MANAGING CONFLICT RESOLUTION2 Managing Conflict Resolution Introduction Conflicts are frequent incidences in health facilities owing to the diversity of nurses in terms of; backgrounds, values, and priorities (Higazee, 2015 p.3). As opposed to the ordinary stereotype that conflicts result in negative outcomes, nurses should exploit conflicts as the premises for enhancing cohesion and boosting the quality of healthcare. Many times, a graduate registered nurse can find himself or herself in the center of conflicts because of the complications associated with adapting to the clinical environment (Lahana et al, 2019 p.35). Conflicts among graduate registered nurses are commonly caused by overwhelming tasks, miscommunication, and flawed ethical regulations in a healthcare facility. In this paper, a discussion is provided detailing the strategies which can be applied to solve such intra- professional conflicts in a health facility. Intra-Professional Conflict Situations in a Clinical Environment Conflict can be described as a serious dispute between two or more parties (Sili et al, 2014 p.17). The motivations for such conflicts might be varied and the resulting outcomes can either be constructive or destructive. On the other hand, intra-professional conflict refers to disagreements which arise between parties within the same profession (Higazee, 2015). In common practice, intra-professional conflicts occur in organizations such as health facilities, schools, and companies. In the context of clinical environments, intra-professional conflicts are common among graduate registered nurses and their senior counterparts (Jung & Kang, 2014 p.345). Some of the prevalent sources of such altercations include; communication problems among nurses, flaws in the organizational structure of a health facility, roles disputes, inadequacy of medical resources, frequent misunderstandings, and general lack of professional commitment (Cherry & Jacob, 2016 p.39).
MANAGING CONFLICT RESOLUTION3 How Conflicts Influence and Impact Nursing Teams Intra-professional conflicts are inevitable in any health facility. As such, it is preferable for the hospital administrators to implement strategies which can be exploited to achieve collaboration and assertiveness whenever such conflicts occur (Chan, Sit & Lau, 2014 p.936). In so doing, a graduate registered nurse who experiences intra-professional conflicts in his or her health facility can be impacted in the following ways. Firstly, the conflicts can lead to proper distinction of ambiguous roles which have been causing endless conflicts within the health facility (Chan, Sit & Lau, 2014 p.937). Secondly, conflicts can expose the flaws in the communication system of a health organization thereby facilitating the implementation a new reliable network (Jimenez-Herrera & Axelsson, 2015 p.549). This can enhance efficient communication thereby promoting conflict resolution among the disputing nurses. Thirdly, conflicts among graduate registered nurses can help in solving contentions which normally occur due to varying ambitions among the health workers (Shacklock & Brunetto, 2012 p.37). Lastly, intra-professional disputes in clinical environments can expose unethical behaviours in a health facility thereby necessitating a call for action. This can include the establishment of a properly defined code of ethics to guide the operations of a hospital. Strategies for Managing Conflict There are two preferential strategies for solving conflicts in a clinical environment namely; collaboration and accommodating. To start with, collaboration is a conflict management technique which leads to a win-win situation (Clark, Ahten & Macy, 2014 p.427). Collaboration is widely recognized as a reasonable and harmonious strategy of resolving conflicts among graduate registered nurses because it eliminates frustrations and anger (Clark, Ahten & Macy, 2014 p.430). In this strategy, the feelings and desires of the
MANAGING CONFLICT RESOLUTION4 conflicting nurses are taken into consideration and evaluated intensively before setting new goals which are mutually agreed by the involved nurses. Collaboration is considered as an advanced method of conflict resolution because it works to maximize cooperation and assertiveness among the disagreeing nurses (Elena & Becerro, 2012 p.74). When implemented, collaboration ensures that all the interests of the conflicting nurses are evaluated and that a common goal is attained. Accordingly, collaboration promotes cohesion by objectively analysing the differing opinions of each nurse (Hartog & Benbenishty, 2015 p.331). Such objectivity eliminates bias and prejudice which might influence undue favour to one of the conflicting nurses. In other words, collaboration allows each nurse to maintain his or her assertiveness while also working towards a common