of health care and health care professions www.leannemeiercoaching.com
  • 5. Richard: Conflict and its natural consequences in Healthcare  Disruptive behavior; negative effect on patient care/safety  Bad for business; medical errors, patient experience, ACO, turnover  What can organizations do? Richard Sturgeon, MD
  • 6. Curt: Global Perspective • International health care agencies often end up competing for limited resources • Helping such organizations move from competition to collaboration for the benefit of consumers is a daunting, yet possible, task. • Collaboration requires both "external" skills (e.g., interest based negotiations) and "internal" skills (e.g., emotional intelligence, including self awareness, mindfulness and self-management). • Staff at all levels need training to assure a shift towards collaboration. www..conflictmanagementservices.com