Nursing Leadership During Conflicts in an Emergency Department

This essay examines the role of nursing leadership in resolving conflicts within an emergency department setting, using a case study involving a 65-year-old patient experiencing cardiac arrest. It details the sources of conflict, including communication gaps, decision-making issues, and insufficient information. The essay explores the responsibilities of a registered nurse as a leader, manager, and care provider, highlighting measures for conflict resolution such as improved communication and engagement between staff, doctors, and patient families. It discusses the application of transformational and transactional leadership styles to manage the situation effectively. The essay analyzes the outcomes of conflict resolution, including improved patient care, staff satisfaction, and enhanced communication skills. It concludes with recommendations for eliminating future conflicts through improved leadership, training, and resource management. The document is available on Desklib, a platform providing AI-powered study tools for students.

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Nursing leadership
Nursing leadership
Nursing leadership during the conflict situation in the organization
JUNE 11, 2019
Student details:

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Nursing leadership
Contents
Introduction......................................................................................................................................2
Nursing leadership during the conflict situation in the organization...............................................3
Explanation of events leading conflict situation..........................................................................3
Explanation about registered nurse position in the organization.................................................4
Description of measures for conflict resolution...........................................................................5
Explanation of leadership styles to resolve a conflict situation...................................................6
Outcomes of the conflict resolution for the patient and the staff................................................7
Description of changes to eliminate similar conflicts..................................................................8
A key recommendation for future aspects...................................................................................9
Conclusion.....................................................................................................................................10
References.....................................................................................................................................11

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Introduction
Conflict situation would be situated in the emergency department during emergencies
like cardiac arrest. These conflicts may arise due to the communication gap, weak decision-
making process, and inappropriate approaches of required treatment and care to the patient and
lack of required information about the situation to the team members and to the family of the
patient. Registered nurse (RN) would play a different role in the healthcare organization like a
manager, care provider, and educator. During the emergencies, many interactions would be done
between nurses, doctors, different members of the healthcare team and with the family members
of the patient where the chances of the conflicts arise. These conflicts became major issues in the
hospitals because these conflicts may lead to a negative environment in the hospitals and
demotivation in the nursing staff (Keer, Deschepper, Francke, Huyghens, & Bilsen, 2015).
This essay will address the situation that would lead to a conflict situation in the
healthcare organization. It would be followed by the explanation of the registered nurse position,
measures for conflict resolution. It would be followed by the explanation of leadership styles
used for the conflict resolution and outcomes of the conflict resolution for patient, staff, and
changes done in the organization to eliminate the similar conflicts. In the key recommendation
would be discussed for the improvement in the conflict resolution for the future aspects.

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Nursing leadership during the conflict situation in the organization
Explanation of events leading conflict situation
Emergency department of healthcare would provide facilities of treatment and care for
emergencies like cardiac arrest. A 65 years old male patient has come to the hospital with having
symptoms of unconsciousness, lack of breathing, no pulse, and collapse. When he has come to
the hospital, I have situated as a registered nurse in the emergency department of that hospital.
He has suggested for ECG and cardiac computed tomography (CT) for diagnosing the exact
situation of his health. Then cardiac arrest has diagnosed during the ECG, and cardiac CT of the
patient (Herman, et al., 2016).
Doctors and nursing staff members have shared their responsibilities to provide treatment
and care to the patient to provide a positive result in the health of the patient. However, the
situation in the emergency department has gone changed due to the conflicts between doctors
and nursing staff members, inside the individuals of the nursing staff and the families of a patient
with nursing staff members. Communication gap, inappropriate approaches to deal with the
situation and insufficient information has led to these conflicts. Conflict situation between the
nursing staff and doctors have taken place due to the improper communication that has led to the
unclear decision passing and ambiguity of role to the nursing staff and provides
misunderstanding about required information about the patient treatment. It has led to low-
quality treatment and cares to the patient due to conflicts (Jerng, et al., 2017).
Due to poor leadership and management skills, RN has not able to provide a high quality
of decision-making process and poor communication has led to the misunderstanding during

