Implementing and sustaining evidence-based practices in long-term care.

Managing and Mitigating Conflict in Health-Care Teams

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    This Best Practice Guideline focuses on nursing teams and processes that foster healthy work environments. The focus for the development of this guideline was managing conflict among nursing and healthcare teams with the view that while some conflict is preventable, healthy conflict can also be beneficial.

    For the purpose of this document, conflict is defined as: a phenomenon occurring between interdependent parties as they experience negative emotional reactions to perceived disagreements and interference with the attainment of their goals (Barki & Hartwick, 2004).

    Registered Nurses’ Association of Ontario. (2012). Managing and Mitigating Conflict in Health-care Teams. Toronto, ON: http://rnao.ca/bpg/guidelines/managing-conflict-healthcare-teams

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    This peer-reviewed online article addresses the challenges faced by nurses working with colleagues from four generational cohorts and the role of leadership in facilitating respect among them.

    © 2006 OJIN: The Online Journal of Issues in Nursing

    Kupperschmidt, B., (2006, May 31). Addressing Multigenerational Conflict: Mutual Respect and Carefronting as Strategy [Online]. The Online Journal of Issues in Nursing, 11(2). American Nurses Association. Website: http://nursingworld.org/default.aspx.

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    St. Joseph’s Health Centre Guelph demonstration site project funded by Nursing Secretariat of Ontario’s Ministry of Health and Long-Term Care describes approaches to leadership training and other supportive human-resource strategies that reflect the demands of the LTC setting fosters a positive work life for nurses by providing them with the skills and knowledge necessary to lead the care team and to address resident and family issues.

    Reference: O’Brien, J., Ringland, M., & Wilson, S. (May 2010). The Demonstration Projects: Advancing Leadership in Long Term Care. Nursing Leadership. Vol. 23 Special Issue. Retrieved from Nurse Executive Leader Toolkit available at http://neltoolkit.rnao.ca/sites/default/files/Advancing%20Nursing%20Leadership%20in%20Long-Term%20Care.pdf 

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    This booklet provides practical suggestions for the employer, supervisor and worker to participate in the reduction of bullying in the workplace. © 2013 Public Services Health and Safety Association (PSHSA).

    Public Services Health & Safety Association, 2010, Bullying in the Workplace: A Handbook, Date Retrieved June 8, 2015, http://www.pshsa.ca/wp-content/uploads/2013/02/BullyWkplace.pdf

     

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    Our approach to conflict is not a fixed part of our character, it is learned behavour that we can change. Dana Caspersen, author of "Changing the Conversation: The 17 Principles of Conflict Resolution" offers two simple, transformative actions that we can choose, which can fundamentally change the conflict conversations in our lives.

    Web Address or Source: https://www.youtube.com/watch?v=WfQeH3092Sc 

    Reference: Retrieved July 17,2017 from https://www.youtube.com/watch?v=WfQeH3092Sc 

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    This guideline outlines the key factors associated with conflict with clients, colleagues and in the workplace, and offers strategies for preventing and managing conflict that has escalated. It also highlights the role of nurses in formal leadership positions, as well as the importance of the debriefing process in the prevention and management of conflict. Copyright © College of Nurses of Ontario, 2009.

    College of Nurses of Ontario.  (2009). Conflict Prevention and Management.  Toronto, ON: Author.  Website: www.cno.org/en/learn-about-standards-guidelines/standards-and-guidelines.

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    Conflict is a part of life. Most of us will do almost anything to avoid it. In this video Dr. Jennie Byrne explains a simple healthy nonaggressive step-by-step process for resolving your conflicts or issues with others that can even strengthen your relationships leaving you feeling empowered in your life and in your relationships.

    Web Address or Source: https://www.youtube.com/watch?v=DSGy5yvC0hM

    Reference: Retrieved July 17,2017 from https://www.youtube.com/watch?v=DSGy5yvC0hM

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    This article reviews various conflict styles, interest-based relational approaches, and a five-step conflict resolution process for resolving conflicts effectively.

    Copyright © Mind Tools Ltd, 1996-2014. All rights reserved.

    MindTools.com. (n.d.). Conflict Resolution: Resolving Conflict Rationally and Effectively [Online]. Retrieved from http://www.mindtools.com/pages/article/newLDR_81.htm [Accessed: June 6, 2014].

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    Several case scenarios provide additional information about the impact of the conflict and how conflict can be addressed, managed and/or mitigated.

    Registered Nurses’ Association of Ontario. (2012, September). Appendix D of Managing and Mitigating Conflict in Health-care Teams Best Practice Guideline. Toronto, ON, Canada: Author. pp.78-82. Retrieved from: http://rnao.ca/bpg/guidelines/managing-conflict-healthcare-teams.

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    This RNAO developed tool helps determine where your organization is in relation to the implementation of the best practice guideline recommendations for Managing and Mitigating Conflict in Health-Care Teams. This is an organizational assessment tool comparing current practice to evidence-based practice.

    Developed by the RNAO Long-Term Care Best Practices Initiative, September 2013. Registered Nurses’ Association of Ontario. (2012). Managing and Mitigating Conflict in Health-care Teams. Toronto, Canada. Registered Nurses’ Association of Ontario.

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