Conflict Management in Healthcare

The conflict is a disagreement within oneself or differences or dispute among persons that has potential to cause harm. It is inevitable and may occur in any profession including healthcare. It could be among any group of healthcare professionals or healthcare team between different group of healthcare professionals or between patient and any of the member of healthcare team. The conflict has a critical effect on the competence, confidence, and morale of healthcare professionals. Consequently, it affects patient care too. To prevent or limit the conflict, emphasis must be focused on proper and impartial implementation of a professional code of conduct, ground rules and discipline. The sources of conflict could real or imagined differences in values, dissimilar goals among individuals, improper communication and personalization of generic or organizational issue. Generally, there are four types of conflicts, intrapersonal, interpersonal, intragroup and intergroup.The conflict usually goes through four phases, frustration of one or more parties involved in conflict, conceptualization or rationalization of cause, expression of behaviors and behaviors resulting in negative outcome. Thomas and Kilmann postulated a matrix explaining five distinct responses or styles to conflict resolution or management varying along the axis of assertiveness and cooperativeness. These five styles are avoiding, accommodating, compromising, competing and collaborating. The issue in conflict is not its existence, rather its management. When it is managed poorly, the outcome will be uncomplimentary with counterproductive results and if managed properly, it encourages competition, recognize legitimate differences and becomes powerful source of motivation.Keywords: Conflict, healthcare, management of conflict, source of conflict, type of conflict.

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A scoping review protocol to map the evidence on the use of action research methodology by healthcare professionals and in healthcare team settings

HRB Open Research ◽

10.12688/hrbopenres.13275.1 ◽

2021 ◽

Vol 4 ◽

pp. 68

Author(s):

Kinley Roberts ◽

Mary Casey ◽

David Coghlan ◽

Catherine Cornall ◽

Clare Hudson ◽

...

Keyword(s):

Action Research ◽

Scoping Review ◽

Healthcare Professionals ◽

Scientific Journal ◽

Social Situation ◽

Healthcare Team ◽

Transformative Change ◽

Eligibility Criteria ◽

Process Stage ◽

Stage 1

Background: Action research (AR) starts with an existing practical situation with which there is a concern or potential for improvement. It seeks transformative change through the simultaneous process of doing research and undertaking actions, both of which are linked together by a critical reflective process. It simultaneously allows one to systematically investigate a given social situation while promoting democratic change and collaborative participation. AR approaches have been used for many years in business management and education. More recently, AR has become an increasingly popular method of inquiry in healthcare, particularly in nursing, to investigate professional practice while simultaneously; introducing innovations; planning and undertaking action; and evaluating new ideas. The overall goal is to augment collaboration whilst improving the patient experience and outcomes. Methods: The Arksey and O'Malley methodology framework will be used to guide this scoping review process: stage 1 will identify the research questions; the eligibility criteria and search strategy will be defined in stage 2; studies will then be selected in stage 3; data will be extracted and charted from these included studies in stage 4; stage 5 involves aggregating and summarising these results along with criteria relevant for health professionals and policy-makers. An optional consultation (stage 6) exercise may potentially be included. Conclusion: This scoping review will comprehensively map the evidence on the use of AR methodology by healthcare professionals and in healthcare team settings. It is predicted that the findings will inform researchers in carrying out future AR and highlight gaps in the literature. An article reporting the results of the completed scoping review will be submitted for publication to a scientific journal and presented at relevant national and international conferences.

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Shared decision making for the initiation and continuation of dialysis: a proposal from the Japanese Society for Dialysis Therapy

Renal Replacement Therapy ◽

10.1186/s41100-021-00365-5 ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Kazuyoshi Okada ◽

Ken Tsuchiya ◽

Ken Sakai ◽

Takahiro Kuragano ◽

Akiko Uchida ◽

...

