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Behl S, Kulkarni M. Conflict situation in a suburban hospital, India: Reasons and measures to minimize. CARDIOMETRY 2021. [DOI: 10.18137/cardiometry.2021.20.119124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
Health care has a prominent place in society and as a settingrequired to serve and care for its public and stimulate overallphysical, psychological, and social health. It has a distinctobligation to generate a healthy workplace. Conflict and diversityare intrinsic in health care, and conflict in interdisciplinaryteams is an accepted norm and unescapable. Thus, astudy was conducted to understand reasons for the conflictamongst varied levels of healthcare staff in a 150 bedded multispecialtyhospital in an Indian city. A Survey of 200 respondents(Healthcare and managerial staff) revealed that lack ofappreciation, job stress, and competition within the department(32%) were the major reasons for differences amongstthe employees. Concerning approaches adopted, compromisingand collaborating methods scored more (38% and38.6%, respectively). The results have shown that, in general,managers are familiar with conflict resolution techniques andbelieve in motivating their staff to increase their levels of performanceand retain them with the hospital. However, thereis a need to make the human resource system more robustand accommodating to ensure varied healthcare professionalsfrom different qualification backgrounds and job roles aretreated equitably
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Parvaresh-Masoud M, Cheraghi MA, Imanipour* M. Workplace interpersonal conflict in prehospital emergency: Concept analysis. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2021; 10:347. [PMID: 34761033 PMCID: PMC8552288 DOI: 10.4103/jehp.jehp_213_21] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/24/2021] [Accepted: 04/15/2021] [Indexed: 06/01/2023]
Abstract
BACKGROUND In the turbulent and stressful work environment of prehospital emergencies, the conflict among emergency medical technicians (EMT) and other health-care providers is inevitable. This study aims to examine the concept of workplace interpersonal conflict (WIC) in prehospital emergencies. MATERIALS AND METHODS The eight-step Walker and Avant's concept analysis approach was adopted to define the concept. Iranmedex, SID, Magiran, ISC, PubMed, Scopus, Embase, and Web of Science searched with keywords such as WIC and hospital emergencies. After an extensive review of online national and international databases, one dictionary, nine books, and 25 articles in English and Persian were retrieved for the purposes of the study. RESULTS The antecedents, attributes, and consequences of the concept identified. EMT must learn how to eliminate their destructive effects while enhancing constructive effects. CONCLUSION Conflict is an inevitable part of life, and EMT must learn how to reduce their destructive effects while increasing constructive results.
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Affiliation(s)
- Mohammad Parvaresh-Masoud
- Department of Critical Care and Nursing Management, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Mohammad Ali Cheraghi
- Department of Critical Care and Nursing Management, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Masoomeh Imanipour*
- Department of Critical Care and Nursing Management, School of Nursing and Midwifery, Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, Iran
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Parchizadeh J, Belant JL. Brown bear and Persian leopard attacks on humans in Iran. PLoS One 2021; 16:e0255042. [PMID: 34293067 PMCID: PMC8297784 DOI: 10.1371/journal.pone.0255042] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2021] [Accepted: 07/09/2021] [Indexed: 11/19/2022] Open
Abstract
Large carnivore attacks on humans are a serious form of human-wildlife interaction which has increased globally in recent decades. When attacks occur, both humans and large carnivores suffer, highlighting the need to characterize these conflicts toward mitigation of attacks. We investigated brown bear (Ursus arctos) and Persian leopard (Panthera pardus) attacks on humans across Iran using reports provided by the Government of Iran during 2012–2020. We characterized temporal and spatial patterns of attacks, as well as species-specific attributes. We identified 83 attacks resulting in 77 human injuries and 6 fatalities. Bears were responsible for more attacks (63%) than leopards (37%). Attacks occurred more frequently during defensive reactions by bears and leopards on adult male people while livestock herding during the day in spring and summer. Bears reportedly attacked people more often in western provinces of Iran, while leopards attacked more frequently in northern provinces. We recommend that the Iran Department of the Environment consider implementing a national reporting system to document bear and leopard attacks on people. We further suggest development of national bear and leopard management plans that emphasize mitigating human risk to improve human attitudes toward these carnivore species to facilitate their conservation.
