Match!

Conflict on interprofessional primary health care teams--can it be resolved?

Published on Jan 1, 2011in Journal of Interprofessional Care1.772
· DOI :10.3109/13561820.2010.497750
Judith Belle Brown41
Estimated H-index: 41
(UWO: University of Western Ontario),
Laura Lewis3
Estimated H-index: 3
(UWO: University of Western Ontario)
+ 3 AuthorsM. Janet Kasperski6
Estimated H-index: 6
Sources
Abstract
Increasingly, primary health care teams (PHCTs) depend on the contributions of multiple professionals. However, conflict is inevitable on teams. This article examines PHCTs members' experiences with conflict and responses to conflict. This phenomenological study was conducted using in-depth interviews with 121 participants from 16 PHCTs (10 urban and 6 rural) including a wide range of health care professionals. An iterative analysis process was used to examine the verbatim transcripts. The analysis revealed three main themes: sources of team conflict; barriers to conflict resolution; and strategies for conflict resolution. Sources of team conflict included: role boundary issues; scope of practice; and accountability. Barriers to conflict resolution were: lack of time and workload; people in less powerful positions; lack of recognition or motivation to address conflict; and avoiding confrontation for fear of causing emotional discomfort. Team strategies for conflict resolution included interventions by tea...
  • References (22)
  • Citations (101)
📖 Papers frequently viewed together
726 Citations
745 Citations
118 Citations
78% of Scinapse members use related papers. After signing in, all features are FREE.
References22
Newest
#1Susan BaxterH-Index: 21
#2Shelagh Brumfitt (University of Sheffield)H-Index: 12
UK government policy is encouraging healthcare staff to blur traditional roles, in the drive to increase joint working between practitioners. However, there is currently a lack of clarity regarding the impact that changes to traditional working practice might have on staff delivering the services, or on patient care. In this article, we report findings from three qualitative case studies examining interprofessional practice in stroke care, in which the influence of professional differences emerg...
118 CitationsSource
#1Tova HendelH-Index: 8
#2Miri FishH-Index: 2
Last. Ornit BergerH-Index: 1
view all 3 authors...
In today's complex healthcare organizations, conflicts between physicians and nurses occur daily. Consequently, organizational conflict has grown into a major subfield of organizational behavior. Researchers have claimed that conflict has a beneficial effect on work group function and identified col
38 CitationsSource
ABSTRACT •UNHEALTHY CONFLICT in health care settings creates stress for nurses. Unresolved conflict generates feelings of being overwhelmed or "swamped." •BY USING REFLECTION, it is possible to gain insight into underlying beliefs and behaviors concerning conflict. •INSIGHT GAINED FROM REFLECTION can help nurses create a harmonious, advantaged environment, which supports them in their quest to provide high quality patient care. AORN J 84 (August 2006) 249–259. © AORN, Inc, 2006.
7 CitationsSource
#1Louise Lemieux-Charles (U of T: University of Toronto)H-Index: 23
#2Wendy McGuire (U of T: University of Toronto)H-Index: 7
This review of health care team effectiveness literature from 1985 to 2004 distinguishes among intervention studies that compare team with usual (nonteam) care; intervention studies that examine the impact of team redesign on team effectiveness; and field studies that explore relationships between team context, structure, processes, and outcomes. The authors use an Integrated Team Effectiveness Model (ITEM) to summarize research findings and to identify gaps in the literature. Their analysis sug...
523 CitationsSource
#1Richard T. Penson (Harvard University)H-Index: 47
#2Helena Kyriakou (Harvard University)H-Index: 1
Last. Thomas J. Lynch (Harvard University)H-Index: 66
view all 5 authors...
Correspondence: Richard T. Penson, M.R.C.P., M.D., Division of Hematology-Oncology, Massachusetts General Hospital, Yawkey 9066, 55 Fruit Street, Boston, Massachusetts 02114-2617, USA. Telephone: 617-726-5867; Fax: 617-724-6898; e-mail: rpenson@partners.org Received April 7, 2006; accepted for publication April 7, 2006. ©AlphaMed Press 1083-7159/2006/$20.00/0 Abstract Shortly before his death in 1995, Kenneth B. Schwartz, a cancer patient at Massachusetts General Hospital (MGH), founded The Kenn...
33 CitationsSource
#1Patricia Hill Bailey (Laurentian University)H-Index: 12
#2Linda JonesH-Index: 1
Last. Daniel WayH-Index: 3
view all 3 authors...
Aims. This paper presents the experiences of nurse practitioners and family physicians working in collaborative practice at four Canadian rural primary care agencies. It focuses on the qualitative segment of a larger study examining the impact of an educational intervention on interprofessional practice. Background. Growing awareness of the importance of health promotion and disease prevention, the increased complexity of community-based care, and the need to use scarce human healthcare resource...
92 CitationsSource
#1Karen Earsing (Johns Hopkins University)H-Index: 6
#2Deborah B. Hobson (Johns Hopkins University)H-Index: 18
Last. Kathleen M. WhiteH-Index: 11
view all 3 authors...
: Compliance with venous access best practices at Johns Hopkins Hospital hinged on nursing and physician management, and quality improvement programs.
7 Citations
Overview: Providing safe, error-free care is the number-one priority of all health care professionals. Excellent outcomes have been associated with procedural efficiency, the implementation of evidence-based standards, and the use of tools designed to reduce the likelihood of medical error (such as computerized medication orders and bar-coded patient identification). But the impact of work relationships on clinical outcomes isn’t as well documented. Overview: The current survey was designed as a...
