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ConflictandCollaboration

Conflictisanormalresultofinteractingwithothers,andmostofushaveneverlearned
howtopreventconflictsoitkeepsescalating.Conflictmayarisefromdifferencesin
opinionregardingpatientcarerequirements,orfromlongstandinghierarchical
relationshipofphysiciandominanceandnursingsubservience.Differencescannotbe
resolvedunlessnursesandphysiciansacknowledgethatdifferenceexistintheir
practice.Thedifferencesthatmaycauseconflictmaybeduetoculture,gender,andto
someextentperceiveddifferencesinpowerbase.Physicianssometimesgetona
powertrip,andtreatnursesandaidesliketheyarenobodyandsomephysiciansact
liketheyarebetterthantherestofthestaffinthemedicalfacility.Physiciansabuse
oftenincludeanabundanceofselfesteem,andlackofunderstandingofnursesreal
roleinpatientcare.85%ofhealthcareworkersexperienceoffensiveanddisruptive
behaviorinworkplace.Themostcommonandproblematictypeofconflictinthe
workplaceisinterpersonalconflicts.
Theconflictsmayrangefromdisagreementsto
majorcontroversiesthatmayleadtolitigationorviolence.Conflictshaveanadverse
effectonproductivity,morale,andpatientcare.Theymayresultinhighemployee
turnoverandcertainlylimitstaffcontributionsandimpedeefficiency.

Conflictsmayexist
betweenphysicians,betweenphysiciansandnurses,andbetweenthenursesorthe
healthcareteamandthepatientorpatient's

family
.
Patientsandpatientfamiliesbegin
tofeeltheconflictbetweenthenurseandphysicianbecauseofthepoorpatientcare
andthelackofconcernforthepatient.

Theabuseamongnursesandphysiciansand

healthcareteamcantaketheformof
demeaningattitude,ridicule,offcolorjokes,
sexualharassment,andphysicalviolenceareformsofabusethatariseoutofconflict.
In
reality,aworkplaceisoneplacewherepeoplecanbenasty,difficult,dysfunctionaland
downrightbrutishandyoustillhavetodealwiththeminacalmandprofessional
manner.Arroganceisthebyproductofunhealthylevelsofprideandego,Irritabilityand
unnecessaryshortfuses,
thesearejustsomeofwhatcausesalotofconflictamong
coworkers.Intheworkplacewhenconflictarisesamongthehigherups,suchasnurses
andphysicians,itbecomesatrickledowneffecttotheotheremployeesandpatients.
ResolvingConflict
Communicationisattheheartofconflictandresolution.Conflictoftenarisesfrom
ineffectivecommunicationeffectiveorassistedcommunicationandpositive
collaborationpromotessuccessfulresolutionofdifference.Emotionalmaturityis
foundationaltoeffectivecollaboration.Communicationwithindividualswhoare
experiencingcompassionfatigueorburnoutwillbechallengingandthus
interdisciplinarycollaborationcanbedifficultbutremainempathetic,motivated,and
emotionallypresentincollaborativerelationships.Cohesivenessandjointproblem
solvingaredesiredresultsofcollaborativeteamwork.Collaborativepracticeisa
processthatinvolvesthevaluedcontributionsofallteammembersinreachingthebest
possiblesolutions.Itisimportantfornursesandphysicianstodevelopanewcultureof
collaborationwhichmergestheuniquestrengthsofeachdisciplinewiththemutualgoal
ofqualitypatientcare.
Topreventconflicts,aprofessionalcodeofconductshouldbe
established,notonlyinthehospitalbutalsoaspartofgrouppracticepoliciesand

medicalstaffbylaws.Groundrulesmakeiteasiertodiscipline,astheytakepersonality
outoftheequation.Adisciplinarystructureshouldbedeveloped,sothatthe
mechanismsandthereferralpatterntohigherauthorityarewellunderstood.Pitfallsthat
physiciansandnursesshouldbecarefultoavoidistakingpeopleforgranted,failingto
keeppromises,failingtotakeresponsibilityforone'sownerrors,andfailingtopractice
whatonepreaches.

RolandaPorter
GinaPozorski
DylanOrtman

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