Keyword(s):

Decision Making ◽

Shared Decision Making ◽

Japanese Society ◽

Healthcare Management ◽

Maintenance Hemodialysis ◽

Decision Making Process ◽

Healthcare Team ◽

Shared Decision ◽

Dialysis Therapy ◽

Terminal Stage

Abstract Background In Japan, forgoing life-sustaining treatment to respect the will of patients at the terminal stage is not stipulated by law. According to the Guidelines for the Decision-Making Process in Terminal-Stage Healthcare published by the Ministry of Health, Labor and Welfare in 2007, the Japanese Society for Dialysis Therapy (JSDT) developed a proposal that was limited to patients at the terminal stage and did not explicitly cover patients with dementia. This proposal for the shared decision-making process regarding the initiation and continuation of maintenance hemodialysis was published in 2014. Methods and results In response to changes in social conditions, the JSDT revised the proposal in 2020 to provide guidance for the process by which the healthcare team can provide the best healthcare management and care with respect to the patient's will through advance care planning and shared decision making. For all patients with end-stage kidney disease, including those at the nonterminal stage and those with dementia, the decision-making process includes conservative kidney management. Conclusions The proposal is based on consensus rather than evidence-based clinical practice guidelines. The healthcare team is therefore not guaranteed to be legally exempt if the patient dies after the policies in the proposal are implemented and must respond appropriately at the discretion of each institution.

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Implementing integrated care pilot projects in hospital settings – an exploration of disruptive practices

Journal of Integrated Care ◽

10.1108/jica-12-2019-0051 ◽

2020 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Elizabeth Mansfield ◽

Jane Sandercock ◽

Penny Dowedoff ◽

Sara Martel ◽

Michelle Marcinow ◽

...

Keyword(s):

Health Services ◽

Integrated Care ◽

Healthcare Professionals ◽

Hospital Setting ◽

Healthcare Team ◽

Pilot Projects ◽

Content Type ◽

Implementation Phase ◽

Early Implementation ◽

Care Practices

PurposeIn Canada, integrated care pilot projects are often implemented as a local reform strategy to improve the quality of patient care and system efficiencies. In the qualitative study reported here, the authors explored the experiences of healthcare professionals when first implementing integrated care pilot projects, bringing together physical and mental health services, in a community hospital setting.Design/methodology/approachEngaging a qualitative descriptive study design, semi-structured interviews were conducted with 24 healthcare professionals who discussed their experiences with implementing three integrated care pilot projects one year following project launch. The thematic analysis captured early implementation issues and was informed by an institutional logics framework.FindingsThree themes highlight disruptions to established logics reported by healthcare professionals during the early implementation phase: (1) integrated care practices increased workload and impacted clinical workflows; (2) integrating mental and physical health services altered patient and healthcare provider relationships; and (3) the introduction of integrated care practices disrupted healthcare team relations.Originality/valueStudy findings highlight the importance of considering existing logics in healthcare settings when planning integrated care initiatives. While integrated care pilot projects can contribute to organizational, team and individual practice changes, the priorities of healthcare stakeholders, relational work required and limited project resources can create significant implementation barriers.

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Rate of Compliance with Hand Hygiene by Dental Healthcare Personnel (DHCP) within a Dentistry Healthcare First Aid Facility

European Journal of Dentistry ◽

10.1055/s-0039-1697834 ◽

2010 ◽

Vol 04 (03) ◽

pp. 233-237 ◽

Cited By ~ 7

Author(s):

Marcília Batista de Amorim-Finzi ◽

Mauro Vieira Cezar Cury ◽

Cláudio Rodrigues R. Costa ◽

Angelis Costa dos Santos ◽

Geraldo Batista de Melo

Keyword(s):

