Nikitara Monica, Dimalibot Mutu Roxane, Latzourakis Evangelos, Constantinou Costas S
Department of Health Sciences, School of Life and Health Sciences, University of Nicosia, Nicosia 1700, Cyprus.
Department of Basic and Clinical Sciences, Medical School, University of Nicosia, Nicosia 1700, Cyprus.
Nurs Rep. 2024 Dec 23;14(4):4173-4192. doi: 10.3390/nursrep14040304.
This systematic review aimed to identify the most prevalent conflict management styles and strategies employed by nurses in clinical settings and to examine the factors associated with their selection.
A comprehensive literature search was conducted following the PRISMA guidelines. Databases searched included PUBMED, CINAHL, Medline, and ProQuest, focusing on articles published between 2014 and 2024. Inclusion criteria were primary data studies involving nurses, published in English. The search strategy utilized Boolean operators to combine keywords related to nursing, conflict management, and healthcare settings. A total of 174 articles were initially identified, with 22 meeting the inclusion criteria after screening. The quality of the included studies was assessed using the Joanna Briggs Institute Qualitative Assessment and Review Instrument Critical Appraisal Checklist. The results were synthesized using content analysis.
The main findings from the 22 articles reviewed indicate that accommodation and collaboration/integration are the most common conflict management styles and strategies among nurses, with compromising also frequently employed. Factors such as age, experience, educational level, and workplace culture significantly influence the choice of conflict management strategies.
Nurses employ a variety of conflict management strategies depending on the context, individual preferences, and situational factors. Effective conflict resolution is closely linked to collaboration and communication, with proactive strategies being more effective in preventing conflicts. The findings underscore the need for tailored conflict management training to enhance job satisfaction and work relations in nursing environments. We acknowledge several limitations that may affect the interpretation and generalizability of our findings such as the diversity of the tools and the methodologies used by the included studies.
本系统评价旨在确定护士在临床环境中采用的最普遍的冲突管理风格和策略，并研究与其选择相关的因素。
按照PRISMA指南进行全面的文献检索。检索的数据库包括PUBMED、CINAHL、Medline和ProQuest，重点关注2014年至2024年发表的文章。纳入标准为涉及护士的原始数据研究，且以英文发表。检索策略利用布尔运算符组合与护理、冲突管理和医疗环境相关的关键词。最初共识别出174篇文章，筛选后有22篇符合纳入标准。使用乔安娜·布里格斯研究所定性评估和审查工具批判性评价清单对纳入研究的质量进行评估。结果采用内容分析法进行综合。
对22篇综述文章的主要研究结果表明，迁就以及合作/整合是护士中最常见的冲突管理风格和策略，妥协也经常被采用。年龄、经验、教育水平和工作场所文化等因素显著影响冲突管理策略的选择。
护士根据具体情况、个人偏好和情境因素采用多种冲突管理策略。有效的冲突解决与合作和沟通密切相关，积极主动的策略在预防冲突方面更有效。研究结果强调需要进行量身定制的冲突管理培训，以提高护理环境中的工作满意度和工作关系。我们承认可能影响我们研究结果解释和普遍性的几个局限性，例如纳入研究使用的工具和方法的多样性。
