What are the best ways to help physicians understand conflict resolution and negotiation in nursing?
Conflict resolution and negotiation are essential skills for nurses, especially when working with physicians who may have different perspectives, expectations, or communication styles. However, many nurses lack formal training or confidence in these areas, which can lead to misunderstandings, frustration, or even errors. In this article, you will learn some of the best ways to help physicians understand conflict resolution and negotiation in nursing, and how to apply them in your practice.
The first step to resolving any conflict is to understand what is causing it. There are many possible sources of conflict between nurses and physicians, such as workload, priorities, values, roles, personalities, or culture. Some of these are more easily addressed than others, but all of them require respectful and honest dialogue. You can help physicians identify the sources of conflict by asking open-ended questions, listening actively, and acknowledging their point of view. You can also share your own perspective and explain how the conflict affects your work and patient care.
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David Spellman
Mediator and Attorney at David J. Spellman, Esq.
I’m old. So I come from a background in which there was a top-down hierarchy with the physician atop. That’s the first thing to go…need a team approach that puts the patient first.
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Air Vice Marshal Dr TS Raghuraman AVSM
Hospital Administrator & Director Academics
For me it has always been the team first with equal status professionally. To achieve positive results in the care of a patient involves good and appropriate communication (both written and verbal) among the team members which include the nurses. Dropping egoist behavior is another important aspect. keeping an open mind and accepting good suggestions from members of the team. Of course as an leader the final decision is that of the treating consultant.
Once you have identified the sources of conflict, you can work with the physician to find a mutually acceptable solution. This requires a collaborative approach, which means that both parties are willing to compromise, cooperate, and respect each other's interests and needs. A collaborative approach also involves using positive and constructive language, avoiding blame or criticism, and focusing on the common goal of providing quality care. You can help physicians use a collaborative approach by suggesting options, asking for their input, and expressing appreciation for their cooperation.
Sometimes, you may need to negotiate with the physician to reach a satisfactory outcome. Negotiation is a process of exchanging offers and concessions until both parties agree on a fair and feasible solution. Negotiation skills include preparing well, setting clear objectives, communicating effectively, and being flexible and creative. You can help physicians apply negotiation skills by establishing rapport, clarifying expectations, presenting your case clearly and confidently, and exploring alternatives. You can also use techniques such as framing, anchoring, or mirroring to influence the physician's decision.
Conflict and negotiation can trigger strong emotions, such as anger, frustration, fear, or anxiety. These emotions can interfere with your ability to think rationally, communicate clearly, and act professionally. Therefore, it is important to manage your emotions and help the physician manage theirs. You can manage your emotions by taking a deep breath, calming yourself down, and reframing the situation positively. You can help the physician manage their emotions by showing empathy, validating their feelings, and de-escalating the tension.
The final step to help physicians understand conflict resolution and negotiation in nursing is to learn from the experience and improve your relationship. You can learn from the experience by reflecting on what went well and what could be improved, and by seeking feedback from the physician or others. You can improve your relationship by following up on the agreement, maintaining trust and respect, and celebrating success. By learning from the experience, you can prevent future conflicts, enhance collaboration, and foster a positive work environment.
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