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treatment and care to provide time, which has led to conflict with nursing staff members
(Jimenez-Herrera & Axelsson, 2014).
Insufficient information passing and poor communication have led to the stress and
anxiety to the family of the patient due to the fear of losing a patient. This has led to the conflict
situation between the family of the patient and the individuals of the nursing staff. These
conflicts in the emergency department have led to ineffectiveness in the patient-centered holistic
nursing care provided by the nursing staff members and patient has gotten low-quality treatment.
Nursing staff members have gotten demotivated, unsupported and unsatisfied with their jobs
(Wolf, et al., 2016).
Explanation about registered nurse position in the organization
In the emergency, the registered nurse has worked as a leader, manager and care
provider. RN has led the individuals of the nursing staff during the treatment and care-providing
time. RN has led the nursing staff members by providing high-quality decision-making process
by using innovative approaches. RN has provided patient-centered holistic nursing care
approaches at a social, physical and mental level for the positive results in the health situation of
the patient. A registered nurse has provided quick intervention and assessment to deal with the
emergence of the patient (Woo, Lee, & Tam, 2017).
RN has dealt with the conflicts inside the organizations so that RN has enabled to provide
a positive environment in the organization. For managing conflicts, RN has provided effective
leadership to provide motivation, support, and opportunities to their nursing staff members. By
managing conflicts, RN has enabled their nursing staff members to provide high-quality care and
treatment to the patient. RN has led to provide engagement between doctors and staff

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collectively and provide development in their working efficiency of providing care and treatment
(Johansen & Cadmus, 2015).
They have provided management like measuring vital signs, providing therapies during
the treatment and care at the required time for the patient having a cardiac arrest. They have
provided support to their staff members in the management for the improvement in the health of
the patient and to minimize the cost of supportive treatment during the care and treatment of the
patient (Hamilton, Tran, & Jamieson, 2016).
Description of measures for conflict resolution
For providing a positive environment in the emergency department, conflict resolution
has to be very important. For providing high-quality decision-making processes in the
emergency, RN has provided high-quality management and leadership. RN has provided high-
quality decision-making processes to provide support and motivation to the nursing staff
members to quickly deal with the situation of the patient. RN has provided management for
minimizing the communication gap between the doctors, individuals of nursing staff and the
family of the patient (Endacott, et al., 2014).
To minimize communication gap, RN has provided effective communication skills
during the management and the leadership. A registered nurse has provided engagement between
doctors and nursing staff member to enhance the understanding between them. RN has managed
the engagement of the doctors and nursing staff so that I have abled to engage with each other by
providing efficient information about the care, treatment, and consequences of treatment with
each other effectively (Chan, Bakewell, Orlich, & Sherbino, 2014).

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RN has provided high-quality communication to build trust between the emergency care
staff and the family of the patient. For this, the RN has provided all necessary information to the
family of the patient by providing effective communication with them. RN has also provided
motivation and support to cope with the situation effectively without being stressed and anxious.
I have to lead them to provide help during effective patient-centered care and holistic nursing
approach at spiritual, social, physical and mental level to provide effective results to the patient
(Lauria, et al., 2017).
Explanation of leadership styles to resolve a conflict situation
To deal with the emergence of the patient having cardiac arrest transformational and
transactional leadership has used by the registered nurse. RN has the ability to encourage the
nursing staff members to use high-level thoughts through their values. RN has provided
leadership to enhance the interest of the individuals of the nursing staff to deal with the
emergency effectively. RN has the capability to communicate effectively by using
transformational leadership skills and his the ability to transfer high-quality decisions during the
emergency. By the effective communication skills, RN has the ability to transfer all required
information about the patient to their family members. RN has provided motivation and support
to the nursing staff members to provide effective working efficiency at the time of emergency.
RN has the ability to engage members of nursing staff during the emergency without any
conflicts between them. RN has the capability to maintain trust and engagement between the
family of the patient and the complete staff of the emergency department (Cope & Murray,
2017).
By using transactional leadership, RN has the ability to lead the nursing staff members by
providing motivation and support. RN has the ability to provide power to nursing staff members

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to take decision by using effective leading and managing skills. RN has provided leadership to
reward the work of the nursing staff members, which has enhanced motivation in the nursing
staff members during the emergency. RN has provided a quick decision by using transactional
leadership. RN has provided inspiration to the nursing staff members to cope with the emergency
for positive results (Alharbi, 2017).
Outcomes of the conflict resolution for the patient and the staff
Resolution of the conflicts between the doctors, nursing staff members and the family of
the patient has led to the positive environment in the hospitals. The positive environment inside
the emergency department has led to positive results in the health of the patient. These positive
results have led by providing effective patient-centered nursing care to the patient by the help of
the nursing staff members. The patient was treated with innovative approaches like holistic
approaches. The affordable cost of the treatment has provided to the patient. To provide the best
outcomes to the patient, the nursing staff members to treat the patient so that the patient has
gotten the best treatment and care during emergency have used the best decision-making process.
Nursing staff members have gotten enhanced communication and management skills so that they
have the ability to communicate effectively with the doctors and the family of the patient. They
have provided all the required information about the patient by the doctors. They have engaged
with each other in the nursing staff and with doctors (Dietz, et al., 2014).
Nursing staff members have gotten the ability to get high quality of decision-making and
leadership by the RN. By the help of effective leadership and decision-making, nursing staff
members have gained high quality in their working efficiency during the emergency. They have
provided motivated and supported during the emergency by the RN. They have provided
engagement with the doctors, individuals of the nursing staff and the family of the nursing staff.

