Labor conflicts among nursing staff: reasons, conditions, control methods and resolutions

2021 ◽  
pp. 25-37
Author(s):  
Korshunov Evgeny Nikolaevich Korshunov Evgeny Nikolaevich ◽  
Danil Sergeevich Fomichev

The aim of the study is existing level of conflicts in the activities of nursing staff and to optimize the ways of managing and resolving conflict situations in the work collective. Results. The level of conflict level of nursing staff of neurological and pulmonological departments was analyzed, the degree of self-assessment of the conflict level of nurses was studied, the main strategies of behavior in the conflict zone were identified and the level of conflict resistance of specialists was determined. Conclusion. The problem of conflicts in the teams of the neurological and pulmonological departments of a medical organization is quite relevant and requires training of nursing personnel in the psychology of communication, and the heads of the nursing service in personnel management and management psychology.

Curationis ◽  
1998 ◽  
Vol 21 (4) ◽  
Author(s):  
S. Potgieter ◽  
M. Muller

The nursing service manager is accountable for adequate and efficient personnel management in the nursing service and the management of grievances is an important aspect of the personnel management function. The question arises, however, how and when grievances in nursing services arose and developed? The purpose of this article is to give a historical description of the development and management of grievances in nursing services for the time frame 1652-1990. An historical analysis was undertaken by means of news paper analysis, as well as other written resources. The results show that the development of grievances are related to the development of hospitals in South Africa and that grievances were poorly managed. The following conclusions are made: * grievances in nursing are related to the establishment of hospitals; * the first official grievance was lodged in 1824 by a surgeon; * grievance are mainly related to the working conditions, remuneration and management; * complaints with salaries and food were lodged by nurses as early as 1869; * it appears as if nursing service managers are not adequately skilled in the management of grievances experienced by nursing staff - the same mistakes are made leading to strike action by nurses/midwives; * unhappiness with the inappropriate manner in which grievances are managed lead to industrial action by nursing staff since 1889. Continuous empowerment of nursing services managers in the management of grievances is important and therefore the development of a model for grievance management in nursing services is also recommended.


2020 ◽  
pp. 21-25
Author(s):  
Svetlana Inozemtseva ◽  
Larisa Karaseva

Training in the workplace is characterized by direct interaction with normal work in the usual working situation for specialists, which has a number of advantages: it does not require large financial expenses, separation from the main work and departure from the limits of the settlement, allows to quickly implement the obtained theoretical knowledge in the practical activities of nursing specialists.


2019 ◽  
Vol 19 (1) ◽  
pp. 460-478
Author(s):  
Yessika Madelaine Abarca Arias ◽  
Tula Margarita Espinoza Moreno ◽  
Sara Gaby Llerenan Callata ◽  
Narda Yolanda Berrios Manrique

