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运用情景模拟探究公立医院科室护士长的冲突管理实践。

Using scenarios to explore conflict management practices of nurse unit managers in public hospitals.

作者信息

Moeta Mabitja E, Du Rand Suzette M

机构信息

Department of Nursing, Faculty of Health Sciences, University of Pretoria.

出版信息

Curationis. 2019 Jun 27;42(1):e1-e11. doi: 10.4102/curationis.v42i1.1943.

Abstract

BACKGROUND

Workplace conflict is common among nurses globally. Learning how to manage it may reduce related adverse consequences. Inappropriate management of conflict is attributed to decreased productivity, poor morale and financial loss for organisations. Nurse unit managers can play a key role by effectively managing workplace conflict in the units.

AIMS AND OBJECTIVES

To explore how nurse unit managers   managed conflict in public hospitals. Subsequently to make recommendations on how to optimise conflict management skills of nurse unit managers. Methods: A qualitative, explorative, descriptive and contextual study was conducted to explore how  nurse unit managers  managed conflict based on a scenario provided to them. Purposive sampling was used to select nurse unit managers   working in three public hospitals. Eleven nurse unit managers   participated in the study. Data was collected in two phases. In phase one; a conflict scenario was developed in consultation with experienced nurse managers. The conflict scenario was used during phase two, which involved individual face-to-face semi-structured interviews with nurse unit managers   until data saturation. Tesch's method of thematic synthesis was utilised to analyse data. Literature review was undertaken to ascertain what is considered as an appropriate intervention in conflict management.

FINDINGS

Three themes emanated: nurse unit managers   managed conflict appropriately, nurse unit managers   avoided the conflict and nurse unit managers   managed conflict inappropriately.

CONCLUSION

While some of the nurse unit managers   managed conflict appropriately, additional and continuous education and training is required to optimise the capacity and develop their conflict management competency. The findings could be integrated into orientation, training and preparation of nurse managers by healthcare organisations and educational institutions.

摘要

背景

工作场所冲突在全球护士中普遍存在。学习如何管理冲突可能会减少相关的不良后果。冲突管理不当会导致生产力下降、士气低落以及组织的财务损失。护士单元经理可以通过有效管理单元内的工作场所冲突发挥关键作用。

目的

探讨护士单元经理如何在公立医院管理冲突。随后就如何优化护士单元经理的冲突管理技能提出建议。

方法

进行了一项定性、探索性、描述性和情境性研究,以根据提供给护士单元经理的一个场景来探讨他们如何管理冲突。采用目的抽样法选择在三家公立医院工作的护士单元经理。11名护士单元经理参与了该研究。数据收集分两个阶段进行。在第一阶段,与经验丰富的护士经理协商制定了一个冲突场景。在第二阶段使用该冲突场景,其中包括与护士单元经理进行个人面对面的半结构化访谈,直至数据饱和。采用泰施的主题综合法分析数据。进行文献综述以确定在冲突管理中被认为合适的干预措施。

结果

出现了三个主题:护士单元经理恰当地管理冲突、护士单元经理回避冲突以及护士单元经理管理冲突不当。

结论

虽然一些护士单元经理恰当地管理了冲突,但仍需要额外的持续教育和培训来优化能力并培养他们的冲突管理能力。这些研究结果可被医疗保健组织和教育机构纳入护士经理的入职培训、培训和准备工作中。

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