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Conflict resolution in a pediatric inpatient unit: a best practice implementation project.
Jessica Sinclair1,2, Michelle Palokas1,2
1School of Nursing, University of Mississippi Medical Center.
JBI Evidence Implementation
|February 12, 2023
Summary
Implementing conflict resolution education and policy updates significantly improved evidence-based practices in a pediatric unit. Compliance rose from 24% to 71%, enhancing staff collaboration and patient care environments.
Area of Science:
- Healthcare Management
- Nursing Practice
- Organizational Behavior
Background:
- Conflict is pervasive in healthcare settings, necessitating effective resolution strategies.
- Organizational education and formal policies are crucial for constructive conflict management among healthcare staff.
Purpose of the Study:
- To promote evidence-based conflict resolution practices in a pediatric inpatient unit.
- To evaluate the impact of an educational intervention and policy recommendations on conflict resolution compliance.
Main Methods:
- A baseline audit using the JBI Practical Application of Clinical Evidence System program assessed conflict resolution practices among 36 staff members.
- A three-phase implementation project involved education, policy update recommendations, and post-implementation audits.
- Intervention included conflict resolution education and communication of policy revision needs to unit leadership.
Main Results:
- Post-implementation audits showed improvements in all seven audit criteria for conflict resolution.
- Significant improvements were observed in establishing formal remediation processes (75%) and follow-up of agreed solutions (83%).
- Overall compliance increased from 24% at baseline to 71% post-intervention.
Conclusions:
- An educational module on conflict resolution strategies, coupled with policy updates, substantially enhanced compliance with best practices.
- Recommendations include increasing accessibility of educational materials and visual reminders for conflict resolution strategies.
- The study highlights the effectiveness of combining education with policy changes to improve conflict resolution in pediatric inpatient settings.
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