Objetivo: Determinar la asociación entre los tipos de conflictos laborales y el manejo de los mismos en el personal de enfermería del Hospital Regional Honorio Delgado de la ciudad de Arequipa del Perú (HRHD).Método: Estudio, observacional, descriptivo transversal, prospectivo, con enfoque cuantitativo y de nivel correlacional. La población de estudio fueron 190 profesionales encuestados en el año 2015. El instrumento fue un formulario de preguntas de forma anónima, con Test de Thomas Kilmann que consta de 30 ítems, cada uno con dos opciones de afirmaciones. Se realizó un análisis descriptivo y de asociación de variables utilizando el programa Infostat 2018, utilizando el estadístico χ2 con nivel de significancia p<0,05.Resultados: Los resultados mostraron una mayor cantidad de personal entre 50 y 59 años de edad, con un porcentaje de 34,7%, así como predominancia del personal femenino con 94,7%. El tipo de conflictos más frecuente fue el Comunicación-Personal con un 44,8%, en segundo lugar el conflicto personal con 26,8%, seguido por el conflicto de comunicación con 15,8%. En cuanto al manejo de conflictos, el 48,4% consideró al cooperativo como el más utilizado. No se encontró asociación estadísticamente significativa entre el tipo y el manejo conflictos (χ2 = 13,53; p = 0,139).Conclusiones: Para el personal de enfermería no existe relación entre los tipos de conflictos laborales y la forma de manejarlos, sin embargo, la mayoría de los sujetos estudiados considera que los conflictos de Comunicación-Personal son los más comunes y que su manejo es cooperativo. Objective: Determine the association between the labor conflicts types and their management in the nursing staff of Honorio Delgado Regional Hospital in Arequipa city, Peru (HRHD).Method: Observational study, cross-sectional, prospective, with quantitative and correlational level approach. The study population was the nursing professionals of Honorio Delgado Espinoza Regional Hospital in Arequipa city, surveyed in 2015. A questionnaire form was used as anonymous measurement tool. We Applied the Thomas Kilmann Test of 30 items, each of which has two options of statements that describe possible response behaviors. A descriptive and association analysis of variables was performed using the Infostat version 2018 software, using the χ2 statistic with significance level p <0.05.Results: The sample was 190 nursing professionals. The results showed a greater number of persons between 50 and 59 years of age, with a percentage of 34.7%, as well as predominance of female staff with 94.7%.The conflicts type most frequent in study population was the Communication-Personnel with 44.8%, leaving in second place the personal conflict with 26.8%, followed by communication conflict with 15.8%. Regarding conflict management, 48.4% considered the cooperative as the most used. No statistically significant association was found between type and conflicts management (χ2 = 13.53, p = 0.139).Conclusions: For nursing staff, there is no relationship between labor conflicts types and the way of management them, however, most of subjects studied consider that Communication-Personnel conflicts are most common and that their management is cooperative. Objetivo: Determinar a associação entre os tipos de conflitos laborais e seu manejo na equipe de enfermagem do Hospital Regional Honorio Delgado, na cidade de Arequipa, Peru (HRHD).Método: estudo observacional, transversal, prospectivo, com abordagem quantitativa e correlacional. A população do estudo foi a dos profissionais de enfermagem do Hospital Regional Honorio Delgado Espinoza, na cidade de Arequipa, pesquisada em 2015. Utilizou-se um questionário como ferramenta anônima de mensuração. Aplicamos o Teste Thomas Kilmann de 30 itens, cada um com duas opções de declarações que descrevem possíveis comportamentos de resposta. A análise descritiva e de associação das variáveis ​​foi realizada pelo software Infostat versão 2018, utilizando-se a estatística χ2 com nível de significância p <0,05.Resultados: A amostra foi de 190 profissionais de enfermagem. Os resultados mostraram um maior número de pessoas entre 50 e 59 anos de idade, com um percentual de 34,7%, assim como um predomínio do pessoal feminino com 94,7%.O tipo de conflitos mais frequente na população do estudo foi Comunicação-Pessoal com 44,8%, ficando em segundo lugar o conflito pessoal com 26,8%, seguido de conflito de comunicação com 15,8%. Em relação ao gerenciamento de conflitos, 48,4% consideraram a cooperativa como a mais utilizada. Não foi encontrada associação estatisticamente significativa entre tipo e gestão de conflitos (χ2 = 13,53, p = 0,139).Conclusões: Para a equipe de enfermagem, não há relação entre os tipos de conflitos trabalhistas e o modo de gestão, no entanto, a maioria dos sujeitos estudados que os conflitos entre comunicação e pessoal são mais comuns e que seu gerenciamento é cooperativo


