TRENDS CH. 13

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A newborn has several congenital anomalies incompatible with living beyond 1 month. The newborn cannot retain formula, and the temperature drops when the newborn is removed from the warmer. Two nurses who alternate caring for the baby argue about whether or not to attempt bottle feedings and whether the newborn should be removed from the warmer to be held. What is the origin of the conflict described?

  • Personality differences
  • Nursing role concerns
  • Personal goals for advancement
  • Ethical values (correct)

Of the following common areas of conflict between nurses and their patients and families, which does the nurse interpret as the most easily resolved?

  • Issues about quality of parental care
  • Issues of family involvement
  • Issues of concern about quality of care (correct)
  • Issues surrounding treatment decisions

What is the best strategy for resolving the conflict in a situation in which two staff nurses request the same vacation weeks?

  • Accommodation
  • Competition
  • Avoidance
  • Collaboration (correct)

On the unit in which you work, one nurse's aide is usually pleasant and helpful; the other is often abrasive and angry. What is the most important basic guideline to be observed by a nurse who must resolve a conflict between the two nurse's aides?

<p>Deal with issues, not personalities. (D)</p> Signup and view all the answers

One of your peers, a staff nurse, is a “potshot artist.” This nurse often makes you the butt of innuendo or teasing digs. You are fed up and decide to take action the next time it happens. What strategy should be considered as an effective way of dealing with a 'sniper'?

<p>Obtain group confirmation or denial of criticism raised by the individual. (A)</p> Signup and view all the answers

A staff nurse who has worked on the unit for 6 months voices the following concerns to another nurse: “The clinical nurse leader of the unit often follows me into the supply room and stands blocking the doorway and chats. The nurse leader makes opportunities to mention my good looks, muscular physique, or strength in the context of daily work, saying things like, ‘You’re so handsome; no wonder your patients like you.’ The nurse leader frequently touches me on the arm, the shoulder, chest, or the hair, and if I’m sitting, touches my leg. Yesterday, the nurse leader patted my arm and said, ‘You know, if we were dating, I might be able to give you lighter assignments.’ I don’t want to date the nurse leader. I just want to be left alone! What should I do?” What is the best reply?

<p>&quot;Confront the nurse leader with a description of the behavior and state that you want the behavior to stop.&quot; (D)</p> Signup and view all the answers

To resolve a scheduling conflict, a nurse manager is using employment seniority as a way to resolve the issue. The nurse manager interprets this as

<p>a win-lose strategy. (A)</p> Signup and view all the answers

The nurse manager is attempting to resolve an interpersonal conflict between two nurses. Which action below should be done first?

<p>Have an accurate understanding of the problem or conflict. (B)</p> Signup and view all the answers

During a staff meeting, an upset nursing assistant tells the group that the other nursing assistants are given easier patient assignments and are always given their choice of days off. What approach by the nurse manager would be effective to resolve this conflict?

<p>Acknowledge the feelings of the upset nursing assistant and make a plan to meet. (C)</p> Signup and view all the answers

Consider the following terms used to label different styles of handling anger—the Sherman tank, the sniper, the constant complainer, and the clam. Which of the following comments would you expect a Sherman tank to make?

<p>“How dare you accuse me of not putting away the linen!&quot; (C)</p> Signup and view all the answers

Which action by the nurse has the potential for creating role conflict?

<p>Arguing that the nurse on the next shift is responsible for weighing a patient (A)</p> Signup and view all the answers

Which of the following scenarios shows an ethical conflict?

<p>A nurse who has a hard time respecting “no codes” on young patients (D)</p> Signup and view all the answers

A nurse is aware that an area of conflict between nurses and patients' families is the quality of parental care. Which action would not help the nurse reduce conflict?

<p>Become frustrated with the parents for lack of participation in care. (B)</p> Signup and view all the answers

What can staff nurses do to reduce conflict with patients and families?

<p>Maintain consistency in enforcing rules and policies. (B)</p> Signup and view all the answers

A nurse is frustrated about being scheduled on a holiday that had been requested off, but a new nurse with less seniority was given the holiday off. Which action by the nurse shows accommodation?

<p>The nurse works the holiday while the new nurse has the day off. (D)</p> Signup and view all the answers

A nurse feels angry over a patient assignment and feels that assignments always include the 'bad ones.' What is the best way to control this anger?

<p>Face this anger and determine what is being felt. (C)</p> Signup and view all the answers

Which statement by the nurse is true regarding sexual harassment?

<p>&quot;The most common sexual harassment complaint is inappropriate remarks and touching.&quot; (C)</p> Signup and view all the answers

A female nurse is experiencing sexual harassment in the workplace by a male nurse. Which action should this nurse take to stop the sexual harassment?

<p>Tell the male nurse to stop. (C)</p> Signup and view all the answers

What action(s) by the staff nurse is an effective way to deal with a sexual harassment issue in the workplace? (Select all that apply.)

<p>Tell your coworkers about the incident. (A), Explain the situation to your spouse. (B), Tell the person to stop. (D), File a formal grievance. (F)</p> Signup and view all the answers

Which of the following are common factors of conflict encountered in nursing? (Select all that apply.)

<p>Unclear communication to family members about visiting hours (A), Consideration of a 26-week termination of pregnancy by a physician because of the mother's health (B), Vacation schedules posted with new staff members having to work at least one day during all holidays (C), Ambiguous boundaries around work responsibilities (D), Chief of medicine demanding that the nurse/patient ratio be increased (E), Nursing assistant placing personal achievement above everything (F)</p> Signup and view all the answers

What is important for the nurse manager to understand about resolving conflict in the workplace? (Select all that apply.)