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Affiliation(s)
- Jamshid Parchizadeh
- Global Wildlife Conservation Center, College of Environmental Science and Forestry, Department of Environmental and Forest Biology, State University of New York, Syracuse, New York, United States of America
- * E-mail:
| | - Jerrold L. Belant
- Global Wildlife Conservation Center, College of Environmental Science and Forestry, Department of Environmental and Forest Biology, State University of New York, Syracuse, New York, United States of America
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Başoğul C. Conflict management and teamwork in workplace from the perspective of nurses. Perspect Psychiatr Care 2021; 57:610-619. [PMID: 32700354 DOI: 10.1111/ppc.12584] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/15/2020] [Revised: 07/07/2020] [Accepted: 07/11/2020] [Indexed: 11/29/2022] Open
Abstract
PURPOSE To examine the relationship between nurses' conflict management strategies and teamwork attitudes. METHOD This cross-sectional, descriptive, and relational study was conducted with 228 nurses in a hospital in southern Turkey. Data were collected through The TeamSTEPPS Teamwork Attitudes Questionnaire and the Rahim Organizational Inventory-II. RESULTS Of all the nurses, 91.2% reported to have had conflicts. Nurses stated that they mostly used compromising and integrating strategies. Teamwork attitudes questionnaire mean score was 108.28 ± 11.45. Conflict management strategies are significant predictors of teamwork attitudes and these explain 46% (model 1; R2 = 0.46; P <.01), and education, gender, units, years of experience explain 2% of the total variance in teamwork attitudes (model 2; R2 = 0.48; P < .01). PRACTICE IMPLICATIONS Mental health nurses together with manager nurses should focus on improving nurses' teamwork attitudes and constructive conflict management strategies within the team.
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Affiliation(s)
- Ceyda Başoğul
- Department of Psychiatric Nursing, Faculty of Health Sciences, Adıyaman University, Adıyaman, Turkey
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Investigating the Main Causes of Conflicts and the Management Strategies That Are Used by Healthcare Professionals: The Case of General Hospital of Arta. ADVANCES IN EXPERIMENTAL MEDICINE AND BIOLOGY 2021; 1337:27-36. [DOI: 10.1007/978-3-030-78771-4_4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Ghasi NC, Ogbuabor DC, Onodugo VA. Perceptions and predictors of organizational justice among healthcare professionals in academic hospitals in South-Eastern Nigeria. BMC Health Serv Res 2020; 20:301. [PMID: 32293438 PMCID: PMC7158107 DOI: 10.1186/s12913-020-05187-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2020] [Accepted: 04/05/2020] [Indexed: 08/29/2023] Open
Abstract
Background Research on organizational justice in hospitals in African countries are limited despite being important for workforce performance and hospital operational efficiency. This paper investigated perceptions and predictors of organizational justice among health professionals in academic hospitals in South-east Nigeria. Methods The study was conducted in two teaching hospitals in Enugu State, South-east Nigeria using mixed-methods design. Randomly sampled 360 health professionals (doctors = 105, nurses = 200 and allied health professionals, AHPs = 55) completed an organizational justice scale. Additionally, semi-structured, in-depth interview with purposively selected 18 health professionals were conducted. Univariate and bivariate statistics and multivariable linear regression were used to analyze quantitative data. Statistical significance was set at alpha 0.05 level. Qualitative data were analyzed thematically using NVivo 11 software. Results The findings revealed moderate to high perception of different dimensions of organizational justice. Doctors showed the highest perception, whereas AHPs had the least perception. Among doctors, age and education predicted distributive justice (adjusted R2 = 22%); hospital ownership and education predicted procedural justice (adjusted R2 = 17%); and hospital ownership predicted interactional justice (adjusted R2 = 42%). Among nurses, age, gender and marital status predicted distributive justice (adjusted R2 = 41%); hospital ownership, age and gender predicted procedural justice (adjusted R2 = 28%); and hospital ownership, age, marital status and tenure predicted interactional justice (R2 = 35%). Among AHPs, marital status predicted distributive justice (adjusted R2 = 5%), while hospital ownership and tenure predicted interactional justice (adjusted R2 = 15%). Qualitative findings indicate that nurses and AHPs perceive as unfair, differences in pay, access to hospital resources, training, work schedule, participation in decision-making and enforcement of policies between doctors and other health professionals due to medical dominance. Overall, supervisors have a culture of limited information sharing with, and disrespectful treatment of, their junior colleagues. Conclusion Perceptions of organizational justice range from moderate to high and predictors vary among different healthcare professionals. Addressing specific socio-demographic factors that significantly influenced perceptions of organizational justice among different categories of health professionals and departure from physician-centered culture would improve perceptions of organizational justice among health professionals in Nigeria and similar settings.
