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

Managing and Mitigating Conflict in Health-Care Teams

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    This list outlines the fundamental principles and assumptions about conflict in health-care teams.

    Registered Nurses’ Association of Ontario. (2012, September). Managing and Mitigating Conflict in Health-care Teams Best Practice Guideline. Toronto, ON, Canada: Author. p.6. Retrieved from: http://rnao.ca/bpg/guidelines/managing-conflict-healthcare-teams.

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    Les lignes directrices sur les pratiques exemplaires portent principalement sur le personnel infirmier, les équipes soignantes et les processus qui favorisent la mise en place de milieux de travail sains. Ces lignes directrices traitent de la gestion et de l’atténuation des conflits interpersonnels au sein des équipes de soins de santé. Elles partent du principe que même s’il est possible d’éviter certains conflits, des conflits sains peuvent également être bénéfiques. Aux fins du présent document, un conflit se définit comme étant un processus dynamique intervenant entre des personnes interdépendantes ou des groupes interdépendants enclenché par une réaction émotionnelle négative en raison d’un désaccord perçu ou d’une interférence dans l’atteinte de leurs objectifs (Barki et Hartwick, 2004).

    Association des infirmières et infirmiers autorisés de l’Ontario (2012). La gestion et l’atténuation des conflits dans les équipes de soins de santé. Toronto, Canada : Association des infirmières et infirmiers autorisés de l’Ontario. http://rnao.ca/bpg/language/la-gestion-et-l%E2%80%99att%C3%A9nuation-des-conflits-dans-les-%C3%A9quipes-de-soins-de-sant%C3%A9

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    This list includes strategies that individuals can use to learn how to manage and mitigate conflict in the workplace.

    Registered Nurses’ Association of Ontario. (2012, September). Managing and Mitigating Conflict in Health-care Teams Best Practice Guideline. Toronto, ON, Canada: Author. p.36. Retrieved from: http://rnao.ca/bpg/guidelines/managing-conflict-healthcare-teams.

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    This guide demonstrates effective techniques, skills and attitudes for identifying and addressing conflict among co-workers or any setting. Alberta Learning Information Service (ALIS) provides information on education and training, educational funding, job search, labour market trends, and workplace issues. © 2004, 2007 Government of Alberta, Human Services.

    Reference: Alberta Learning Information Service. (2007). Let's Talk: A Guide to Resolving Workplace Conflicts. Alberta, Canada: Government of Alberta Human Services. Retrieved from: https://alis.alberta.ca/pdf/cshop/letstalk.pdf

     

     

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    An exploratory descriptive approach was used to allow frontline nurses to describe and explore incidents of conflict in their places of work. The themes that emerged from the data fell into several broad categories, labelled what happens (nurses eat their young, the nurse-doctor game, lack of support from nurse leaders), why it happens (oppressed group behaviour, power over), and how nurses respond (betrayal, disillusionment, fighting back, communication, moving on). Conflict was described as having a negative impact on the quality of work life.

    Reference: Bishop S.R. 1997. Nurses and Conflict: Workplace Experiences. Retrieved July 17,2017 from http://dspace.library.uvic.ca:8080/bitstream/handle/1828/669/bishop_2004.pdf?sequence=1 

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    Practice guidelines are documents that help nurses understand their professional responsibilities and legal obligations in order to make safe, effective and ethical decisions in nursing practice. This practice guideline helps nurses understand their roles and responsibilities in preventing and managing conflict with clients and colleagues.

    College of Nurses of Ontario. (2018). Professional Standards, Revised 2002. Toronto, ON, Canada: Author. Retrieved from http://www.cno.org/globalassets/docs/prac/41006_profstds.pdf

    Copyright © College of Nurses of Ontario, 2009.

     

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    These tables provide specific behavioural recommendations to support individuals and teams in managing and mitigating conflict in health-care teams.

    Registered Nurses’ Association of Ontario. (2012, September). Managing and Mitigating Conflict in Health-care Teams Best Practice Guideline. Toronto, ON, Canada: Author. pp.39-41. Retrieved from: http://rnao.ca/bpg/guidelines/managing-conflict-healthcare-teams.

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    For the purpose of this document, Interprofessional is defined as: Multiple health disciplines with diverse knowledge and skills who share an integrated set of goals and who utilize interdependent collaboration that involves communication, sharing of knowledge and coordination of services to provide services to patients/clients and their care-giving systems.

    This best practice guideline, Developing and Sustaining Interprofessional Health Care: Optimizing patients/clients, organizational, and system outcomes is intended to foster healthy work environments. The focus in developing this guideline was identifying attributes of interprofessional care that will optimize quality outcomes for patients/clients, providers, teams, the organization and the system.

    This guideline identifies best practices to enable, enhance and sustain teamwork and interprofessional collaboration, and to enhance positive outcomes for patients/clients, systems and organizations. It is based on the best available evidence; where evidence was limited, the recommendations were based on the consensus of expert opinion.

    Registered Nurses’ Association of Ontario. (2013). Developing and Sustaining Interprofessional health care. Toronto, ON: http://rnao.ca/bpg/guidelines/interprofessional-team-work-healthcare

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    Gain knowledge in leadership practices that result in healthy outcomes for nurses, patients/clients, organizations and systems. This guideline addresses:

    • System resources that support effective leadership practices and behaviours for formal leaders and nurses at the point of care
    • Organizational culture, values and resources that support effective leadership practices and behaviours at all levels
    • Personal resources that support effective leadership practices across the continuum of care
    • Anticipated outcomes of effective nursing leadership

    2nd Edition, 2013

    Registered Nurses’ Association of Ontario. (2013). Developing and Sustaining Nursing Leadership. Toronto, ON, Canada: Author. Retrieved from http://rnao.ca/bpg/guidelines/developing-and-sustaining-nursing-leadership

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    Learn how the decision making process must ensure that appropriate structures and supports are in place to maximize the nursing effort resulting in the best possible care and positive outcomes for the patients/clients, nursing personnel, and the organization. This panel has been developing a guideline to be used as a reference to assist in workload planning and workload management decision making. Published: 2017

    This guideline provides evidence-based recommendations for RNs and RPNs on best nursing practices for developing and sustaining effective staffing and workload practices.

    Registered Nurses’ Association of Ontario. (2017, January). Developing and Sustaining Effective Staffing and Workload Practices. Toronto, ON, Canada: Author. Retrieved from: http://rnao.ca/bpg/guidelines/developing-and-sustaining-effective-staffing-and-workload-practices.

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