ESTRATÉGIAS INDIVIDUAIS E ORGANIZACIONAIS PARA O GERENCIAMENTO DE CONFLITOS NA SAÚDE: REVISÃO DE ESCOPO

Authors

DOI:

https://doi.org/10.18471/rbe.v38.55776

Keywords:

Health Services Administration, Conflict, Psychological, Health Management, Negotiating, Health Personnel

Abstract

Objective: To characterize the individual and organizational strategies used to manage existing conflicts within the health team. Method: This is a scope review study. The search for evidence took place from February to May 2023 in databases: BDENF, CINAHL, LILACS, MEDLINE via PubMed and Scopus. Results: The final sample consisted of 28 articles, presented in two categories 1) Individual Strategies and 2) Organizational Strategies. The following stand out as individual strategies: development of communication skills, empathy, self-knowledge, emotional intelligence, respect; and organizational strategies, the need to implement preventive strategies and proactive conflict management, including training and capacity building. Conclusion: Conflicts are inevitable in complex environments such as healthcare, where different perspectives, interests and expectations meet. Therefore, it is essential to adopt proactive measures to identify, mitigate and resolve conflicts constructively in the field of health.

Downloads

Download data is not yet available.

Author Biographies

Carolina Cassiano, University of São Paulo

Doutoranda em Ciências pelo Programa Interunidades de Doutoramento em Enfermagem da Escola de Enfermagem de São Paulo. Possui Graduação em Enfermagem, Mestrado em Psicologia e Especialização em Gestão e Auditoria em Serviços de Saúde. Integrante dos Grupos de Pesquisa: "Ciclos de Vida, Família e Saúde no Contexto Social" (CIFACS-UFTM) e "Laboratório de Pesquisas em Gestão de Pessoas e Competências Profissionais" - Universidade de São Paulo (USP). 

Sílvia Helena Henriques, University of São Paulo

Graduada em enfermagem.  Mestre e Doutora em enfermagem. Professora Associada pelo Departamento de Enfermagem Geral e Especializada, da Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo. Vice-presidente do Programa de Pós-Graduação Interunidades de Doutoramento em Enfermagem da EE-EERP-USP; membro do Comitê de Ética em Pesquisa do Centro de Saúde Escola da Faculdade de Medicina de Ribeirão Preto/USP, Membro da Comissão do Observatório de Recursos Humanos da Escola de Enfermagem de Ribeirão Preto/USP. Líder de Grupo de pesquisa Laboratório de pesquisas em gestão de pessoas e competências profissionais; Membro do Grupo de Pesquisa NUESAT e do Centro de Estudos e Pesquisas sobre Hospital e Enfermagem. Membro da Rede de Enfermagem em Saúde Ocupacional -Red ENSO-Brasil.

Denise Maria Osugui, University of São Paulo

Possui graduação em Enfermagem pela Universidade Federal de Alfenas. Especialista em Administração Hospitalar, Docência do Ensino Superior e Cardiologia em Enfermagem. Mestrado em Enfermagem e doutoranda pela USP de Ribeirão Preto no Programa Interunidades da EERP. Atualmente professora da Pós-graduação do Centro Universitário do Sul de Minas em Urgência e Emergência/ Cardiologia. e na Faculdade Pitágoras de Poços de Caldas no curso de Pós-graduação em Urgência e Emergência/ Cardiologia e coordenadora de enfermagem como RT do Hospital Regional do Sul de Minas - Varginha.

Sonia Maria Kalckmann de Macedo, University of São Paulo

Enfermeira Doutoranda em enfermagem Ensino, Pesquisa e Inovação. Mestre em enfermagem pela Universidade Federal do Paraná, especialista em Urgência e Emergência Gestão e Auditoria em Saúde Cursando MBA em Gestão, Inovação e Serviços de Saúde. 

Luan Gagossian Savóia, University of Ribeirão Preto

Possui graduação em Psicologia pela Universidade de Ribeirão Preto. Atua como orientador de família e terapeuta na Clínica Lúdica, em Ribeirão Preto - SP e realiza especialização em Clínica Analítico-Comportamental pela Faculdade Psicolog (2022). Membro do Laboratório de Pesquisas em Gestão de Pessoas e Competências Profissionais.

Laura Andrian Leal, University of São Paulo

Graduada em Enfermagem pela Escola de Enfermagem de Ribeirão Preto. Doutora pelo programa Interunidades da Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo (USP). Mestre em Ciências, especialista em Urgência e Emergência e Terapia Intensiva, Auditoria em Saúde e em Gestão Pública. Atualmente é docente do Centro Universitário Municipal de Franca, membro do Grupo de Pesquisa "Centro de Estudos e Pesquisas sobre Hospital e Enfermagem" e do "Laboratório de Pesquisas em Gestão de pessoas e competências profissionais" da USP e Gestão, Formação, Saúde e Trabalho da Universidade Federal de São Carlos.