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Affiliation(s)
- Nwanneka Chidinma Ghasi
- Department of Management, Faculty of Business Administration, University of Nigeria Enugu Campus, Enugu, Enugu State, Nigeria
| | - Daniel Chukwuemeka Ogbuabor
- Department of Health Administration and Management, Faculty of Health Sciences and Technology, College of Medicine, University of Nigeria Enugu Campus, Enugu, Enugu State, Nigeria.
| | - Vincent Aghaegbunam Onodugo
- Department of Management, Faculty of Business Administration, University of Nigeria Enugu Campus, Enugu, Enugu State, Nigeria
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Ershadi M, Ershadi M, Niaki S. An integrated HFMEA-DES model for performance improvement of general hospitals. INTERNATIONAL JOURNAL OF QUALITY & RELIABILITY MANAGEMENT 2020. [DOI: 10.1108/ijqrm-08-2019-0277] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PurposeHealthcare failure mode and effect analysis (HFMEA) identifies potential risks and defines preventive actions to reduce the effects of risks. In addition, a discrete event simulation (DES) could evaluate the effects of every improvement scenario. Consequently, a proposed integrated HFMEA-DES model is presented for quality improvement in a general hospital.Design/methodology/approachIn the proposed model, HFMEA is implemented first. As any risk in the hospital is important and that there are many departments and different related risks, all defined risk factors are evaluated using the risk priority number (RPN) for which related corrective actions are defined based on experts' knowledge. Then, a DES model is designed to determine the effects of selected actions before implementation.FindingsResults show that the proposed model not only supports different steps of HFMEA but also is highly in accordance with the determination of real priorities of the risk factors. It predicts the effects of corrective actions before implementation and helps hospital managers to improve performances.Practical implicationsThis research is based on a case study in a well-known general hospital in Iran.Originality/valueThis study takes the advantages of an integrated HFMEA-DES model in supporting the limitation of HFMEA in a general hospital with a large number of beds and patients. The case study proves the effectiveness of the proposed approach for improving the performances of the hospital resources.
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Chegini Z, Janati A, Babaie J, Pouraghaei M. Exploring the barriers to patient engagement in the delivery of safe care in Iranian hospitals: A qualitative study. Nurs Open 2020; 7:457-465. [PMID: 31871731 PMCID: PMC6917972 DOI: 10.1002/nop2.411] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2019] [Revised: 10/01/2019] [Accepted: 10/07/2019] [Indexed: 12/19/2022] Open
Abstract
Aim To investigate barriers to patient engagement in the delivery of safe hospital care. Design Qualitative exploratory study. Methods A qualitative study with 35 Iranian health professionals was conducted from February to April 2019 using semi-structured interviews to elicit their opinions. MAXQDA 11 software was used for data management, and the data were analysed using framework analysis. Results Barriers, which potentially have negative impact on patient engagement in the delivery of safer care, were categorized into four themes. The first category included patient-related barriers such as low levels of health literacy, ineffective education, patient unwillingness and cultural barriers. The second category included staff-related barriers such as the existence of negative attitudes towards engaging patients in matters relating to patient safety, ineffective communication, high workload and the reluctance on the part of physicians to engage with patients. Barriers created by limited resources and inadequate training provided by universities and in the workplace formed the third category and community-related barriers such as the inadequate dissemination of information via the mass media and a lack of community-based services formed the fourth category. Conclusion Results demonstrate the multilayered nature of the significant barriers to the engagement of patients in the delivery of safe care and reflect the need for a collaborative approach between the recipients of care, researchers, care providers and policy makers if these are to be overcome.
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Affiliation(s)
- Zahra Chegini
- Department of Health Services ManagementFaculty of Management and Medical InformaticsTabriz University of Medical SciencesTabrizIran
| | - Ali Janati
- Department of Health Services ManagementFaculty of Management and Medical InformaticsTabriz University of Medical SciencesTabrizIran
- Iranian Center of Excellence in Health ManagementSchool of Management and Medical InformaticsTabriz University of Medical SciencesTabrizIran
| | - Javad Babaie
- Department of Health Services ManagementFaculty of Management and Medical InformaticsTabriz University of Medical SciencesTabrizIran
| | - Mahboub Pouraghaei
- Emergency Medicine Research TeamFaculty of MedicineTabriz University of Medical SciencesTabrizIran
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Moeta ME, Du Rand SM. Using scenarios to explore conflict management practices of nurse unit managers in public hospitals. Curationis 2019; 42:e1-e11. [PMID: 31291730 PMCID: PMC6620509 DOI: 10.4102/curationis.v42i1.1943] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2018] [Revised: 09/07/2018] [Accepted: 09/25/2018] [Indexed: 11/22/2022] Open
Abstract
Background Workplace conflict is common among nurses globally. Learning how to manage it may reduce related adverse consequences. Inappropriate management of conflict is attributed to decreased productivity, poor morale and financial loss for organisations. Nurse unit managers can play a key role by effectively managing workplace conflict in the units. Objectives To explore how nurse unit managers manage conflict in public hospitals and subsequently to make recommendations on how to optimise conflict management skills of nurse unit managers. Method A qualitative, explorative, descriptive and contextual study was conducted to explore how nurse unit managers managed conflict based on a scenario provided to them. Purposive sampling was used to select nurse unit managers working in three public hospitals. Eleven nurse unit managers participated in the study. Data were collected in two phases. In phase 1, a conflict scenario was developed in consultation with experienced nurse managers. The conflict scenario was used during phase 2, which involved individual face-to-face semi-structured interviews with nurse unit managers until data saturation. Tesch’s method of thematic synthesis was used to analyse the data. Literature review was undertaken to ascertain what is considered as an appropriate intervention in conflict management. Results Three themes emanated from data analysis: nurse unit managers managed conflict appropriately, nurse unit managers avoided the conflict and nurse unit managers managed conflict inappropriately. Conclusion While some of the nurse unit managers managed conflict appropriately, additional and continuous education and training is required to optimise the capacity and develop their conflict management competency. The findings could be integrated into orientation, training and preparation of nurse managers by health care organisations and educational institutions.
