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Healthcare decision-makers' perspectives on evaluating conflict management training in paediatric healthcare: a
Juliette Phillipson1,2, Sarah Barclay3, Esse Menson1,3
1Thrum Leadership Ltd, Oxford, UK juliette.phillipson@thrumleadership.com esse.menson@medicalmediation.org.uk.
Insights
Healthcare decision-makers identified key areas for evaluating conflict management training in paediatrics, focusing on training experience, staff well-being, patient/family experiences, and resource impact. This research aids in developing better conflict resolution strategies.
Area of Science:
- Healthcare Management
- Medical Education
- Conflict Resolution
Background:
- Healthcare conflict is common, particularly in paediatrics, leading to negative outcomes.
- Effective conflict management training is crucial but lacks standardized evaluation methods.
Purpose of the Study:
- To explore healthcare decision-makers' views on essential evaluation components for paediatric conflict management training.
- To inform the development of robust evaluation frameworks for healthcare conflict resolution programs.
Main Methods:
- Qualitative study using Patton's utilisation-focused evaluation approach.
- Semi-structured interviews with 13 healthcare decision-makers and stakeholders.
- Reflexive thematic analysis of interview data.
Main Results:
- Four key evaluation themes emerged: training session experience, staff competency/well-being, patient/family conflict experiences, and resource impact.
- Evaluation should assess participant engagement, skill acquisition/retention, communication quality, and time/cost implications of conflict.
Conclusions:
- Identified evaluation areas expand on Kirkpatrick's framework, necessitating mixed methods and long-term follow-up.
- Tailoring evaluation frameworks to specific contexts improves relevance and utility for conflict management in healthcare.
Background:
Conflict is prevalent across healthcare settings but is especially common in paediatrics, where high emotional stakes and parental expectations often intensify disagreements. Conflict can lead to negative outcomes for hospitals, staff and patients. Effective conflict management training can mitigate these impacts, but evaluating such training programmes remains challenging due to a lack of standardised tools and best practices.
Methods:
This qualitative study aimed to explore healthcare decision-makers' perspectives on what key areas should be evaluated in conflict management training programmes in paediatric healthcare settings, employing Patton's utilisation-focused evaluation approach. Semi-structured interviews were conducted with 13 healthcare decision-makers and key stakeholders from various healthcare and charitable organisations. Interviews were analysed using reflexive thematic analysis by Braun and Clarke to identify key themes for evaluation.
Results:
Four primary themes were generated regarding the key areas that healthcare decision-makers believe should be evaluated in conflict management training. These were experience of training sessions, staff competency and well-being, patient/family experiences of conflict and impact on staff time and on clinical resources. Interviewees identified that the evaluation of training sessions should focus on participant engagement and satisfaction. Codes relating to staff competency and well-being included the acquisition and long-term retention of conflict management skills. Codes relating to patient/family experience focused on the quality of communication and support during conflicts. The theme of resource utilisation included codes relating to the time and cost implications of conflict.
Conclusion:
The study identified essential evaluation areas that align with and expand on Kirkpatrick's framework, suggesting the need for both qualitative and quantitative data and long-term follow-up. Tailoring evaluation frameworks to specific programme contexts can enhance their relevance and utility, contributing to improved conflict management in both paediatric and wider healthcare settings.
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