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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.
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.
Abstract:
Effective communication is essential in today's health care environment, and poor communication can lead to conflict among health care providers. Differences in cultures and beliefs can further incite conflict among health care team members, families, and patients. Pediatric patient care has a higher potential for conflict because decision-making responsibilities are shared among patients, parents/guardians, and clinicians. It is important to understand the phases and types of conflict because each conflict situation requires a different approach to optimize management. Equally important is an understanding of styles used by individuals to manage conflict. The Thomas-Kilmann Conflict Mode Instrument and the Dutch Test for Conflict Handling are 2 validated tools used to assess conflict management styles. The different styles include competing/forcing, collaborating/problem solving, compromising, avoiding, and yielding/accommodating. A successful physician should be able to identify the phases and types of conflict to use the conflict management approach most suitable for the given conflict.There are several techniques for managing conflict in the pediatric operating room. Acknowledging and managing one's own emotions during conflict is a pivotal first step toward diffusing the situation. Active listening is an important communication skill that improves team dynamics. Aligning the interests of the parties involved in conflict will encourage collaborative problem solving. Cultural competency training can improve communication and conflict management skills. Effective conflict management through formal education of all perioperative team members can lead to improved communication and teamwork and better patient outcomes.
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