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Affiliation(s)
- Mabitja E Moeta
- Department of Nursing, Faculty of Health Sciences, University of Pretoria.
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Labrague LJ, Al Hamdan Z, McEnroe-Petitte DM. An integrative review on conflict management styles among nursing professionals: implications for nursing management. J Nurs Manag 2018; 26:902-917. [PMID: 30155953 DOI: 10.1111/jonm.12626] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/01/2018] [Indexed: 10/28/2022]
Abstract
AIM To critically appraise and synthesize empirical studies that examined conflict-management styles used by nursing professionals when dealing with conflict. BACKGROUND Conflict is an organisational issue not new to the nursing profession. Despite the increasing research interest on this topic, no studies had been conducted to appraise and summarize evidence that examined conflict-management styles in nursing professionals. METHOD An integrative review method was used to analyse the findings. The primary databases used to access articles published from 2000 onwards were CINAHL, Medline, Psych Info, ERIC, Embase and SCOPUS. The search words and MeSH terms included: conflict, management, nursing, nurse manager, nurse, style, and strategy. RESULTS Twenty-five studies met the inclusion criteria. Integration was the most frequent style employed by nursing professionals when dealing and managing conflict, followed by accommodation. Avoiding and competing were found to be the least frequently used styles. Mixed and conflicting results were obtained when nurses' demographic variables were considered. Studies are needed to examine how organisational and interpersonal factors influence nurses' choice of style for handling conflicts. CONCLUSION Findings demonstrated that nursing professionals used constructive/positive conflict management approaches rather than destructive/negative conflict management approaches. IMPLICATIONS FOR NURSING MANAGEMENT This integrative review provided up-to-date evidence that is useful when formulating interventions to equip nurses with positive conflict-management styles necessary to mitigate and manage conflict. Such interventions may include: structured training on conflict management, team building, and conflict coaching activities, continuing professional development, reflective exercises, simulation, and role playing.
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Affiliation(s)
| | - Zaid Al Hamdan
- Jordan University of Science and Technology, Irbid, Jordan
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Labrague LJ, McEnroe-Petitte DM. An integrative review on conflict management styles among nursing students: Implications for nurse education. NURSE EDUCATION TODAY 2017; 59:45-52. [PMID: 28938098 DOI: 10.1016/j.nedt.2017.09.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/17/2017] [Revised: 08/10/2017] [Accepted: 09/07/2017] [Indexed: 06/07/2023]
Abstract
OBJECTIVES Nurse education plays a critical role in the achievement of conflict management skills in nursing students. However, a wider perspective on this concept has not been explored. This paper is a report of a review appraising and synthesizing existing empirical studies describing conflict management styles among nursing students. DESIGN An integrative review method guided this review. DATA SOURCES Five (5) bibliographic databases (CINAHL, Medline, Psych Info, Embase and SCOPUS) were searched to locate relevant articles. REVIEW METHODS An electronic database search was performed in December 2016 to locate studies published from 2007 onwards. The search words included: 'conflict', 'management resolution', 'management style', 'management strategy', 'nursing', 'student'. Thirteen (13) articles met the inclusion criteria. RESULTS Nursing students preferred 'constructive/positive conflict management styles' when handling conflicts. However, more studies are needed to identify factors that may affect their choice of styles. Further, this review emphasizes the need for empirical studies to identify appropriate interventions that would effectively enhance nursing students' skills in managing conflicts using rigorous methods. CONCLUSIONS Nursing faculty play a critical role in teaching, training, and modeling constructive conflict resolution styles in nursing students. Simulation scenarios, reflective exercises, and role playing may be useful to facilitate such learning in choosing constructive conflict management styles. Structured training programme on conflict management will assist nursing students develop positive conflict management styles.
