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Transforming training into practice with the conflict management framework: a mixed methods study.
Oscar Lyons1, Liz Forbat2, Esse Menson3
1Nuffield Department of Surgical Sciences, Oxford University, Oxford, UK.
BMJ Paediatrics Open
|December 20, 2021
Summary
Implementing the conflict management framework (CMF) in UK paediatric services reduced conflict management time by 24% and costs by 20%. This framework effectively supports staff in managing healthcare conflicts.
Area of Science:
- Healthcare Management
- Patient Safety
- Paediatric Care
Background:
- Conflict is common in paediatric healthcare settings, impacting staff time and resources.
- Effective conflict management strategies are crucial for improving healthcare delivery and patient experience.
Purpose of the Study:
- To implement and evaluate the effectiveness of the conflict management framework (CMF) in UK tertiary paediatric services.
- To assess the impact of the CMF on the time and cost associated with managing patient care conflicts.
Main Methods:
- A mixed-methods, multisite evaluation was conducted across four UK tertiary paediatric services.
- Conflict data was collected prospectively before and after CMF implementation, alongside semistructured interviews.
- The CMF was integrated into daily huddles to facilitate conflict recognition and management.
Main Results:
- Over 1000 conflict episodes were recorded across four sites.
- CMF implementation led to a 24% reduction in time spent managing conflict (73 to 55 minutes per episode, p<0.001).
- Estimated staff costs for conflict management decreased by 20% (£26 to £21 per episode, p<0.02).
Conclusions:
- The conflict management framework (CMF) is an effective tool for managing conflicts in paediatric healthcare.
- CMF implementation significantly reduces staff time and associated costs related to conflict management.
- Multidisciplinary leadership and comprehensive training are vital for successful CMF integration and fostering a proactive conflict management culture.
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