26 CitationsSource
All human dynamics include the potential for conflict. Communication processes have deeply embedded in them all the elements of essential conflict. The acknowledgment of differences across the human community is a recognition that all conflict is normative. In healthcare systems, leaders must recognize this factor as an essential part of the expression of the leadership role. Therefore, understanding conflict, applying conflict resolution strategies in the leader's role, building approaches to a...
22 CitationsSource
#1Kevin Grumbach (UCSF: University of California, San Francisco)H-Index: 57
#2Thomas BodenheimerH-Index: 58
In health care settings, individuals from different disciplines come together to care for patients. Although these groups of health care personnel are generally called teams, they need to earn true team status by demonstrating teamwork. Developing health care teams requires attention to 2 central questions: who is on the team and how do team members work together? This article chiefly focuses on the second question. Cohesive health care teams have 5 key characteristics: clear goals with measurab...
546 CitationsSource
Cited By101
Newest
Source
#1Kelley Kilpatrick (McGill University)H-Index: 2
#1Kelley Kilpatrick (McGill University)H-Index: 20
Last. Carl-Ardy Dubois (UdeM: Université de Montréal)H-Index: 16
view all 10 authors...
Aim Describe brief (less than half a day) interventions aimed at improving healthcare team functioning. Methods A systematic review on brief team interventions aimed at role clarification and team functioning (PROSPERO Registration Number: CRD42018088922). Experimental or quasi-experimental studies were included. Database searches included CINAHL, Medline, EMBASE, PUBMED, Cochrane, RCT Registry-1990 to April 2020 and grey literature. Articles were screened independently by teams of two reviewers...
Source
Abstract Background Previous research indicates that interprofessional teams in medicine often fail to collaborate effectively, especially in rural areas. Rural physicians play an essential role in determining patient care in interprofessional collaborations; however, no extant studies address the difficulties that rural physicians face in such collaborations and interprofessional teams. Purpose This study sought to illuminate physician perceptions of interprofessional collaboration. Method Focu...
Source
#1Megan B. Richie (UCSF: University of California, San Francisco)H-Index: 6
#2S. Andrew Josephson (UCSF: University of California, San Francisco)H-Index: 28
Collaboration within a complicated organization is inherently challenging and can be fraught with discord. Recent emphasis on interdisciplinary and collaborative teamwork in neurology has brought this issue to the forefront of daily practice. The health care system can be complex and opaque, and the stakes—human life—are high. Medical team conflict has been associated with decreased subjective effectiveness, less job satisfaction, and increase in errors. As specialists, neurologists are necessar...
1 CitationsSource
#1Alissa van Zijl (EUR: Erasmus University Rotterdam)H-Index: 1
#2Brenda Vermeeren (EUR: Erasmus University Rotterdam)H-Index: 8
Last. Bram Steijn (EUR: Erasmus University Rotterdam)H-Index: 23
view all 4 authors...
ABSTRACTThis study aimed to unravel the complexity of interprofessional teamwork in primary care teams by testing the relationship between functional heterogeneity and team performance through the ...
Source
#1Susan Gordon (Flinders University)H-Index: 14
#2Christopher Lind (Flinders University)H-Index: 8
Last. Nicky Baker (Flinders University)H-Index: 2
view all 4 authors...
ABSTRACTInterprofessional collaboration is critical for optimal healthcare. Preparing for a collaborative, practice-ready workforce, the Interprofessional Learning Competencies (IPLCs) were adopted...
Source
#1Nicolas Ndibu Muntu Keba Kebe (UdeM: Université de Montréal)H-Index: 1
#2François Chiocchio (U of O: University of Ottawa)H-Index: 11
Last. Marie-Josée Fleury (Douglas Mental Health University Institute)H-Index: 19
view all 4 authors...
Background This study has two aims: first, to identify variables associated with interprofessional collaboration (IPC) among a total of 315 Quebec mental health (MH) professionals working in MH primary care teams (PCTs, N = 101) or in specialized service teams (SSTs, N = 214); and second, to compare IPC associated variables in MH-PCTs vs MH-SSTs.
Source
#1Tony Smith (SHU: Sheffield Hallam University)H-Index: 7
#2Sally Fowler Davis (SHU: Sheffield Hallam University)H-Index: 5
Last. Pam Enderby (University of Sheffield)H-Index: 35
view all 5 authors...
ABSTRACTThis study presents a framework for the leadership of integrated, interprofessional health, and social-care teams (IgTs) based on a previous literature review and a qualitative study. The t...
1 CitationsSource
#1Sajid Haider (CUI: COMSATS Institute of Information Technology)H-Index: 4
Last. Jamil Ahmad (CUI: COMSATS Institute of Information Technology)H-Index: 2
view all 6 authors...
Background Recognizing the need for improving maternal and newborn care, the Punjab public health department (Pakistan) launched emergency obstetric neonatal care (EmONC) services under WHO guideline. Unfortunately, the program implementation is facing some serious problems. The purpose of this study was to identify barriers to implementation of EmONC in district Bahawalnagar (Pakistan). Methods This study used sequential exploratory design. Specifically, a qualitative study was conducted to ide...
Source
Abstract Aims and objectives The purpose of this literature review is to explore the risk factors and causes of interpersonal conflict in healthcare nursing workplaces and test the applicability of the SCARF model (Status, Certainty, Autonomy, Relatedness and Fairness) in explaining, predicting and mitigating interpersonal conflict. Background The SCARF model seeks to explain how a person's neurological responses to social stimuli influence workplace engagement, management and leadership behavio...
Source