Hand Hygiene ◽

Healthcare Professionals ◽

Maxillofacial Surgery ◽

First Aid ◽

Healthcare Personnel ◽

Oral And Maxillofacial Surgery ◽

Healthcare Team ◽

Daily Care ◽

Hygiene Compliance ◽

Significant Data

Objectives: To evaluate the compliance with the opportunities of hand hygiene by dentistry school healthcare professionals, as well as the higher choice products.Methods: Through direct observation, the oral healthcare team-professors, oral and maxillofacial surgery residents, graduation students-for daily care were monitored: before performing the first treatment of the shift, after snacks and meals, and after going to the bathroom (initial opportunities) as well as between patients’ care, and after ending the shift (following opportunities).Results: The professors’ category profited 78.4% of all opportunities while residents and graduation students did not reach 50.0% of compliance. Statistically significant data (P≤.05) were seen between categories: professors and residents, professors and graduation students, and between genders within the residents’ category. When opportunities were profited, the preferred choice for hand hygiene was water and soap (82.2%), followed by 70% alcohol (10.2%), and both (7.6%).Conclusions: Although gloves were worn in all procedures, we concluded that the hygiene compliance by these professionals was under the expectation. (Eur J Dent 2010;4:233-237)

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VA OpenNotes: exploring the experiences of early patient adopters with access to clinical notes

Journal of the American Medical Informatics Association ◽

10.1136/amiajnl-2014-003144 ◽

2014 ◽

Vol 22 (2) ◽

pp. 380-389 ◽

Cited By ~ 63

Author(s):

Kim M Nazi ◽

Carolyn L Turvey ◽

Dawn M Klein ◽

Timothy P Hogan ◽

Susan S Woods

Keyword(s):

Healthcare Professionals ◽

Initial Assessment ◽

Healthcare Team ◽

Patient Portal ◽

Patient Access ◽

Test Results ◽

Web Based ◽

Clinical Notes ◽

Patient Awareness ◽

Online Access

Abstract Objective To explore the experience of early patient adopters who accessed their clinical notes online using the Blue Button feature of the My HealtheVet portal. Methods A web-based survey of VA patient portal users from June 22 to September 15, 2013. Results 33.5% of respondents knew that clinical notes could be viewed, and nearly one in four (23.5%) said that they had viewed their notes at least once. The majority of VA Notes users agreed that accessing their notes will help them to do a better job of taking medications as prescribed (80.1%) and be better prepared for clinic visits (88.6%). Nine out of 10 users agreed that use of visit notes will help them understand their conditions better (91.8%), and better remember the plan for their care (91.9%). In contrast, 87% disagreed that VA Notes will make them worry more, and 88.4% disagreed that access to VA Notes will be more confusing than helpful. Users who had either contacted their provider or healthcare team (11.9%) or planned to (13.5%) primarily wanted to learn more about a health issue, medication, or test results (53.7%). Conclusions Initial assessment of the patient experience within the first 9 months of availability provides evidence that patients both value and benefit from online access to clinical notes. These findings are congruent with OpenNotes study findings on a broader scale. Additional outreach and education is needed to enhance patient awareness. Healthcare professionals should author notes keeping in mind the opportunity patient access presents for enhanced communication.

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The nurses' working process: the view of professors from a public university

Acta Paulista de Enfermagem ◽

10.1590/s0103-21002008000300016 ◽

2008 ◽

Vol 21 (3) ◽

pp. 481-486

Author(s):

Luiza Hiromi Tanaka ◽

Maria Madalena Januário Leite

Keyword(s):

Content Analysis ◽

Focus Group ◽

Exploratory Study ◽

Healthcare Professionals ◽

Public University ◽

Healthcare Management ◽

Qualitative Approach ◽

Working Process ◽

Undergraduate Nursing ◽

Nursing Course

OBJECTIVE: The study aimed to understand the working process of the nurse according to the perspective of professors of the Undergraduate Nursing Course at Universidade Federal de São Paulo. METHODS: Exploratory study with a qualitative approach, having 14 professors as its subjects; the focus group technique was chosen for data collection, and the material was analyzed according to the method of content analysis. RESULTS: The meaning of the nurses' working process comprised three categories: composition of the nurses' working process, differentials of the nurses' work when compared to other healthcare professionals and dichotomies of the nurses' working process in education. CONCLUSION: The meanings of this process were the group of the working processes: caring, managing, teaching and researching, whose working core is the process of caring. However, healthcare management was not evidenced by the focus group. The nurses' working process was considered complex and confusing.