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Due to the engagement with each other, they have provided all the efficient information about
the patient so that they have the ability to deliver needed treatment and care to the patient. By
providing all required information to the family of the patient and effective communication
skills, they have the ability to build trust between the family of the patient and emergency staff
members. They have the ability to get satisfied with their job (Turkelson, Aebersold, Redman, &
Tschannen, 2017).
Description of changes to eliminate similar conflicts
A registered nurse has provided proper management in the emergency department to
manage all the required instruments like ECG, vital sign measuring instruments so that they
would not have any conflicts due to lack of required technology. They have provided
contamination and infection free environment in the emergency so that they have the ability to
prevent other infectious diseases to the patient and nursing staff members have to focus only on a
particular disease treatment effectively (Otolorin, Gomez, Currie, Thapa, & Dao, 2015).
RN has enhanced their leadership skills so that they have knowledge of emerging
conflicts during an emergency. They have provided practice to deal with similar emergency
practices so that they have enhanced the ability to deal with a similar emergency and have
provided positive results without having conflicts in the emergency department individuals. They
have provided effective educational training and campaign timely so that they have provided
knowledge about the situations, which may lead to similar types of emergency for the patient. By
understanding the situations leading the emergencies to the patient, they have the ability to being
capable to deal with similar situations in the emergency department without leading any conflicts
(Johansen, 2012).

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They have provided guidelines having rules like everyone should have to pay respect and
listen to each other, and everyone has the ability to state their views, requirements, and feelings
in front of others. They have to provide compromise and collaboration with each other (Douma,
Drake, O'Dochartaigh, & Smith, 2016).
A key recommendation for future aspects
To manage the conflicts for future prevention, it has to be provided effective management
and communication skills to the nurses and doctors so that they have the ability to provide
effective communication to understand each other. They would have to provide effective
leadership skills to provide an effective decision-making process. They have to work without
being affected by the conflicted situation in the emergency department. They have to maintain
trust between each other. They have to maintain eye communication to provide an understanding
of getting every decision provided by the RN (Grover, Porter, & Morphet, 2017).
They have to work on the situation of emergency on their position in the emergency
department so that they would be able to provide efficient work with collaboration. They have to
be responsive towards the situation as per the condition as an emotional situation would have to
be deal with the emotional response. They have to deal with the one situation at one time, which
demand the treatment and care at higher priority so that conflicts would be avoided (Husebo &
Olsen, 2016). They have to provide an evaluation of their approaches to the problem-solving
processes after providing an implementation of those activities. They would have to get feedback
at the time of providing communication about decision-making processes. They to enhance their
ethical values and to provide innovative approaches like holistic nursing care during the
treatment (Enns & Sawatzky, 2016).

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Conclusion
From the above discussion, I have concluded that the emergency department would have
to deal with different kind of emergencies like cardiac arrest. With the emergence of these
emergencies, many other diseases may take place so the emergency staff would have to deal with
the situation, which needed prior treatment and care. Registered nurses have play roles of leader,
manager and care provider to the nursing staff member during the emergencies. During these
situations, conflicts may take place between the doctors, nursing staff members, and the family
of the patient. These conflicts situations would take place due to the lack of communication
skills, management skills, inappropriate decision-making process and lack of required
information about the patient.
Therefore, registered nurses have to provide effective management, communication, and
leadership skills during the emergency to prevent conflicts and to provide positive results in the
health of the patient. For the positive results, they have to provide patient-centered holistic
nursing care approach so that they would be able to provide satisfaction to the patient. They have
to provide motivation and support to the patient to provide efficient treatment and care. They
would have to provide engagement between the doctors, nursing staff member and family of the
patient to provide effective communication. They would have to provide educational training and
campaign about the emergency so that they would be able to deal with similar situations without
conflicts. They have maintained engagement between the family of the patient and emergency
staff by providing effective communication and by building trust between them.