Daphne Cockwell School of Nursing, Ryerson University, Toronto, ON, Canada.
J Nurs Manag. 2010 Nov;18(8):981-92. doi: 10.1111/j.1365-2834.2010.01154.x. Epub 2010 Oct 4.
To test a theoretical model linking selected antecedent variables to intra-group conflict among nurses, and subsequently conflict management style, job stress and job satisfaction.
A contributing factor to the nursing shortage is job dissatisfaction as a result of conflict among nurses. To develop strategies to reduce conflict, research is needed to understand the causes and outcomes of conflict in nursing work environments.
A predictive, non-experimental design was used in a random sample of 277 acute care nurses. Structural equation modelling was used to analyse the hypothesised model.
Nurses' core self-evaluations, complexity of care and relationships with managers and nursing colleagues influenced their perceived level of conflict. Conflict management style partially mediated the relationship between conflict and job satisfaction. Job stress had a direct effect on job satisfaction and core self-evaluation had a direct effect on job stress.
Conflict and its associated outcomes is a complex process, affected by dispositional, contextual and interpersonal factors. How nurses manage conflict may not prevent the negative effects of conflict, however, learning to manage conflict using collaboration and accommodation may help nurses experience greater job satisfaction.
Strategies to manage and reduce conflict include building interactional justice practices and positive interpersonal relationships.
测试一个理论模型，该模型将选定的前置变量与护士群体内的冲突联系起来，进而与冲突管理风格、工作压力和工作满意度联系起来。
护士短缺的一个促成因素是由于护士之间的冲突导致工作满意度降低。为了制定减少冲突的策略，需要研究了解护理工作环境中冲突的原因和结果。
采用随机样本 277 名急症护理护士的预测性非实验设计。结构方程模型用于分析假设模型。
护士的核心自我评价、护理工作的复杂性以及与管理人员和护理同事的关系影响了他们对冲突程度的感知。冲突管理风格部分调节了冲突与工作满意度之间的关系。工作压力对工作满意度有直接影响，核心自我评价对工作压力有直接影响。
冲突及其相关结果是一个复杂的过程，受到性格、环境和人际关系因素的影响。护士如何管理冲突可能无法防止冲突的负面影响，但是，学会使用协作和适应来管理冲突可能有助于护士获得更大的工作满意度。
管理和减少冲突的策略包括建立互动公正的实践和积极的人际关系。
