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Published on: May 20, 2018
Conflict resolution and negotiation in pediatric surgery
Aodhnait S Fahy1, Claudia Mueller2, Annie Fecteau1
1Division of General and Thoracic Surgery, The Hospital for Sick Children, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Insights
Pediatric surgeons face frequent conflict impacting patient care and team function. This review offers practical conflict resolution tools for surgeons, addressing a gap in formal training.
Area of Science:
- Medical Ethics
- Surgical Practice
- Conflict Resolution
Background:
- Conflict is a common occurrence in pediatric surgery, affecting patient care, operating room dynamics, and interpersonal relationships among colleagues.
- Ethical principles such as autonomy, beneficence, non-maleficence, and justice are central to discussions of conflict within healthcare settings.
- Existing pediatric surgery fellowship programs often lack formal training in conflict management strategies.
Purpose of the Study:
- To review the key features of conflict in healthcare, specifically within pediatric surgery.
- To examine the impact of conflict on patient outcomes and the ability of surgical teams to function safely and effectively.
- To provide practical tools and strategies for pediatric surgeons to manage and resolve common conflicts.
Main Methods:
- Literature review of common conflict areas in the medical environment.
- Discussion of established conflict mitigation and negotiation techniques.
- Identification of useful tools for conflict resolution applicable to practicing pediatric surgeons.
Main Results:
- Conflict significantly affects patient outcomes and the operational capacity of surgical teams.
- There is a notable absence of formal conflict management training in most pediatric surgery fellowship curricula.
- Numerous strategies and techniques for conflict mitigation and negotiation have been documented in relevant literature.
Conclusions:
- Addressing conflict is crucial for maintaining patient safety and optimal team performance in pediatric surgery.
- Equipping pediatric surgeons with effective conflict resolution skills is essential, given the lack of formal training.
- The article provides actionable insights and tools to aid surgeons in navigating and resolving workplace conflicts.
Abstract:
Conflict is pervasive in pediatric surgery - it is experienced during patient care, in the operating room and between colleagues. The ethical principles of autonomy, beneficience, non-maleficience and justice are firmly anchored in any discourse regarding conflict in the setting of healthcare. The authors review key features of conflict in healthcare including the effect on patient outcomes as well as implications for the ability of the surgeon and the medical team to function appropriately and safely when conflicts arise. Although most pediatric surgery fellowship programs have no formal training in conflict management, much has been written about strategies to teach and utilize techniques of conflict mitigation and negotiation. In this article, the authors discuss common areas of conflict in the medical environment and suggest useful tools for the practicing pediatric surgeon to aid in the resolution of conflict.
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