Structurational Divergence Theory as Explanation for Troublesome Outcomes in Nursing Communication

Nicotera, Anne Maydan; Zhao, Xiaoquan; Mahon, Margaret M.; Peterson, Emily; Kim, Sunny; Conway-Morana, Patricia L.

doi:10.1080/10410236.2013.863139

Cited by 20 publications

(30 citation statements)

References 75 publications

(92 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Inter-professional communication within the health care team is also essential for providing effective health care. Quality of team cooperation and communication plays a vital part in fostering a healthy work environment, increasing job satisfaction, preventing burnout syndrome and lowering health care professionals' intentions to leave [3][4][5]. Some studies have also demonstrated a relationship between the effectivity of communication and the occurrence of medical errors [6,7].…”

Section: Introductionmentioning

confidence: 99%

Attitudes towards communication skills among nursing students and its association with sense of coherence

Škodová¹,

Banovcinova²,

Banovcinova³

2018

Kontakt

View full text Add to dashboard Cite

The aim of the study is to examine the relationships between attitudes towards communication skills, self-evaluation of communication abilities, and sense of coherence among students of nursing. A cross-sectional correlational study design was employed. Altogether, 227 university nursing students participated in the study (20.53 ± 2.04; 96.9% females). Communication Skills Attitudes Scale (CSAS), Sense of Coherence Scale (SOC), and short self-evaluation scale of communication ability of own design were used. The results showed a high average score in the positive attitudes subscale and moderate negative attitudinal scores in the CSAS questionnaire, as well as positive self-evaluation of the communication abilities among students. The positive subscale of the CSAS was positively related to the sense of coherence (p = 0.05), while the negative subscale of the CSAS was negatively related to the sense of coherence (p ≤ 0.001). The study showed that sense of coherence is associated with more positive attitudes towards communication skills. Understanding the factors associated with the effective communication strategies provides an important base for improving the content of the current communication curriculum in nursing study programs.

show abstract

Section: Introductionmentioning

confidence: 99%

Attitudes towards communication skills among nursing students and its association with sense of coherence

Škodová¹,

Banovcinova²,

Banovcinova³

2018

Kontakt

View full text Add to dashboard Cite

show abstract

“…In reality, the struggles they faced could be attributed to larger institutional issues creating a nexus of incompatible structures exerting equally compelling demands of contradictory meaning systems (Nicotera & Clinkscales, 2010). These nurses experienced all of the difficulties outlined below, which were confirmed in subsequent quantitative research to be empirically linked to SD (Nicotera et al, 2015;Nicotera & Mahon, 2013).…”

Section: Sd In Nursingmentioning

confidence: 88%

“…The SD-cycle is a negative communication spiral: unresolvable conflict (often manifesting in interpersonal relations), immobilization (inability to achieve goals), and erosion of development that perpetuates the contradiction (see Figure 1). SD has been observed in nursing, and several negative implications associated with SD have been reported including burnout, high turnover, and bullying (Nicotera & Clinkscales, 2010;Nicotera et al, 2015;Nicotera & Mahon, 2013).…”

Section: Introductionmentioning

confidence: 99%

Expanding structurational divergence theory by exploring the escalation of incompatible structures to conflict cycles in nursing

Malterud

Nicotera

2020

Management Communication Quarterly

Self Cite

View full text Add to dashboard Cite

Intractable workplace conflicts that impede individual and organizational success are common, yet little is understood about how such cycles are formed. Structurational divergence (SD) theory explains intractable conflict cycles resulting from incompatible meaning structures. SD-nexus is the interpenetration of equally compelling but incompatible structures, creating unresolvable conflicts, thus escalating the SD-nexus to the SD-cycle of intractable conflict: unresolvable conflict, immobilization, and erosion of development that perpetuates the unresolvable conflicts. The presence of both SD-nexus and SD-cycle is diagnosed as SD. SD has been studied in nursing, contributing to negative occupational outcomes (e.g., burnout, bullying, role conflict, low job satisfaction, and high turnover). No research has examined how SD-nexus escalates to SD-cycle. This study presents an exploratory secondary analysis of data from a previous study. Communication-related variables that are significantly correlated with SD were used to determine which may be associated with SD-nexus-to-SD-cycle escalation. Results suggest that nonconfrontational conflict management style and taking conflict personally may escalate SD. Future research examining these variables, along with self-efficacy and other variables gleaned from the literature, is recommended.

show abstract

“…In addition, many studies have demonstrated a relationship between the work environment and medical errors (Flynn et al 2010, Kramer et al 2011. Communication and collaboration have been associated with nurses' attachment to their organisation and improved nurse retention (Townsend-Gervis et al 2014, Nicotera et al 2015. For nurses, working in a hospital with a good work environment is associated with a significantly lower likelihood of experiencing burnout, job dissatisfaction and an intention to leave ).…”

Section: Healthy Work Environment and Group Interactionmentioning

confidence: 99%

“…, Nicotera et al . ). For nurses, working in a hospital with a good work environment is associated with a significantly lower likelihood of experiencing burnout, job dissatisfaction and an intention to leave (Aiken et al .…”

Section: Introductionmentioning

confidence: 97%

Exploring nursing staffs communication in stressful and non‐stressful situations

et al. 2015

View full text Add to dashboard Cite

Management 24, E175-E182. Exploring nursing staffs communication in stressful and non-stressful situationsAim To explore the factors that characterise the work environment, focusing on communication among nurses in stressful and non-stressful situations. Background Nursing is often described as a stressful occupation. Implementation of change may be an additional stress factor. Methods Nurses and assistant nurses completed a questionnaire from two different perspectives, 'communication in non-stressful situations' and 'communication under stress'. The Systematising Person-Group Relations method was used to gather and analyse the data. Results When the two perspectives, 'communication in non-stressful situations' and 'communication under stress', were compared, there were significant differences in 8 of the 12 factors. The stressful situations were characterised by low values in task orientation, caring, criticism, loyalty, acceptance, engagement and empathy; only the factor creativity had higher scores. Conclusion The stressful situations were characterised by creative and spontaneous behaviour, not by task orientation and engagement, indicating a potential patient safety risk. Implications for nurse management There is a need to help health-care workers develop more mature analytical and task-oriented behaviours related to both independent work and collaboration in stressful situations. Nursing leadership and organisation must focus on healthy work environments to promote engaged communication in stressful situations, ultimately increasing patient safety.

show abstract

Structurational Divergence Theory as Explanation for Troublesome Outcomes in Nursing Communication

Cited by 20 publications

References 75 publications

Attitudes towards communication skills among nursing students and its association with sense of coherence

Attitudes towards communication skills among nursing students and its association with sense of coherence

Expanding structurational divergence theory by exploring the escalation of incompatible structures to conflict cycles in nursing

Exploring nursing staffs communication in stressful and non‐stressful situations

Contact Info

Product

Resources

About