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A Perspective on the Application of Kapferer's Brand Identity Prism in the Branding Process of Hearing Aid Retail Companies

GATR Journal of Management and Marketing Review - JMMR Vol 4(3) JUL-SEP 2019 ◽

10.35609/jmmr.2020.5.3(2) ◽

2020 ◽

Vol 5 (3) ◽

pp. 141-146

Author(s):

Florian Ross

Keyword(s):

Hearing Aids ◽

Healthcare Professionals ◽

Hearing Aid ◽

Jel Classification ◽

Brand Identity ◽

Practical Implementation ◽

Healthcare It ◽

Relevant Role ◽

The Individual ◽

Retail Company

Objective – The aim of this paper is to develop a baseline guide for the branding of hearing aids for use by Hearing Aid Retail Companies. Methodology/Technique – The individual dimensions of Kapferer's brand identity prism were analyzed and practically applied to the branding process of a Hearing Aid Retail Company. Findings – Each dimension plays a relevant role in a consistent branding process. The study concludes that Hearing Aid Retail Companies, particularly smaller ones, should focus on branding due to increasing competition to remain competitive in the market. Novelty – This paper deals with the practical implementation of Kapferer's brand identity prism in the context of Hearing Healthcare. It offers Hearing Healthcare Professionals a framework for the branding process. Type of Paper: Secondary Article – Editorial / Perspective Piece. JEL Classification: M31, M37 Abbreviation: HARC - Hearing Aid Retail Company Keywords: Branding; Marketing; Hearing Healthcare; Kapferer´s Brand Identity Prism. Reference to this paper should be made as follows: Ross, F. 2020. A Perspective on the Application of Kapferer's Brand Identity Prism in the Branding Process of Hearing Aid Retail Companies, J. Mgt. Mkt. Review 5(3) 141 – 146. https://doi.org/10.35609/jmmr.2020.5.3(2)

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Book Review: The Communicating Leader: The key to strategic alignment (2nd Ed)

SA Journal of Industrial Psychology ◽

10.4102/sajip.v29i3.109 ◽

2003 ◽

Vol 29 (3) ◽

Author(s):

X. C. Birkenbach

Keyword(s):

Conflict Management ◽

Strategic Management ◽

Strategic Alignment ◽

Or Management ◽

Managing Change ◽

Main Emphasis ◽

Conversational Style ◽

Change Motivation ◽

Organisational Behaviour

Title: The Communicating Leader: The key to strategic alignment (2nd Ed) Author: Gustav Puth Publisher: Van Schaik Publishers Reviewer: XC Birkenbach The aim of the book according to the author, is "meant to be a usable tool, an instrument in the toolbox of the real leader and leadership student". The book is written in conversational style (as intended by the author) and the 219 pages of the 10 chapters are logically packaged into three parts. While the main emphasis is naturally on leadership and communication, the coverage includes topics typically encountered in Organisational Behaviour or Management texts, e.g., organizational culture, managing change, motivation, conflict management and strategic management.

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Recommendations for integrating physiotherapy into an interprofessional outpatient care setting for people living with HIV: a qualitative study

BMJ Open ◽

10.1136/bmjopen-2018-026827 ◽

2019 ◽

Vol 9 (5) ◽

pp. e026827 ◽

Cited By ~ 2

Author(s):

Heather deBoer ◽

Stephanie Cudd ◽

Matthew Andrews ◽

Ellie Leung ◽

Alana Petrie ◽

...

