Department of General Pediatrics at the Children's Hospital, University Hospitals of Geneva, Unit of Development and Research in Medical Education (UDREM), Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Unit of Development and Research in Medical Education (UDREM), Faculty of Medicine, Institute of Sociological Research, University of Geneva, Geneva, Switzerland.
J Interprof Care. 2020 Mar-Apr;34(2):259-268. doi: 10.1080/13561820.2019.1639645. Epub 2019 Jul 22.
Interprofessional collaboration and conflict management training are necessary in health sciences curricula. Characteristics of conflicts occurring within intraprofessional or between interprofessional teams can vary and are poorly understood. We sought to compare and contrast characteristics of intra- versus interprofessional conflicts to inform future training programs. An exploratory study was conducted through semi-structured interviews with 82 healthcare professionals working in a tertiary hospital. Interviews focused on sources, consequences, and responses to conflicts. Conflict situations were analyzed with conventional content analysis. Participants shared more intra- than interprofessional situations. Intraprofessional conflicts were caused by poor relationships, whereas interprofessional conflicts were associated with patient-related tasks and social representations. Avoiding and forcing were the most commonly mentioned responses to intraprofessional conflicts. The theme of power impacted all aspects of conflict both intra- and interprofessional. Intraprofessional conflicts were found to be as important as interprofessional conflicts. Differences in the sources of conflict and similarities regarding consequences of and responses to conflicts support integration of authentic clinical situations in interprofessional training. Understanding similarities and differences between intra- and interprofessional conflicts may help educators develop conflict management training that addresses the sources, consequences, and responses to conflicts in clinical settings.
跨专业协作和冲突管理培训在健康科学课程中是必要的。在专业内部或跨专业团队之间发生的冲突的特征可能有所不同，并且了解甚少。我们旨在比较和对比专业内部和跨专业冲突的特征，以为未来的培训计划提供信息。通过对在一家三级医院工作的 82 名医疗保健专业人员进行半结构化访谈进行了一项探索性研究。访谈重点是冲突的来源、后果和应对措施。使用常规内容分析对冲突情况进行了分析。参与者分享了更多的专业内部而非跨专业的情况。专业内部冲突是由人际关系不佳引起的，而跨专业冲突与与患者相关的任务和社会代表性有关。回避和强迫是应对专业内部冲突最常提到的应对措施。权力主题影响了冲突的所有方面，无论是专业内部还是跨专业。研究发现，专业内部冲突与跨专业冲突一样重要。冲突来源的差异以及对冲突的后果和应对措施的相似性支持将真实的临床情况纳入跨专业培训中。了解专业内部和跨专业冲突之间的相似之处和差异可能有助于教育者制定冲突管理培训，以解决临床环境中的冲突来源、后果和应对措施。