2021 ◽  
Vol 11 (6) ◽  
pp. 142-159
Author(s):  
Olga Alexandrovna Latuha ◽  

Introduction. The article presents a review of scholarly literature and the author's assessment of the potential for sustainable development of a medical organization. The purpose of the article is to describe the author's methodology for assessing the potential for sustainable development, and to evaluate the effectiveness of its application in a medical organization. Materials and Methods. The study used the following research methods: comparative analysis, T.L. Saati, and the author’s methodology for assessing the potential for sustainable development of a medical organization. Results. In the process of analyzing the methodology for self-assessment of the maturity on the way to achieving the sustainable development of the ISO 9004 standard organization, the author revealed a number of problems. They include low sensitivity to individual assessment of processes, the lack of a mathematical expression of the level of development for certain areas of activity, and the absence of an integral indicator sensitive to minimal changes. The author describes in detail process of developing her methodology for assessing the potential for sustainable development of an organization and illustrates the application of this methodology within a medical organization for evaluating sustainable development in statics and dynamics. Conclusions. Finally, conclusions are drawn about the ways of applying the author's assessment methodology by the head of the medical organization.


Author(s):  
Gulbanu Sarsembaikyzy ◽  
◽  
Zhanar Tyulyubayeva ◽  

Currently, the nursing process is at the core of nursing education and practice, creating a scientific base for nursing care. The nursing process is one of the basic and integral concepts of the modern model of nursing service. This concept was given birth in the United States in the mid-50s and over the years of testing in clinical settings has proved its feasibility. In the health system, the professional group of secondary medical personnel is the most numerous and has a significant impact on ensuring the quality, availability of medical care, and efficiency of the entire system. Over the years, nurses from different countries have sought to gain recognition for their profession. The main goal was to establish the boundaries of their professional activities, the differences between medical and nursing duties, to create a terminological and conceptual apparatus of the profession and to determine the scientific method of providing nursing care to patients (clients). One of the most relevant areas of healthcare reforms in Kazakhstan is the development and expansion of the functions of nursing staff, including the maintenance of nursing documentation, the establishment of a nursing diagnosis, monitoring and management of patients, etc. What is the problem? 1. Lack of a single terminological and conceptual apparatus for all nurses; 2. Workload of general practitioners; 3. Implementation of patient attendance by nurses under the doctor's login; 4. Lack of payment to nurses for services rendered; 5. In appreciation of the role of the average medical worker in the treatment process; 6. Low potential in the nursing service. Policy options Scenario 1. Institutionalization of CCC in the health system of the Republic of Kazakhstan through the gradual introduction into information systems of the international classification of nursing diagnoses and nursing interventions in the practice of secondary medical workers. Scenario 2. Interaction of vertical links in the implementation of the CCC by making appropriate changes to regulatory legal acts. Scenario 3. Financing of nursing services by including nursing services in the medical services tariff. The vision for the implementation of the scenarios/policy options. Each of these policy options can contribute to improving the efficiency of providing medical care to the population, the status of secondary medical personnel, and the development of their critical thinking. However, given the different options in the direction of actions, resources and methods used, these policy options can provide a more significant achievement of the goal in improving the quality and effectiveness of introduction when they are implemented in association.


2013 ◽  
Vol 94 (2) ◽  
pp. 262-265
Author(s):  
T A Paybaktova ◽  
G M Zlobina

Aim. Improving the nursing management based on a comprehensive socio-hygienic assessment. Methods. Analytical, statistical, retrospective and prospective analysis, data copying, opinion poll. Results. Positive changes in nursing service development in Mari El Republic were revealed during the period from 2000 to 2011. By January, 1, 2012, 7458 nurses with secondary medical education were employed in 50 medical institutions run by Ministry of Healthcare and in 306 village first-aid stations. The majority were certified and had a qualifying category - 97% and 67% respectively. The average value of nursing provision was 107.1 nurses per 10 000 of population, staffing - 95.5%, staffing based of the number of employed nurses - 72%. Ratio of job combining among nursing staff was 1.3, the «doctor-nurse» ratio was 1:3.6. Recently a tendency of nursing personnel outflow from nursing practice was revealed in the region. Since 2000 the number of working nursing specialists decreased by 380. The share of «young» specialists was only 7.9% of all the employed nurses, the share of nursing staff of pre-retirement and retirement age was 19%. Conclusion. According to the forecast data for the near-term outlook it is possible to expect decrease of nursing staff rates in the region. The creation of «nursing service management school» may solve the problem.