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Nyirenda M, Mukwato P. Job satisfaction and attitudes towards nursing care among nurses working at Mzuzu Central Hospital in Mzuzu, Malawi. Malawi Med J 2017; 28:159-166. [PMID: 28321279 DOI: 10.4314/mmj.v28i4.3] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Job satisfaction is a major determinant of performance at the workplace. Studies have shown that job dissatisfaction can intensify emotional exhaustion, and this can influence nurses to perceive their work as tiresome and repetitive, leading to frustration and discouragement. The purpose of this study was to investigate the relationship between job satisfaction and attitude towards nursing care at Mzuzu Central Hospital in Mzuzu, Malawi. METHODS This was a descriptive correlational study. Eighty-nine nurses were selected using simple random sampling. A self-administered questionnaire was used to collect data. Data were analysed using Stata (version 12). Frequencies, means, and standard deviations were used to summarise sociodemographic data and also to determine job satisfaction and attitudes towards nursing care among the participants. Independent t-tests were used to determine if differences in professional qualifications, job title, work experience, or the clinical setting in which the nurses worked were associated with differences in job satisfaction and attitude. Pearson's product-moment correlation was used to determine the relationship between job satisfaction and attitude in the study sample. RESULTS The nurses who participated in this study generally had positive attitudes towards nursing care and were moderately satisfied with their jobs. There was a significant variation in attitude depending on the amount of time a nurse worked at a particular post (P = 0.0308), as well as the amount of time a nurse had worked at the hospital (P = 0.0012). There was a significant positive relationship between job satisfaction and attitude (r = 0.226, P = 0.033). CONCLUSIONS The nurses in the study sample were moderately satisified with their work and generally had positive attitudes towards nursing care. There was a positive correlation between attitude towards nursing care and job satisfaction. Addressing factors which dissatisfy nurses can promote nurses' attitudes and likely improve performance and patient care.
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Affiliation(s)
- Maloni Nyirenda
- Department of Nursing Sciences, School of Medicine, University of Zambia
| | - Patricia Mukwato
- Department of Nursing Sciences, School of Medicine, University of Zambia
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Kim S, Bochatay N, Relyea-Chew A, Buttrick E, Amdahl C, Kim L, Frans E, Mossanen M, Khandekar A, Fehr R, Lee YM. Individual, interpersonal, and organisational factors of healthcare conflict: A scoping review. J Interprof Care 2017; 31:282-290. [PMID: 28276847 DOI: 10.1080/13561820.2016.1272558] [Citation(s) in RCA: 59] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Unresolved conflicts among healthcare professionals can lead to difficult patient care consequences. This scoping review examines the current healthcare literature that reported sources and consequences of conflict associated with individual, interpersonal, and organisational factors. We identified 99 articles published between 2001 and 2015 from PubMed, Cumulative Index to Nursing and Allied Health Literature, and Excerpta Medical Database. Most reviewed studies relied on healthcare professionals' perceptions and beliefs associated with conflict sources and consequences, with few studies reporting behavioural or organisational change outcomes. Individual conflict sources included personal traits, such as self-focus, self-esteem, or worldview, as well as individuals' conflict management styles. These conflicts posed threats to one's physical, mental, and emotional health and to one's ability to perform at work. Interpersonal dynamics were hampered by colleagues' uncivil behaviours, such as low degree of support, to more destructive behaviours including bullying or humiliation. Perceptions of disrespectful working environment and weakened team collaboration were the main interpersonal conflict consequences. Organisational conflict sources included ambiguity in professional roles, scope of practice, reporting structure, or workflows, negatively affecting healthcare professionals' job satisfactions and intent to stay. Future inquiries into healthcare conflict research may target the following: shifting from research involving single professions to multiple professions; dissemination of studies via journals that promote interprofessional research; inquiries into the roles of unconscious or implicit bias, or psychological capital (i.e., resilience) in healthcare conflict; and diversification of data sources to include hospital or clinic data with implications for conflict sources.
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Affiliation(s)
- Sara Kim
- a Department of Surgery , University of Washington , Seattle , Washington , USA
| | - Naike Bochatay
- b Unit of Development and Research in Medical Education, Faculty of Medicine , University of Geneva , Geneva , Switzerland
| | | | - Elizabeth Buttrick
- a Department of Surgery , University of Washington , Seattle , Washington , USA
| | - Chris Amdahl
- d University of Washington , Seattle , Washington , USA
| | - Laura Kim
- e Compensation & Pension , Loma Linda VA Healthcare System , Loma Linda , California , USA
| | - Elise Frans
- f Wound and Ostomy , University of Washington Medical Center , Seattle , Washington , USA
| | - Matthew Mossanen
- g Department of Urology , University of Washington , Seattle , Washington , USA
| | | | - Ryan Fehr
- h Foster School of Business , University of Washington , Seattle , Washington , USA
| | - Young-Mee Lee
- i Department of Medical Humanities , Korea University College of Medicine , Seoul , South Korea
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Conflict management styles among Iranian critical care nursing staff: a cross-sectional study. Dimens Crit Care Nurs 2016; 34:140-5. [PMID: 25840129 DOI: 10.1097/dcc.0000000000000106] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Conflict among nurses has been recognized as an extremely important issue within health care settings throughout the world. Identifying the conflict management style would be a key strategy for conflict management. OBJECTIVE The aim of this study was to evaluate the prevalence of conflict management styles and its related factors among Iranian critical care nursing staff. METHODS In a descriptive cross-sectional study, a total of 149 critical care nurses who worked in the critical care units of 4 teaching hospitals in Sari (Iran) were evaluated. A 2-part self-reported questionnaire including personal information and Rahim Organizational Conflict Inventory II was used for data collection. RESULTS Although Iranian critical care nurses used all 5 conflict management styles to manage conflict with their peers, the collaborating style was the most prevalent conflict management style used by them, followed by compromising, accommodating, avoiding, and competing. Male gender was a predictor for both compromising and competing styles, whereas position and shift time were significant predictors for compromising and competing styles, respectively. DISCUSSION Based on the results of this study, nurse managers need to take these factors into account in designing programs to help nurses constructively manage unavoidable conflicts in health care setting.
