Abstract

Purpose: To describe results of a baseline assessment of conflict in the workplace and present implications for initiating an intervention program. A national survey (Dewitty et al, 2009) indicated that 53% of nurses reported conflict as "common" or "very common" in the workplace. Conflict situations can lead to poor patient outcomes. To improve patient care quality and safety, a conflict engagement program, developed by the Center for American Nurses (centerforamericannurses.org), was implemented. A first step was to assess staff nurses' perceptions of conflict prevalence and type, and to gain insights into their interpretation of the baseline data.

Methods: Survey Monkey was utilized to distribute the survey to 1,174 staff nurses (52% return rate). In focus groups nurses discussed survey results compared with national data.

Results: Survey results demonstrated that 36% of staff nurses reported conflict as "common" or "very common" with an additional 49% rating conflict as "somewhat common". Hospital nurses reported more conflict than clinic nurses, but there were no generational differences. Conflict occurred most commonly nurse to nurse and between nurse and physician. Focus group data suggested that conflict was narrowly defined as overt confrontation based on past negative experiences, and was more prevalent than reported. The majority of write-in comments (44%) indicated that nurses believed all conflict was negative and should be avoided.

Conclusion: Providing nurses with a clear definition of conflict and examples of positive outcomes when conflict exists are key to preparing for a conflict engagement intervention program. While a low level of conflict appears ideal, conflict can lead to innovation. A clear definition of conflict and understanding of its value may result in higher reports of conflict in the workplace.

Reference: Dewitty, V. P., Osborne, J. W., Friesen, M. A., & Rosenkranz, A. (2009). Workforce conflict: What's the problem? Nursing Management, 40(5), 31-37.

Description

41st Biennial Convention - 29 October-2 November 2011. Theme: People and Knowledge: Connecting for Global Health. Held at the Gaylord Texan Resort & Convention Center.

Author Details

Shirley M. Newberry, PhD, RN; Rebecca L. Inglis MSN, RN; Ana M. Schaper PhD, RN

Sigma Membership

Unknown

Type

Presentation

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Staff Nurse Conflicts, Conflict Engagement Program, Patient Care

Conference Name

41st Biennial Convention

Conference Host

Sigma Theta Tau International

Conference Location

Grapevine, Texas, USA

Conference Year

2011

Rights Holder

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All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Acquisition

Proxy-submission

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Conflict is not common in our workplace

Grapevine, Texas, USA

Purpose: To describe results of a baseline assessment of conflict in the workplace and present implications for initiating an intervention program. A national survey (Dewitty et al, 2009) indicated that 53% of nurses reported conflict as "common" or "very common" in the workplace. Conflict situations can lead to poor patient outcomes. To improve patient care quality and safety, a conflict engagement program, developed by the Center for American Nurses (centerforamericannurses.org), was implemented. A first step was to assess staff nurses' perceptions of conflict prevalence and type, and to gain insights into their interpretation of the baseline data.

Methods: Survey Monkey was utilized to distribute the survey to 1,174 staff nurses (52% return rate). In focus groups nurses discussed survey results compared with national data.

Results: Survey results demonstrated that 36% of staff nurses reported conflict as "common" or "very common" with an additional 49% rating conflict as "somewhat common". Hospital nurses reported more conflict than clinic nurses, but there were no generational differences. Conflict occurred most commonly nurse to nurse and between nurse and physician. Focus group data suggested that conflict was narrowly defined as overt confrontation based on past negative experiences, and was more prevalent than reported. The majority of write-in comments (44%) indicated that nurses believed all conflict was negative and should be avoided.

Conclusion: Providing nurses with a clear definition of conflict and examples of positive outcomes when conflict exists are key to preparing for a conflict engagement intervention program. While a low level of conflict appears ideal, conflict can lead to innovation. A clear definition of conflict and understanding of its value may result in higher reports of conflict in the workplace.

Reference: Dewitty, V. P., Osborne, J. W., Friesen, M. A., & Rosenkranz, A. (2009). Workforce conflict: What's the problem? Nursing Management, 40(5), 31-37.