Nursing Administration and Education Department, College of Nursing, King Saud University, Riyadh, Saudi Arabia.
Nursing Administration Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
Nurs Crit Care. 2024 Mar;29(2):407-416. doi: 10.1111/nicc.12980. Epub 2023 Oct 9.
Intensive care units (ICUs) have been overwhelmed by the increasing number of coronavirus disease 2019 (COVID-19) cases, causing psychological burdens, stress, and various types of conflict among nurses.
To examine the occurrence, type, and intensity of conflict and preferred management styles among ICU nurses during the COVID-19 pandemic.
This cross-sectional descriptive study was conducted in a government hospital in Saudi Arabia using a convenience sample of 95 nurses from three ICUs. Data were collected using an e-questionnaire comprising the Nursing Conflict Scale, Rahim Organizational Conflict Inventory-II, and sociodemographic variables.
Most participants reported exposure to moderately (64.2%) or highly (34.79%) intense conflict during the pandemic. The competitive (2.23 ± .472) and intragroup (2.23 ± .385) types of conflict were the most frequently reported. The preferred conflict management style was collaborating (21.85 ± 5.49), followed by accommodating (18.39 ± 4.03). Pearson's correlation analysis showed that age, years of experience, and education were significantly associated with conflict type and management style. Preparedness to care for suspected or confirmed COVID-19 cases was associated with interpersonal conflict (r = .20, p = .04).
The participants experienced moderate- to high-intensity conflict; however, they employed constructive rather than destructive management styles.
Nurse leaders, policymakers, and educators must initiate transformational intervention programmes to enhance and sustain nurses' competencies in constructive conflict management strategies. Interpersonal communication and crisis management training programmes should be formulated to raise nurses' awareness and enhance their competencies vis-à-vis taking a positive approach to overcoming various conflict types and levels, particularly during crises.
由于 COVID-19 病例的不断增加，重症监护病房（ICU）已经不堪重负，这给护士带来了心理负担、压力和各种类型的冲突。
调查 COVID-19 大流行期间 ICU 护士冲突的发生、类型和强度以及他们偏爱的管理方式。
这是一项在沙特阿拉伯一家政府医院进行的横断面描述性研究，使用便利抽样法从三个 ICU 中抽取了 95 名护士作为研究对象。使用电子问卷收集数据，问卷包括护理冲突量表、拉希姆组织冲突清单 II 和社会人口学变量。
大多数参与者报告在大流行期间经历了中度（64.2%）或高度（34.79%）的紧张冲突。最常报告的冲突类型是竞争（2.23±.472）和群体内（2.23±.385）。首选的冲突管理方式是协作（21.85±5.49），其次是包容（18.39±4.03）。Pearson 相关分析显示，年龄、工作年限和教育程度与冲突类型和管理方式显著相关。准备照顾疑似或确诊 COVID-19 病例与人际冲突有关（r=.20，p=.04）。
参与者经历了中度到高度的紧张冲突，但他们采用了建设性而非破坏性的管理方式。
护士领导者、政策制定者和教育者必须启动变革干预计划，以增强和维持护士在建设性冲突管理策略方面的能力。应制定人际沟通和危机管理培训计划，以提高护士的意识，并提高他们在积极应对各种冲突类型和程度方面的能力，尤其是在危机期间。
