Conflict in a paediatric hospital: a prospective mixed-method study

Area of Science:

• Healthcare Management
• Pediatric Medicine
• Conflict Resolution

Background:

• Conflict within healthcare settings is recognized but not well understood.
• Limited data exists on the prevalence and origins of conflict across pediatric subspecialties.

Purpose of the Study:

• To quantify the frequency and characteristics of conflict within a pediatric hospital.
• To identify the primary causes and staff involved in pediatric healthcare conflicts.

Main Methods:

• An explanatory sequential mixed-method design was employed.
• Prospective questionnaire data on conflict frequency, severity, and causes were collected over two 12-week periods.
• Qualitative interviews with key healthcare professionals were conducted to interpret quantitative findings.

Main Results:

• 136 conflict episodes were reported, with communication breakdown, treatment disagreements, and unrealistic expectations as primary causes.
• Conflicts consumed over 448 hours of healthcare professional time, involving nurses, consultants, and doctors in training.
• Neurology, general pediatrics, and neonatology showed the highest conflict rates.

Conclusions:

• Conflict is prevalent in pediatric specialties, particularly neurology.
• Significant staff time is dedicated to managing conflict, highlighting the need for improved conflict resolution support.
• Addressing communication breakdown is crucial for mitigating healthcare conflict.