Orchard Carole, King Gillian, Tryphonopoulos Panagiota, Gorman Eunice, Ugirase Sibylle, Lising Dean, Fung Kevin
Dr. Orchard: Professor Emerita, Adjunct Research Professor, Arthur Labatt Family School of Nursing, University of Western Ontario, London, Ontario, Canada. Dr. King: Adjunct Research Professor, Arthur Labatt Family School of Nursing, University of Western Ontario, and Distinguished Senior Scientist, Bloorview Research Institute, Toronto, Ontario, Canada. Dr. Tryphonopoulos: Assistant Professor, Arthur Labatt Family School of Nursing, University of Western Ontario, London, Ontario, Canada. Dr. Gorman: Associate Professor and Chair Department of Thanatology, King's University College at Western University, London, Ontario, Canada. Dr. Ugirase: Manager, Nursing Programs, School of Health Sciences, College Boreal. Ontario, London, Ontario, Canada. Mr. Lising: Team-Based Practice and Education Lead at Centre for Interprofessional Education, University of Toronto, Toronto, Ontario, Canada. Dr. Fung: Professor, Chair/Chief Department of Otolaryngology, Health and Neck Surgery, Schulich School of Medicine, Faculty of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada.
J Contin Educ Health Prof. 2024 Jul 1;44(3):203-210. doi: 10.1097/CEH.0000000000000524. Epub 2023 Jul 17.
Although concern related to conflicts within health care teams has been discussed in the literature, most studies have focused on individuals' personal conflict management style identification or on managers resolving workplace conflicts between parties. The purpose of this review was to identify significant components in the field of conflict with particular attention to conceptual findings that may be integrated into understanding interprofessional health care team conflict and its resolution.
A critical review of the conflict literature across many fields was undertaken using the method identified by Grant and Booth, incorporating literature-search, appraisal, synthesis, and analysis.
This critical review explored existing models and schools of thought to provide an overview of how conflict is conceptualized, its focus on interpersonal and workplace issues, team conflict application and training in team conflict resolution, and finally a summary of this review's contribution to interprofessional health care team conflict and its resolution.
Team conflict is comprised of three forms-relationship, task, and process. When team building occurs that incorporates training in the use of an adapted constructive controversy approach, there is a greater opportunity to enhance the quality of a cooperative approach to patients' care planning. Training in team conflict resolution is needed as a key ingredient to ensure all team members can enhance the effectiveness and quality of interprofessional client-centered collaborative practice. This benefits not only the health providers in the team, but also their clients/patients who are recipients of their shared teamwork.
尽管医疗团队内部冲突相关问题已在文献中有所讨论，但大多数研究聚焦于个人冲突管理风格的识别，或管理者解决各方之间的工作场所冲突。本综述的目的是确定冲突领域中的重要组成部分，特别关注那些可融入对跨专业医疗团队冲突及其解决方式理解的概念性研究结果。
采用格兰特和布斯所确定的方法，对多个领域的冲突文献进行批判性综述，包括文献检索、评估、综合和分析。
本批判性综述探讨了现有模型和思想流派，以概述冲突如何被概念化、其对人际和工作场所问题的关注、团队冲突在团队冲突解决中的应用及培训，最后总结本综述对跨专业医疗团队冲突及其解决的贡献。
团队冲突由三种形式组成——关系冲突、任务冲突和过程冲突。当进行团队建设并纳入采用适应性建设性争议方法的培训时，就有更大机会提高合作式患者护理计划的质量。团队冲突解决培训是确保所有团队成员能够提高以患者为中心的跨专业协作实践的有效性和质量的关键要素。这不仅有利于团队中的医疗服务提供者，也有利于作为其共同团队合作受益者的客户/患者。