goal (Hartog & Benbenishty, 2015 p.332). Secondly, a graduate registered nurse can rely on a strategy called accommodating. This is whereby, one nurse relents to the wishes or instructions of his or her colleague while promising to continue working together (Almost et al, 2016 p.1493). When a nurse is implementing the strategy of accommodating, he or she is expected to be more collaborative and less assertive. Therefore, conflict resolution is enhanced when the graduate registered nurse accepts the demands of another nurse as a way of fostering collaboration and cohesion in a health facility (Hart, Brannan & De Chesnay, 2014 p.276). While applying this technique, a graduate registered nurse is expected to observe a high level of care so that he or she does not become overly submissive. This is because, when a particular threshold is surpassed, the relenting nurse becomes suppressed to the extent of being inferior to his or her colleagues. Accommodating is a very gracious strategy because it helps a nurse to realize his or her mistakes. The submitting nurse accepts his or her faults and promises to combine efforts
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MANAGING CONFLICT RESOLUTION5 with other members of staff hence improving the quality of healthcare (Labrague & McEnroe–Petitte, 2017 p.47). However, this method is not entirely beneficial because sometimes, a graduate registered nurse might be compelled to admit to the demands of another nurse even if the conditions are against his or her will (Lux, Hutcheson & Peden, 2014 p.39). In this case, a situation arises whereby the submitting nurse is collaborative but not assertive. The situation can give autonomous power to the commanding nurse while overshadowing the opinions of a graduate registered nurse (Lux, Hutcheson & Peden, 2014 p.40). Therefore, the conflicting nurses are expected to maintain reasonable level of care when accommodating the opinion of others so that hospital operations can continue harmoniously without infringing the role of another. Conclusion From the discussion, it was noted that conflicts are very common incidences in clinical environments due to the diversity of nurses in terms of backgrounds, values, and priorities. While conflicts are always perceived negatively, they should be utilized as premises for understanding the root causes of disagreements thereby formulating cohesion and strategies of promoting the quality of healthcare in a health facility. Accordingly, it was observed that conflicts occur due to; communication problems among nurses, flaws in the organizational system, roles disputes, inadequacy of medical resources, and frequent misunderstandings. The discussion also highlighted that conflict resolution can enhance; proper distinction of ambiguous roles, identification of the flaws in the communication system, and exposure of unethical behaviours in a health facility. Finally, two strategies of conflict resolution were discussed as; firstly, collaboration because it eliminates frustrations and anger while taking into consideration the feelings or desires of the conflicting parties. Secondly, accommodating was chosen because this strategy enhances harmony and
MANAGING CONFLICT RESOLUTION6 collaboration in a health facility, especially where a graduate registered nurse realizes that he or she is wrong.
MANAGING CONFLICT RESOLUTION7 References Almost, J., Wolff, A. C., Stewart‐Pyne, A., McCormick, L. G., Strachan, D., & D'souza, C. (2016). Managing and mitigating conflict in healthcare teams: an integrative review. Journal of advanced nursing, 72(7), 1490-1505. Retrieved from https://doi.org/10.1111/jan.12903 Chan, J. C., Sit, E. N., & Lau, W. M. (2014). Conflict management styles, emotional intelligence and implicit theories of personality of nursing students: A cross- sectional study.Nurse education today, 34(6), 934-939. Retrieved from https://doi.org/10.1108/10444061011037387 Cherry, B., & Jacob, S. R. (2016).Contemporary nursing: Issues, trends, & management. Elsevier Health Sciences. Retrieved from https://www.elsevier.com/books/contemporary-nursing/cherry/978-0-323-39022-4 Clark, C. M., Ahten, S. M., & Macy, R. (2014). Nursing graduates' ability to address incivility: Kirkpatrick's level-3 evaluation.Clinical simulation in nursing, 10(8), 425-431. Retrieved fromhttps://doi.org/10.1016/j.ecns.2014.04.005 Elena Losa Iglesias, M., & Becerro de Bengoa Vallejo, R. (2012). Conflict resolution styles in the nursing profession.Contemporary nurse, 43(1), 73-80. Retrieved from https://doi.org/10.5172/conu.2012.43.1.73 Hart, P. L., Brannan, J. D., & De Chesnay, M. (2014). Resilience in nurses: An integrative review.Journal of Nursing Management, 22(6), 720-734. Retrieved from https://doi.org/10.1111/j.1365-2834.2012.01485.x
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