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Transforming training into practice with the conflict management framework: a mixed methods study.

Oscar Lyons1, Liz Forbat2, Esse Menson3

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Summary
This summary is machine-generated.

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.

Keywords:
ethicshealth services researchqualitative research

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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.