الفهرس | Only 14 pages are availabe for public view |
Abstract Health care teams consist of members from different professions and disciplines. The two most important professions in these teams are the nursing and medical ones. Although they may have different backgrounds they must work together in harmony to provide quality care for their patients. Nonetheless, such differences may be the sources of conflicts, which if excessive may jeopardize the care provided to patients and the wellbeing of health personnel. Hence, the conflict resolution strategies are essential to effectively deal with conflict. This study was aimed at identifying the causes and resolution strategies of conflict between nurses and physicians through identifying the causes of conflict between nurses and physicians from nurses’ point of view, from physicians’ point of view, and identifying conflict resolution strategies used by nurses and physicians. This analytic cross-sectional study was conducted at various surgical departments and intensive care units (ICUs) at El-Demerdash University Hospital. It included 176 full-time staff nurses providing direct patient care, and 186 physicians (residents, specialists and consultants). The data were collected using a self-administered questionnaire with two scales, namely the conflict causes questionnaire with 50 statements on a 5-point Likert scale, and Thomas-Kilmann conflict mode instrument (TKI) with 30 pairs of items (A and B), in addition to a part for participants’ demographic and job characteristics. The tool was pilot-tested on about 10% of the number of nurses and physicians required for the study, and it was finalized accordingly. The total time consumed in the process of data collection was 12 months. The study protocol was approved by the scientific research ethics committee in the Faculty of Nursing at Ain Shams University. The study results revealed the following. Nurses’ age ranged between 22 and 55 years, with a majority of females (75%), and 47.2% having a bachelor degree in nursing. Physicians’ age ranged between 25 and 58 years, with a slightly more males (55.4%), and 66.1% having a postgraduate degree. Nurses’ agreement upon the causes of conflict was significantly higher in all categories except that of workload, which was higher among physicians (93%) compared with nurses (79%); no differences were revealed in the categories of personality differences and level of education. In total, 90.3% of the nurses agreed upon the factors that may cause conflict compared with 70.4% of the physicians (p<0.001). Concerning conflict resolution, the accommodating strategy was the most used by both nurses (38.6%) and physicians (28.5%); the only statistically significant difference was in the compromising strategy, which was higher among physicians (24.2%) compared with nurses (11.9%). Statistically significant relations were revealed between agreement upon causes and the competing resolution strategy among nurses, but with all strategies among physicians except accommodating.Weak statistically positive correlations were revealed between nurses’ agreement and the competing strategy, and a negative correlation with collaborating strategy. A weak statistically negative correlation was found between physicians’ agreement and competing strategy, and positive correlations with collaborating, compromising, and avoiding strategies. Nurses’ qualification correlated positively with their agreement upon conflict causes and negatively with their use of collaborating strategy. For physicians, age correlated negatively with the use of compromising strategy, while qualification and experience correlated positively with their use of competing strategy, and negatively with collaborating and compromising strategies. Multivariate analysis identified being a nurse, older age, female gender, and the more use of compromising strategy as the positive independent predictors of a higher score of agreement upon conflict causes, while more experience years was a negative predictor. |