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Conflict escalation in paediatric services: findings from a qualitative study
Liz Forbat1, Bea Teuten2, Sarah Barclay2
1School of Health Sciences, University of Stirling, Stirling, UK.
Archives of Disease in Childhood
|May 6, 2015
Summary
Conflict escalation in pediatric care follows a predictable path from mild to severe, impacting clinician-parent relationships. Understanding these stages helps identify warning signs for better patient care.
Area of Science:
- Pediatric Healthcare
- Conflict Resolution
- Clinical Communication
Background:
- Clinician-family conflict can negatively impact pediatric care.
- Understanding conflict escalation is crucial for effective intervention.
Purpose of the Study:
- To map the trajectory of conflict escalation in pediatric services.
- To explore clinician and family experiences of conflict.
Main Methods:
- Qualitative interview study with extreme-case sampling.
- Iterative thematic analysis of interviews with 38 health professionals and 8 parents.
- Study conducted in English hospitals and hospices in 2011.
Main Results:
- Conflict escalation follows a predictable pattern: mild, moderate, and severe.
- Mild conflict involves insensitive language and unresolved issues.
- Moderate conflict shows trust deterioration and communication breakdown; severe conflict involves aggression and loss of focus on the child.
Conclusions:
- A practical framework for identifying pediatric conflict warning signs can be developed.
- Understanding escalation stages aids clinicians in managing challenging interactions.
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