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Maddineshat M, Rosenstein AH, Akaberi A, Tabatabaeichehr M. Disruptive Behaviors in an Emergency Department: the Perspective of Physicians and Nurses. J Caring Sci 2016; 5:241-249. [PMID: 27752490 PMCID: PMC5045958 DOI: 10.15171/jcs.2016.026] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2015] [Accepted: 12/18/2015] [Indexed: 11/24/2022] Open
Abstract
Introduction: Disruptive behaviors cause many problems in
the workplace, especially in the emergency department (ED).This study was conducted to
assess the physician’s and nurse’s perspective toward disruptive behaviors in the
emergency department. Methods: In this cross-sectional study a total of 45
physicians and 110 nurses working in the emergency department of five general hospitals in
Bojnurd participated. Data were collected using a translated, changed, and validated
questionnaire (25 item). The collected data were analyzed by SPSS ver.13 software. Results: Findings showed that physicians gave more
importance to nurse-physician relationships in the ED when compared to nurses’ perspective
(90% vs. 70%). In this study, 81% of physicians and 52% of nurses exhibited disruptive
behaviors. According to the participants these behaviors could result in adverse outcomes,
such as stress (97%), job dissatisfaction and can compromise patient safety (53%), quality
of care (72%), and errors (70%). Conclusion: Disruptive behaviors could have a negative
effects on relationships and collaboration among medical staffs, and on patients’ quality
of care as well. It is essential to provide some practical strategies for prevention of
these behaviors.
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Affiliation(s)
- Maryam Maddineshat
- Department of Nursing, Nursing and Midwifery Faculty, Addiction and Behavioral Sciences Research Center, North Khorasan University of Medical Sciences, Bojnurd, Iran
| | - Alan H Rosenstein
- Practicing Internist, Medical Consultant in Health Care Management, San Francisco, California, USA
| | - Arash Akaberi
- Statistical Consultant, Sabzevar University of Medical Sciences, Sabzevar, Iran and Biostatistician at McGill University, Montreal, Canada
| | - Mahbubeh Tabatabaeichehr
- Department of Midwifery, Nursing and Midwifery Faculty, North Khorasan University of Medical Sciences, Bojnurd, Iran
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Negarandeh R, Dehghan-Nayeri N, Ghasemi E. Motivating factors among Iranian nurses. IRANIAN JOURNAL OF NURSING AND MIDWIFERY RESEARCH 2015; 20:436-41. [PMID: 26257797 PMCID: PMC4525340 DOI: 10.4103/1735-9066.161011] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/23/2014] [Accepted: 12/24/2014] [Indexed: 11/04/2022]
Abstract
BACKGROUND One of the most important challenges of Iranian health care system is "quality of care," and it is assumed that motivated nurses are more ready to provide better care. There are limited studies investigating Iranian nurses' motivations; however, factors which motivate them have not been studied yet. Identifying the motivating factors enables nurse managers to inspire nurses for continuous quality improvement. The aim of this study was to identify motivating factors for Iranian hospital nurses. MATERIALS AND METHODS This is a cross-sectional descriptive study in which 310 nurses working at 14 hospitals of Tehran University of Medical Sciences were selected by proportionate stratified random sampling. Data were collected in 2010 by a researcher-developed questionnaire. Descriptive statistics and independent t-test, analysis of variance, Tukey post-hoc test, Chi-Square and Fisher's exact test were used for statistical analysis by Statistical Package for Social Sciences (SPSS) version 16. RESULTS The mean score of motivation was 90.53 ± 10.76 (range: 59-121). Four motivating factors including "career development" (22.63 ± 5.66), "job characteristics" (34.29 ± 4), "job authority" (18.48 ± 2.79), and "recognition" (15.12 ± 2.5) were recognized. The least mean of the motivation score, considering the number of items, was 3.23 for career development, while the highest mean was 3.81 for job characteristics. CONCLUSIONS The findings showed that motivation of nurses was at a medium level, which calls for improvement. The factors that have the greatest potential to motivate nurses were identified in this study and they can help managers to achieve the goal of continuous quality improvement.
