Raykova Ekaterina L, Semerjieva Mariya A, Yordanov Georgi Y, Cherkezov Todor D
Department of Healthcare Management, Faculty of Public Health, Medical University, Plovdiv
Plovdiv Hospital, Plovdiv
Folia Med (Plovdiv). 2015 Apr-Jun;57(2):133-7. doi: 10.1515/folmed-2015-0032.
Conflicts in healthcare settings are quite common events because of the continuous changes and transformations today's healthcare organizations are undergoing and the vigorous interaction between the medical professionals working in them.
To survey the opinions of medical professionals about the possible destructive effects of conflicts on them in the workplace.
We conducted a direct individual survey of 279 medical employees at four general hospitals. We used a set of questions that reflect the negative effects and consequences of conflict on healthcare professionals as direct or indirect participants. All data were analysed using the descriptive statistics and non-parametric analysis at a significance level for the null hypothesis of p < 0.05.
Workplace conflicts contribute a lot to the stress, psychological tension and emotional exhaustion medical professionals are exposed to. The confrontation the conflict brings the participants into acts as a catalyst of the conflict and enhances the manifestation of hostile actions. A conflict generates a situation which has an impact on the behaviour of all participants involved in it giving rise to emotional states such as anger, aggression and reproaches. The destructive consequences resulting from a conflict are seen in the reduced work satisfaction and demotivation to perform the work activity. The contradictions that arise as a result affect negatively the team cooperation and obstruct the collaborative efforts in solving the problems in the healthcare setting.
A conflict in a healthcare setting exerts a considerable destructive effect on an employee, therefore it requires prompt identification and effective intervention to minimise its unfavourable outcomes.
由于当今医疗保健机构正在经历持续的变革与转型，以及在这些机构中工作的医疗专业人员之间的积极互动，医疗环境中的冲突是相当常见的事件。
调查医疗专业人员对工作场所冲突可能对他们造成的破坏性影响的看法。
我们对四家综合医院的279名医疗员工进行了直接的个人调查。我们使用了一组问题，这些问题反映了冲突对作为直接或间接参与者的医疗保健专业人员的负面影响和后果。所有数据均使用描述性统计和非参数分析进行分析，显著性水平为零假设p < 0.05。
工作场所冲突极大地导致了医疗专业人员所面临的压力、心理紧张和情绪耗竭。冲突给参与者带来的对抗充当了冲突的催化剂，并加剧了敌对行为的表现。冲突产生的一种情况会影响所有参与其中的人的行为，引发愤怒、攻击性和责备等情绪状态。冲突导致的破坏性后果表现为工作满意度降低和工作积极性受挫。由此产生的矛盾对团队合作产生负面影响，并阻碍在解决医疗环境中的问题时的协作努力。
医疗环境中的冲突对员工会产生相当大的破坏性影响，因此需要及时识别并进行有效干预，以尽量减少其不利后果。
