Beyond fight or flight: The need for conflict management training in medical education

Cochran, Nan; Charlton, Paul; Reed, Virginia A.; Thurber, Peter

doi:10.1002/crq.21218

Cited by 16 publications

(20 citation statements)

References 35 publications

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“…Conflicts between health care professionals have received increasing attention in the health professions education literature, particularly in the context of efforts to improve team performance and patient care . Conflicts can be defined as the perception of incompatible goals and expectations and can take multiple forms, from minor tensions to major disputes .…”

Section: Introductionmentioning

confidence: 99%

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: Introductionmentioning

confidence: 99%

Exploring group boundaries and conflicts: a social identity theory perspective

et al. 2019

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“…While much research remains to be done on this topic, there are clear arguments in favor of extending insurance benefits internationally. [24][25][26][27][28][29][30]37 It is important to consider obtaining similar accreditations in outpatient medical care from other healthcare accreditation organizations that contribute to diversifying Colombian medical tourist offer. However, the literature review does not highlight that hospitals consider obtaining other ambulatory care accreditations.…”

Section: Discussionmentioning

confidence: 99%

“…While much research remains to be done on this topic, there are clear arguments in favor of extending insurance benefits internationally. 24 - 30 , 37 …”

Section: Discussionmentioning

confidence: 99%

“…They also indicate that outpatient accreditation contributed to enhancing clinical research protocols ambulatory collected data. 3,25 Another study in 2017 associated the use of outpatient care protocols in achieving a more accurate clinical diagnose in 34 patients. 25,26 It was found that such protocols not only meet the 3 above-mentioned goals, but also help improve specific clinical diagnoses.…”

Section: The Role Of Outpatient Medical Care Protocols In the Qualitymentioning

confidence: 99%

“…They also indicate that outpatient accreditation contributed to enhancing clinical research protocols ambulatory collected data. 3 , 25 …”

Section: Literature Reviewmentioning

confidence: 99%

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The Role of Outpatient Care Accreditation in Enhancing Foreign Patients’ Perception of Colombian Medical Tourism: A Quasi-experimental Design

Pacheco

Aguado

Arias

et al. 2020

INQUIRY

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This study analyzes whether hospitals accredited by the Joint Commission International in outpatient medical care protocols located in Colombia achieve a higher quality perception from foreign patients compared to others treated in a non-accredited one. A t-test with Welch correction, chi-square test, correlation coefficient of Tau Kendall, pre-test, post-test, complementary questionnaire and a 2 focus groups were used in 178 foreign patients. It was observed that patients treated in accredited hospitals had a higher quality perception than the non-accredited group. However, it was found that an unbalanced application of the 3 variables negatively alters quality judgment. Findings contributes to understanding the Colombian medical tourism in depth using non-conventional instruments.

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