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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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Conflict Competence Among Resident Physicians: Knowledge and Perception.

Chinedu Okoli1, Bridget Olsen1, Carolyne Falank1

  • 1Department of Surgery, Maine Health Maine Medical Center, Portland, ME.

Journal of Surgical Education
|October 29, 2024
PubMed
Summary
This summary is machine-generated.

Hospital conflicts among resident physicians are common and often unresolved, impacting patient care quality. Enhanced conflict competence training is crucial for improving healthcare outcomes and working relationships.

Keywords:
conflictconflict competencehospitalsresident physicians

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Area of Science:

  • Medical Education
  • Healthcare Management
  • Conflict Resolution

Background:

  • Hospital environments involve complex interprofessional collaboration, where differing perspectives can lead to conflicts.
  • Resident physicians, as key care providers, frequently encounter conflicts that may compromise patient care quality and safety.
  • Developing conflict competence is essential for navigating and resolving workplace disputes effectively.

Purpose of the Study:

  • To assess the knowledge and perception of conflict competence among resident physicians.
  • To identify the prevalence, sources, and impact of conflicts in the hospital setting.
  • To explore resident physicians' training needs and interest in conflict management.

Main Methods:

  • A mixed-methods approach combining surveys and qualitative semi-structured interviews with resident physicians.
  • Voluntary participant recruitment with subsequent data analysis using SPSS 21 for surveys and thematic analysis with MAXQDA 24 for interviews.
  • Quantitative analysis of survey data and qualitative thematic analysis of interview transcripts to identify key themes.

Main Results:

  • A significant percentage of resident physicians (53.8%) experience or witness conflicts weekly, predominantly between physicians and nurses (44.6%).
  • Most conflicts (63.1%) remain unresolved, often stemming from communication failures (25.5%), and negatively affect patient care quality (87.3%).
  • A large majority (75.4%) of residents lack prior conflict management training, yet express strong interest (83.1%) in such education; prior training correlates with higher conflict resolution rates (p=0.047).

Conclusions:

  • Resident physicians demonstrate low knowledge of conflict competence, insufficient for the complex hospital environment.
  • Unresolved conflicts significantly impact patient care quality, highlighting a critical need for intervention.
  • Implementing comprehensive conflict competence and resolution training for resident physicians is warranted to improve healthcare delivery.