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Affiliation(s)
- Reza Negarandeh
- Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, Iran
| | - Nahid Dehghan-Nayeri
- Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, Iran
| | - Elham Ghasemi
- Nursing and Midwifery Care Research Center, Tehran University of Medical Sciences, Tehran, Iran
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Daneshkohan A, Zarei E, Mansouri T, Maajani K, Ghasemi MS, Rezaeian M. Factors affecting job motivation among health workers: a study from Iran. Glob J Health Sci 2014; 7:153-60. [PMID: 25948438 PMCID: PMC4802073 DOI: 10.5539/gjhs.v7n3p153] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2014] [Accepted: 11/26/2014] [Indexed: 01/09/2023] Open
Abstract
OBJECTIVE Human resources are the most vital resource of any organizations which determine how other resources are used to accomplish organizational goals. This research aimed to identity factors affecting health workers' motivation in Shahid Beheshti University of Medical Sciences (SBUMS). METHOD This is a cross-sectional survey conducted with participation of 212 health workers of Tehran health centers in November and December 2011. The data collection tool was a researcher-developed questionnaire that included 17 motivating factors and 6 demotivating factors and 8 questions to assess the current status of some factors. Validity and reliability of the tool were confirmed. Data were analyzed with descriptive and analytical statistical tests. RESULTS The main motivating factors for health workers were good management, supervisors and managers' support and good working relationship with colleagues. On the other hand, unfair treatment, poor management and lack of appreciation were the main demotivating factors. Furthermore, 47.2% of health workers believed that existing schemes for supervision were unhelpful in improving their performance. CONCLUSIONS Strengthening management capacities in health services can increase job motivation and improve health workers' performance. The findings suggests that special attention should be paid to some aspects such as management competencies, social support in the workplace, treating employees fairly and performance management practices, especially supervision and performance appraisal.
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Manoochehri H, Lolaty HA, Hassani P, Arbon P, Shorofi SA. Iranian senior nursing managers' experiences and understanding of social capital in the nursing profession. IRANIAN JOURNAL OF NURSING AND MIDWIFERY RESEARCH 2014; 19:464-72. [PMID: 25400673 PMCID: PMC4223962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/22/2013] [Accepted: 11/25/2013] [Indexed: 10/27/2022]
Abstract
BACKGROUND This study aimed to explore the role of social capital within the context of the nursing profession in Iran, based on the experience and perspectives of senior nursing managers. MATERIALS AND METHODS The study was conducted using the Graneheim and Lundman content analysis method. Using purposive sampling, 26 senior nursing managers from the Ministry of Health and Medical Education, the College of Nursing and Midwifery, the Iranian Nursing Organization, nursing associations and hospitals were selected, who participated in semi-structured in-depth interviews. RESULTS Content analysis revealed three main themes (social capital deficit, applying multiple strategies, and cultivating social capital) as well as eight categories which included professional remoteness, deficiency in professional potency, deficiency in professional exchanges, accumulation of personal social capital, accumulation of professional social capital, socio-political strategies, psychological-cognitive strategies, and ethical/spiritual strategies. The results show the perceived level of social capital in nursing in Iran, the application of some key strategies, and the principal rewards accrued from active participation in improving the social capital in nursing environment and profession. CONCLUSIONS Efforts should be made to strengthen the social capital and apply key strategies with the aim of achieving personal and professional benefits for nurses, their patients, and co-workers, and for the delivery of healthcare in general. In this respect, the role of senior managers is vital in stimulating collective action within the profession, planning for the development of a culture of participation in healthcare services, helping to develop all fields of the profession, and developing and strengthening intra- and inter-professional exchanges and networking.