<p>Thinking like a nurse promotes role socialization and reduces conflict. (A), Effective role socialization reduces negative conflict behaviors among nursing staff. (B), Use of collaboration to solve conflict issues is an important strategy to encourage. (C), Nurse managers need to create working environments that facilitate professional practice. (F)</p> Signup and view all the answers

What are some positive results that can come from conflict? (Select all that apply.)

<p>Groups can learn from each other. (A), Results of conflict can be constructive. (B), Group cohesiveness may increase as individuals resolve issues. (C), Talking about issues can avert serious conflict. (E)</p> Signup and view all the answers

A nurse is caring for an older adult patient when conflict regarding treatment arises between the family and the health care provider. What can the nurse do to resolve this conflict? (Select all that apply.)

<p>Clarify the health care provider's order with the family. (B), Encourage the family to speak directly to the health care provider regarding treatments. (D), Allow the family to participate in the decision-making process for their loved one. (E)</p> Signup and view all the answers

Which of the following statements by the nurse about unresolved conflict are true? (Select all that apply.)

<p>&quot;Conflict reduces productivity among staff.&quot; (B), “Conflict wastes energy.” (C), &quot;Conflict wastes time.&quot; (D)</p> Signup and view all the answers

What actions can a nurse implement into daily practice to reduce conflict? (Select all that apply.)

<p>Sort out issues. (A), Communicate openly. (B), Listen actively. (C), Deal with issues and not personalities. (E)</p> Signup and view all the answers

Flashcards

Ethical Value Conflict

Disagreement arising from ethics or values differences.

Address Issues, Not Personalities

Focus on issue resolution, not personal traits.

Dealing with a 'Sniper'

Gather input to get consensus, expose hidden issues.

Addressing Sexual Harassment

Directly describe the behavior, state desire for it to stop.

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Win-Lose Strategy

One party wins at the expense of the other.

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Role Conflict

Conflict arising from differing responsibilities.

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Ethical Practice

Nurse respects the patient's wishes/code status.

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Reducing parental care conflict

Model positive actions; provide resources.

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Consistency Reduces Conflict

Enforce rules and policies consistently.

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Control Anger

Address anger to deal with true feelings.

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Stopping Harassment

Make the harasser aware it is unwanted and it should stop.

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Dealing with Harassment (Steps)

Tell them to stop, inform people, file grievance.

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Common conflict factors

Roles, goals, communication, ethics, personality differences.

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Effects of Unresolved Conflict

Leads to decreased productivity, wastes time and energy.

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Study Notes

Conflict Management: Key Concepts

  • A newborn with anomalies is cared for by two nurses with differing views on bottle feeding and warmer use; the conflict stems from differing ethical values.
  • Issues about quality of care are typically the most easily resolved in nurse-patient/family conflicts.
  • In vacation week conflicts, collaboration is the superior strategy as it confronts the issues and solves the problem
  • Collaboration considers each party's needs to create a mutually beneficial "win-win" outcome
  • Avoidance leads to a "lose-lose" outcome due to its unassertive nature, while competition results in a "win-lose" dynamic utilizing force or power
  • Accommodation becomes a "lose-win" situation, breeding anger
  • Key to resolving conflict between nurse's aides involves addressing issues, not personalities

Dealing with Difficult People

  • An effective response to a "sniper" peer involves seeking group confirmation or denial of the criticism.
  • Confronting sexual harassment requires describing the behavior to the harasser and stating the behavior must stop.
  • Resolving scheduling conflicts via employment seniority is a "win-lose" strategy.
  • Ensure correct problem understanding is paramount when resolving conflicts
  • Effective conflict resolution with an upset nursing assistant includes acknowledging feelings and planning to meet.
  • The statement "How dare you accuse me of not putting away the linen!" is something a Sherman tank makes.
  • The most common sexual harassment is inappropriate remarks and touching
  • Nurses should take the most direct route and tell the harasser to stop
  • Sherman tanks are abusive, abrupt, and intimidating

Addressing Conflict

  • Arguing about whose responsibility it is to weigh a patient can create role conflict
  • In an ethical conflict, the nurse has a hard time respecting "no codes" on young patients
  • To reduce conflict over parental care, model positive techniques, encourage parent meetings, and provide class information.
  • Nurse should avoid being frustrated with parents and their lack of engagement
  • Nurses reduce conflict with patients/families by enforcing rules and policies consistently
  • Accommodation surfaces when working a holiday while another has the day off
  • Control anger by facing it and determining what is being felt

Multiple Response Scenarios

  • Effective actions for dealing with sexual harassment include telling the person to stop, informing coworkers, and filing a formal grievance.
  • Common conflict factors in nursing encompass ambiguous work boundaries, unclear communication, personal achievements prioritized, nurse/patient ratio demands, pregnancy termination considerations, and vacation schedule conflicts.
  • Key steps for nurse managers in conflict resolution are role socialization, foster collaboration, promote a professional environment, and encourage "thinking like a nurse."
  • Positive results from conflict include strengthened group cohesiveness, constructive resolutions, enhanced learning, and averted serious conflict.
  • Addressing treatment conflicts requires facilitating family participation in decision-making, open communication with healthcare providers, and clarifying orders.
  • Unresolved conflict reduces productivity, wastes time and energy, and decreases teamwork

Daily Practices to Reduce Conflict

  • Dealing with issues, fostering open communication, practicing active listening, and addressing issues can minimize conflict.

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