2020 ◽  
Vol 15 (3) ◽  
pp. 203-207
Author(s):  
Nataliya Petrova ◽  
◽  
Sarkis Pogosyan ◽  

It is noted in the article that the problem of nursing staff shortage is relevant to all healthcare organizations. According to the study performed in the basic institutions (the municipal hospital and polyclinic) the staffing level is about 70 % without large changes in dynamics. In addition, a significant portion of nurses (especially in the polyclinic) are the persons of pre-retirement and retirement age. Only 28.9 % of nurses did not think about the possibility of changing the location and nature of their work. The factors that can affect the ability to attract and retain personnel were analyzed using the nurses’ survey. It was found that 82.2 % of respondents believe that their workload is high; 58.3 % of them told that their work does not fully correspond to the functional responsibilities. There are the problems in the relationship in the team (including doctors and managers). Respondents consider that it is necessary to improve the organization of the labor process in the institution, the system of wage and motivation as a whole, to work for increasing the prestige of the profession. A number of measures aimed to improve the personnel management in health care organization are proposed.


Author(s):  
A. F. Chernavsky ◽  
I. N. Boltasev ◽  
L. A. Garkusheva

Purpose of work — analysis of modern scientific literature on the resource approach to the definition of personnel policy in medical organizations, analysis of personnel management system, personnel policy in a particular medical organization, justification of definition: "Personnel policy is personnel management, which is carried out taking into account the levels of organizational and economic, socio-psychological (huemonizing), legal, technical (5S, lean production, medical organization of a new type), training and pedagogical (mentoring) in combination and interrelation with the determining role of socioeconomic factors of the surrounding society". Materials and methods. The subject of the study — personnel policy in a medical institution on the example of the State Autonomous Institution «Serov City Hospital», using certain resources for the formation of its levels. The following methods were used in the study: analysis, classification, synthesis of scientific theoretical literature on the problem of research; analysis of documents related to the activities of a medical institution, comparison, socio-psychological testing of a number of mental and psychophysiological functions of medical workers in the professional environment. Results and discussion. The definition of "personnel policy" in a medical organization is clarified, taking into account the systematic and resource-based approach. Recommendations on the implementation of personnel policy in Serov City Hospital during the period of organizational changes and preventive measures to prevent the spread of COVID-19 were developed. Conclusion. The use of a systematic approach in the formation of personnel policy, taking into account the organizational and economic, sociopsychological, legal, technical, training and educational levels proposed by us in the aggregate and interrelation, with the determining role of socio-economic factors, allows to solve the most important issues of sustainable functioning of the medical institution in the period of organizational changes and preventive measures to prevent the spread of COVID-19.


2015 ◽  
Vol 49 (3) ◽  
pp. 465-472 ◽  
Author(s):  
Francine Cassol Prestes ◽  
Carmem Lúcia Colomé Beck ◽  
Tânia Solange Bosi de Souza Magnago ◽  
Rosângela Marion da Silva

OBJECTIVE To measure the pleasure and suffering indicators at work and relate them to the socio-demographic and employment characteristics of the nursing staff in a hemodialysis center in southern Brazil. METHOD Quantitative research, with 46 workers. We used a self-completed form with demographic and labor data and the Pleasure and Suffering Indicators at Work Scale (PSIWS). We conducted a bivariate and correlation descriptive analysis with significance levels of 5% using the Epi-Info® and PredictiveAnalytics Software programs. RESULTS Freedom of Speech was considered critical; other factors were evaluated as satisfactory. The results revealed a possible association between sociodemographic characteristics and work, and pleasure and suffering indicators. There was a correlation between the factors evaluated. CONCLUSION Despite the satisfactory evaluation, suffering is present in the studied context, expressed mainly by a lack of Freedom of Speech, with the need for interventions to prevent injury to the health of workers.


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