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Affiliation(s)
- Houman Manoochehri
- Department of Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Hamideh Azimi Lolaty
- Department of Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran,Address for correspondence: Dr. Hamideh Azimi Lolaty, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Vali-Asr Street, Next to Niyayesh Highway, Tehran, Iran. E-mail:
| | - Parkhideh Hassani
- Department of Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Paul Arbon
- World Association for Disaster and Emergency Medicine (President), School of Nursing and Midwifery, Flinders University, Adelaide, Australia
| | - Seyed Afshin Shorofi
- Department of Nursing, School of Nursing and Midwifery, Mazandaran University of Medical Sciences Sari, Iran
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Zarea K, Nikbakht-Nasrabadi A, Abbaszadeh A, Mohammadpour A. Psychiatric nursing as 'different' care: experience of Iranian mental health nurses in inpatient psychiatric wards. J Psychiatr Ment Health Nurs 2013; 20:124-33. [PMID: 22384949 DOI: 10.1111/j.1365-2850.2012.01891.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Patients with mental illness require unique and specific care. The purpose of this study was to explore the experiences of nurses, who provide such care for mentally ill people, within the context of Iranian culture. This hermeneutic phenomenological study was carried out in a university-affiliated hospital in an urban area of Iran. We interviewed 10 mental health nurses to capture in detail their experiences in psychiatric units, and the approach developed by Diekelmann et al. was employed to analyse the data. Four themes and five sub-themes were identified: 'being engaged with patients' (sub-themes: 'struggle for monitor/control', 'safety/security concerns', 'supporting physiological and emotional needs'), 'being competent', 'altruistic care' and 'facing difficulties and challenges' (sub-themes: 'socio-cultural' and 'organizational challenges'). The results provide valuable insights and greater understanding of the professional experiences of psychiatric nurses in Iran, and indicate the need for a stable and responsible organizational structure for those nurses who are expected to manage patient care in psychiatric wards.
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Affiliation(s)
- K Zarea
- School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
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Effects of a Staff Development Program on Head Nurses’ Communication Skills and Job Satisfaction. Nurs Midwifery Stud 2012. [DOI: 10.5812/nms.8562] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Kaitelidou D, Kontogianni A, Galanis P, Siskou O, Mallidou A, Pavlakis A, Kostagiolas P, Theodorou M, Liaropoulos L. Conflict management and job satisfaction in paediatric hospitals in Greece. J Nurs Manag 2011; 20:571-8. [PMID: 22591158 DOI: 10.1111/j.1365-2834.2011.01196.x] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
AIM To assess the major causes of conflict and to identify choices of strategy in handling conflicts. BACKGROUND Conflict is inherent to hospitals as in all complex organizations, and health personnel deal with internal and external conflicts daily. METHODS The sample consisted of 286 participants. A five-part questionnaire, specific for conflicts in hospitals, was administered to health personnel. RESULTS Of the participants 37% were physicians and 63% were nurses and nursing assistants. As far as choice of strategy in conflict management is concerned, avoidance was found to be the most frequent mode chosen while accommodation was the least frequent mode. Organizational problems were the main issue creating conflicts since 52% of nurses and 45% of physicians agreed that receiving direction from more than one manager may lead to conflicts (P=0.02). Educational differences and communication gaps were reported as another cause of conflicts, with nurses supporting this statement more than the other groups (P=0.006). CONCLUSION To become effective in conflict management nurses and physicians must understand causes and strategies in handling conflicts. IMPLICATIONS FOR NURSING MANAGEMENT Major changes are needed regarding human resource management, work incentives and dynamics of teamwork in order to improve working conditions in Greek public hospitals.
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Pavlakis A, Kaitelidou D, Theodorou M, Galanis P, Sourtzi P, Siskou O. Conflict management in public hospitals: the Cyprus case. Int Nurs Rev 2011; 58:242-8. [PMID: 21554299 DOI: 10.1111/j.1466-7657.2011.00880.x] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND Conflict among health-care personnel has been identified as an issue within health-care settings around the world. AIM To investigate the existence and management of conflict among health-care personnel in public hospitals in Cyprus; to assess the factors leading to conflict among staff members; to evaluate the consequences of conflict arising; and to consider the management strategies. METHODS A self-administered questionnaire was completed by a random sample of 1037 health-care professionals in all (seven) state-run hospitals in Cyprus in 2008. RESULTS Mean age of respondents was 41 years, and 75% were female. Sixty-four per cent of respondents reported that they had never been informed about conflict management strategies, with physicians being the least informed as the relative percentage was 79.8% (χ(2) = 33, P < 0.001). Sixty per cent of health-care professionals reported conflict at work with other health-care personnel one to five times per week, and 37% of the respondents stated that they devote 90 min (mean value) from work during their shift in conflict resolution, meaning that managing conflicts may absorb 19% of working time daily. The majority of respondents agreed that organizational problems and communication gaps were the main issues creating conflict. Avoidance and collaboration were the preferable strategies for conflict resolution, used by 36.6% and 37.5% of the respondents, respectively. CONCLUSION Better communication, fair management practices and clear job descriptions and expectations may be needed in order to facilitate change and reverse the negative atmosphere that exists. Further education in conflict management for physicians, nurses and their managers may also be needed.
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Zakari N, Al Khamis N, Hamadi H. Conflict and professionalism: perceptions among nurses in Saudi Arabia. Int Nurs Rev 2010; 57:297-304. [DOI: 10.1111/j.1466-7657.2009.00764.x] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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