A Multilevel Analysis of Professional Conflicts in Health Care Teams: Insight for Future Training

Bochatay, Naïke; Bajwa, Nadia Masood; Cullati, Stéphane; Muller-Juge, Virginie; Blondon, Katherine; Perron, Noëlle Junod; Maître, Fabienne; Chopard, Pierre; Vu, Nu Viet; Kim, Sara; Savoldelli, Georges Louis; Hudelson, Patricia; Nendaz, Mathieu

doi:10.1097/acm.0000000000001912

Cited by 36 publications

(38 citation statements)

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“…The overall aim of the project was to explore how health care professionals experienced conflicts and to describe conflict characteristics. This led to the publication of a framework to understand conflicts as cyclical ‘wicked problems’ and to provide suggestions for training in conflict management . As we were collecting and analysing the data, we observed that some participants strongly identified with social groups.…”

Section: Methodsmentioning

confidence: 99%

“…Although task conflicts can be productive in clarifying opinions and finding innovative solutions, conflicts are usually perceived negatively. Studies have suggested that conflicts can lead to poor communication, suboptimal patient care and further tensions if left unaddressed . One of the key reasons for communication failure is difficulties members of the team have in raising their concerns with their hierarchy .…”

Section: Introductionmentioning

confidence: 99%

“…In spite of this, research that explicitly looks at the interplay between power and conflicts in interprofessional education is scant . Conflicts have been described as a complex multidimensional process that includes interpersonal and social dimensions and in which power differentials may play an important role . However, most studies on conflicts in health care focus on a single dimension (e.g.…”

Section: Introductionmentioning

confidence: 99%

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Exploring group boundaries and conflicts: a social identity theory perspective

et al. 2019

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Context In the clinical environment, health care professionals self‐categorise into different groups towards which they develop positive attitudes, whereas they view other groups less favourably. Social identity theory purports that these attitudes influence group processes and may foster conflicts that impede collaborative practice, although this relationship is poorly understood. This study used concepts from social identity theory to examine the interplay between group processes and conflicts, as well as the consequences of these conflicts, with the goal of identifying educational strategies to favour teamwork. Methods Semi‐structured interviews with 82 randomly selected physicians and nursing professionals working at a Swiss academic medical centre explored participants’ experiences of conflicts. Data analysis was informed by social identity theory and focused on interviews where group processes were highlighted by participants. The analysis sought to uncover how group processes were intertwined with conflicts and how they affected health care professionals. Results A total of 42 participants out of the initial pool of 82 interviews shared 52 stories of conflicts involving group processes. Most of these stories were shared by physicians and involved groups of physicians at different hierarchical levels. Conflicts and group processes were linked in two ways: (i) through processes of group membership when individuals struggled to join a relevant group, and (ii) through intergroup boundaries, such as when participants perceived that power differentials disadvantaged their own groups. Conflicts could lead to difficult experiences for clinicians who questioned their abilities, became disillusioned with their professional ideals and developed negative perceptions of other groups. Conclusions This study suggests that conflicts involving group processes may lead to stronger intergroup boundaries, challenging current educational efforts to favour teamwork in health care. Taking steps to create more inclusive groups and to encourage perspective taking may help manage intergroup conflict.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Exploring group boundaries and conflicts: a social identity theory perspective

et al. 2019

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“…The lack of primary care providers poses a major problem to the US healthcare system [29][30][31][32]. Healthcare is associated with a strenuous workload and due to clinical staffing level constraints and budgetary pressures healthcare systems have engineered new strategies to make sure the delivery of care [33][34].…”

Section: Doctors and Pasmentioning

confidence: 99%

“…The introduction of PA workforce into maxillofacial outpatient settings has allowed the surgeons to focus more on patient care whilst increasing the number of patients seen in the outpatient settings with better outcomes and this has translated into improved productivity and profits [44]. The primary reason for the difference in opinion between physicians and PAs has been related to differences in patient care and communication issues [29].…”

Section: Doctors and Pasmentioning

confidence: 99%

Are Physician Associates Less-defined Force Multipliers? Comparative Role Definition of Physician Associates within the Hierarchy of Medical Professionals

Malik

Krishnaswamy

Khan

et al. 2019

Cureus

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Medical field has changed considerably with pressures added on mainly by soaring costs, a decline in the workforce strength and patient expectations. The solution that healthcare systems have come up with is the induction of physician associates (PAs) into the workforce. We aim to compare and contrast PAs with other members of the healthcare teams such as nurses, doctors and assistant physicians to demonstrate the vital role PAs play in the current healthcare environment. With the increased patient load and shrinking medical workforce, there are fears that chronic disease management in primary and secondary care will be threatened. Therefore, health policymakers thought of developing a new mid-level practitioner role (such as PAs, ANPs and APs) that will augment physicians to cater for ever-growing complex medical needs of the patients. The role of PAs is comparable to many healthcare professionals, and one can say that the success of PA programmes has paved the way for the development of different other mid-level practitioner development initiatives. All these roles are there to support primary and secondary care physicians in both inpatient and outpatient settings in helping the patients. PAs are a force multiplier within the healthcare sector and can be seen as a valid solution to staff shortages faced by the healthcare systems around the world. We recommend further studies looking into different aspects of the role of a PA that could further provide our readers with clarity with regard to PAs.

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Physicians Towards Other Health Care Professionals and Vice Versa

Ćurković

Caenazzo

2022

The Bridge Between Bioethics and Medical Practice

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A Multilevel Analysis of Professional Conflicts in Health Care Teams: Insight for Future Training

Cited by 36 publications

References 35 publications

Exploring group boundaries and conflicts: a social identity theory perspective

Exploring group boundaries and conflicts: a social identity theory perspective

Are Physician Associates Less-defined Force Multipliers? Comparative Role Definition of Physician Associates within the Hierarchy of Medical Professionals

Physicians Towards Other Health Care Professionals and Vice Versa

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