Applying Conflict Management Strategies to the Pediatric Operating Room

Jina L Sinskey1, Joyce M Chang, Gail S Shibata

  • 1From the Department of Anesthesia and Perioperative Care, University of California San Francisco, San Francisco, California.

Anesthesia and Analgesia
|January 12, 2019
PubMed

Insights

Effective communication and conflict management are crucial in pediatric healthcare. Understanding conflict styles and employing strategies like active listening can improve teamwork and patient outcomes.

Area of Science:

  • Healthcare communication
  • Conflict resolution
  • Pediatric patient care

Background:

  • Effective communication is vital in healthcare, yet poor communication can cause conflict among providers, families, and patients.
  • Pediatric care presents unique challenges due to shared decision-making among patients, parents, and clinicians, increasing conflict potential.
  • Understanding conflict phases, types, and individual management styles is essential for optimal resolution.

Purpose of the Study:

  • To explore the importance of effective communication and conflict management in pediatric healthcare.
  • To identify various conflict management styles and techniques applicable in pediatric settings.
  • To highlight the role of cultural competency and education in improving conflict resolution and patient outcomes.

Main Methods:

  • Review of conflict management literature, including validated tools like the Thomas-Kilmann Conflict Mode Instrument and the Dutch Test for Conflict Handling.
  • Analysis of conflict management styles: competing/forcing, collaborating/problem solving, compromising, avoiding, and yielding/accommodating.
  • Discussion of techniques for managing conflict, particularly in the pediatric operating room environment.

Main Results:

  • Conflict management requires identifying conflict phases and types to apply suitable approaches.
  • Individual conflict management styles influence the approach to resolution.
  • Techniques such as emotional self-management, active listening, aligning interests, and cultural competency training are effective.

Conclusions:

  • Physicians must identify conflict types and phases to select the most appropriate management approach.
  • Managing emotions, active listening, and collaborative problem-solving enhance team dynamics.
  • Formal education in communication and conflict management for perioperative teams can improve teamwork and patient outcomes.

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