Role ambiguity is one of the antecedents in the management and mitigation of interpersonal conflict

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Managing and mitigating conflict in healthcare teams: an integrative review
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Internet Journal of Healthcare Administration, 2014

Cheryl Patton

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- Work-related psychological disorders
* Depression
* Burnout: is a psychological response to job stress
- emotional exhaustion
- depersonalization
- reduced perceptions of personal accomplishment.
* Psychosomatic disorders

-> These psychological distresses usually lead to emotional exhaustion, a form of psychological fatigue caused by energy depletion.

- Emotional exhaustion, depersonalization, and reduced perceptions of personal accomplishment.

- Motivation mediates the burnout-performance relationship. Hence, their model is burnout-motivation-performance.

- Burnout is not the same as rust-out, which is a form of psychological distress caused by a lack of challenge, inspiration, and/or opportunity on the job.

- Medical illness
* Heart disease, strokes, peptic ulcers, headaches, and backaches

- Behavioral problems
* Workplace aggression: may be triggered by perceptions of injustice in the workplace.
Interpersonal conflicts can be a form of nonphysical aggression.
Ethnic and cultural differences are too often a basis for interpersonal conflicts and may escalate into physical violence in the workplace.

* Substance abuse: ranges from legal behaviors such as alcohol abuse, excessive smoking, and the overuse of prescription drugs to illegal behaviors such as heroin and cocaine use.

* Accidents (both on and off the job): can sometimes be traced to work-related stressors.
( For example, an unresolved problem at work may preoccupy or distract an employee, causing an accident either at the office or on the road. )

Review

. 2016 Jul;72(7):1490-505.

doi: 10.1111/jan.12903. Epub 2016 Jan 29.

Affiliations

PMID: 26822008
DOI: 10.1111/jan.12903

Review

Managing and mitigating conflict in healthcare teams: an integrative review

Joan Almost et al. J Adv Nurs. 2016 Jul.

Abstract

Aim: To review empirical studies examining antecedents (sources, causes, predictors) in the management and mitigation of interpersonal conflict.

Background: Providing quality care requires positive, collaborative working relationships among healthcare team members. In today's increasingly stress-laden work environments, such relationships can be threatened by interpersonal conflict. Identifying the underlying causes of conflict and choice of conflict management style will help practitioners, leaders and managers build an organizational culture that fosters collegiality and create the best possible environment to engage in effective conflict management.

Design: Integrative literature review.

Data sources: CINAHL, MEDLINE, PsycINFO, Proquest ABI/Inform, Cochrane Library and Joanne Briggs Institute Library were searched for empirical studies published between 2002-May 2014.

Review methods: The review was informed by the approach of Whittemore and Knafl. Findings were extracted, critically examined and grouped into themes.

Results: Forty-four papers met the inclusion criteria. Several antecedents influence conflict and choice of conflict management style including individual characteristics, contextual factors and interpersonal conditions. Sources most frequently identified include lack of emotional intelligence, certain personality traits, poor work environment, role ambiguity, lack of support and poor communication. Very few published interventions were found.

Conclusion: By synthesizing the knowledge and identifying antecedents, this review offers evidence to support recommendations on managing and mitigating conflict. As inevitable as conflict is, it is the responsibility of everyone to increase their own awareness, accountability and active participation in understanding conflict and minimizing it. Future research should investigate the testing of interventions to minimize these antecedents and, subsequently, reduce conflict.

Keywords: antecedents; conflict management; healthcare teams; integrative review; interpersonal conflict; nurses; nursing; predictors.

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