Keyword(s):

Focus Groups ◽

Care Setting ◽

Healthcare Professionals ◽

Hiv Care ◽

Healthcare Team ◽

People Living With Hiv ◽

Structured Interviews ◽

Interprofessional Care ◽

Specialty Hospital ◽

Living With Hiv

ObjectivesTo identify factors to consider when integrating physiotherapy (PT) into an interprofessional outpatient HIV care setting from the perspective of healthcare professionals and adults living with HIV.DesignWe conducted a qualitative descriptive study using semi-structured interviews (healthcare professionals) and focus groups (adults living with HIV). We asked participants their perspectives on barriers, facilitators and strategies to accessing and participating in outpatient PT, important characteristics physiotherapists should possess working in outpatient HIV care, content and structure of PT delivery, and programme evaluation.Recruitment and settingWe purposively sampled healthcare professionals based on their experiences working in interprofessional HIV care and recruited adults with HIV via word of mouth and in collaboration with an HIV-specialty hospital in Toronto, Canada. Interviews were conducted via Skype or in-person and focus groups were conducted in-person at the HIV-specialty hospital.Participants12 healthcare professionals with a median of 12 years experience in HIV care, and 13 adults living with HIV (11 men and 2 women) with a median age of 50 years and living with a median of 6 concurrent health conditions in addition to HIV.ResultsOverall impressions of PT in outpatient HIV care and factors to consider when implementing PT into an interprofessional care setting include: promoting the role of, and evidence for, PT in outpatient HIV care, structuring PT delivery to accommodate the unique needs and priorities of adults living with HIV, working collaboratively with a physiotherapist on the healthcare team and evaluating rehabilitation as a component of interprofessional care.ConclusionsMultiple factors exist for consideration when implementing PT into an interprofessional outpatient HIV care setting. Results provide insight for integrating timely and appropriate access to evidence-informed rehabilitation for people living with chronic and episodic illness, such as HIV.

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Attitudes and Behavior towards Interprofessional Collaboration among Healthcare Professionals in a Large Academic Medical Center

Healthcare ◽

10.3390/healthcare8030323 ◽

2020 ◽

Vol 8 (3) ◽

pp. 323

Author(s):

Benjamin E. Ansa ◽

Sunitha Zechariah ◽

Amy M. Gates ◽

Stephanie W. Johnson ◽

Vahé Heboyan ◽

...

Keyword(s):

Patient Care ◽

Interprofessional Education ◽

Healthcare Professionals ◽

Interprofessional Collaboration ◽

Medical Center ◽

Core Competencies ◽

Academic Medical Center ◽

Healthcare Team ◽

Interprofessional Communication ◽

Academic Medical

The increasing rates of comorbidities among patients and the complexity of care have warranted interprofessional collaboration (IPC) as an important component of the healthcare structure. An initial step towards assessing the effectiveness of collaboration requires the exploration of the attitudes and experience of healthcare professionals towards IPC. This online survey aimed to examine the attitudes of healthcare professionals working in a large public academic medical center toward IPC in patient care and the healthcare team, and their behavior and experience regarding IPC. The rankings, according to the perceived importance among the respondents, of the four Interprofessional Education Collaborative (IPEC) core competencies (values/ethics, roles/responsibilities, interprofessional communication, teams/teamwork) were assessed. There were strong but varying levels of consensus among healthcare professionals (N = 551) that IPC facilitates efficient patient care, improves patient problem-solving ability, and increases better clinical outcomes for patients. They acknowledged that IPC promotes mutual respect within the healthcare team and providers’ ability to make optimal patient care decisions. However, overall more than 35% of the respondents did not attend multidisciplinary education sessions (grand rounds, seminars, etc.), and about 23% did not participate in bedside patient care rounds. Interprofessional communication was ranked as the most important IPEC core competence. Although the attitude towards IPC among healthcare professionals is strongly positive, many healthcare professionals face challenges in participating in IPC. Institutional policies that facilitate interprofessional learning and interactions for this group of healthcare professionals should be formulated. Online distance learning and interactions, and simulation-enhanced interprofessional education, are options for addressing this barrier. Hospital administrators should facilitate conducive work environments that promote IPC, based on IPEC core competencies, and promote programs that address the challenges of IPC.

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