References

Fahy AS, Mueller C, Fecteau A. Conflict resolution and negotiation in pediatric surgery. Semin Pediatr Surg. 2021;30(5):151100. DOI: 10.1016/j.sempedsurg.2021.151100

Filella G, Ros-Morente A. Happy Software: an interactive program based on an emotion mana-gement model for assertive conflict resolution. Front Psychol. 2023;13:935726. DOI: 10.3389/fpsyg.2022.935726

Chan T, Oswald A, Hauer KE, Caretta-Weyer HA, Nousiainen MT, Cheung WJ; ICBME Col-laborators. Diagnosing conflict: Conflicting data, interpersonal conflict, and conflicts of interest in clinical competency committees. Med Teach. 2021;43(7):765-773. DOI: 10.1080/0142159X.2021.1925101

Wright AA, Katz IT. Beyond Burnout - Redesigning Care to Restore Meaning and Sanity for Physicians. N Engl J Med. 2018;378(4):309-311. DOI: 10.1056/NEJMp1716845

Sinskey JL, Chang JM, Shibata GS, Infosino AJ, Rouine-Rapp K. Applying Conflict Manage-ment Strategies to the Pediatric Operating Room. Anesth Analg. 2019;129(4):1109-1117. DOI: 10.1213/ANE.0000000000003991

Zakariya R, Naqvi SMMR. Leader instigated task conflict and its effects on employee job craft-ing; the mediating role of employee attributions. PloS one. 2022;17(12):e0278329. DOI: https://doi.org/10.1371/journal.pone.0278329

Bajwa NM, Bochatay N, Muller-Juge V, Cullati S, Blondon KS, Junod Perron N, et al. Intra ver-sus interprofessional conflicts: implications for conflict management training. J. interprof. care. 2020;34(2):259–268. DOI: https://doi.org/10.1080/13561820.2019.1639645

Kazemi E, Carter C, Davies MS. Workplace Conflict in Applied Behavior Analysis: Prevalence, Impact, and Training. Behav Anal Pract. 2022;15(2):608-618. DOI: 10.1007/s40617-021-00649-6

Pereira RS, Pereira KNSS, Guimarães GLP, Paula EJC, Silva LS, Tavares PPC. Resolução de conflitos em serviços de saúde e práticas restaurativas: o desafio da gestão. REAS [Internet]. 2021 [cited 2023 Aug 10]; 13(1):e5620. Available from: https://acervomais.com.br/index.php/saude/article/view/5620

Aseery M, Mahran S, Felemban O. The Relationship Between Emotional Intelligence and Con-flict Management Strategies From the Nurse Managers' Perspective. Cureus. 2023;15(3):e35669. DOI: https://doi.org/10.7759/cureus.35669

Delak B, Širok K. Physician-nurse conflict resolution styles in primary health care. Nurs Open. 2022;9(2):1077-1085. DOI: 10.1002/nop2.1147

Tricco AC, Lillie E, Zarin W, O’Brien K, Colquhoun H, Kastner M, et al. A scoping review on the conduct and reporting of scoping reviews. BMC med. res. methodol. 2016;16(15). DOI: https://doi.org/10.1186/s12874-016-0116-4

Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil, H. Chapter 11: Scoping Re-views (2020 version). In: Aromataris E, Munn Z (Editors). JBI Manual for Evidence Synthesis, JBI, [cited 2023 Aug 10];2020. Available from: https://synthesismanual.jbi.global https://doi.org/10.46658/JBIMES-20-12

Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169(7):467-473. DOI: http://doi.org/10.7326/M18-0850

Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005;8(1):19-32. DOI: http://doi.org/10.1080/1364557032000119616

Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan - a web and mobile app for systematic reviews. Syst Rev. 2016;5(1):210. DOI: http://doi.org/10.1186/s13643-016-0384-4

Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs. 2005;52(5):546-53. DOI: http://doi.org/10.1111/j.1365-2648.2005.03621.x

Haraway DL, Haraway WM 3rd. Analysis of the effect of conflict-management and resolution training on employee stress at a healthcare organization. Hosp Top. 2005;83(4):11-7. DOI: 10.3200/HTPS.83.4.11-18

Siu H, Spence Laschinger HK, Finegan J. Nursing professional practice environments: setting the stage for constructive conflict resolution and work effectiveness. J Nurs Adm. 2008;38(5):250-7. DOI: 10.1097/01.NNA.0000312772.04234.1f

Meth ND, Lawless B, Hawryluck L. Conflicts in the ICU: perspectives of administrators and clinicians. Intensive care med. 2009;35(12):2068–2077. DOI: 10.1007/s00134-009-1639-5

Pereira A, Lima ACMV, Silva RS. The negotiation power: reflection about the managing of conflicts in nursing. Rev enferm UFPE on line. 2009;3(1):117-123. DOI: https://doi.org/10.5205/reuol.195-1233-4-RV.0301200917

Morais FLSL. Rodas de terapia comunitária: espaços de mudanças para profissionais da

estratégia saúde da família [dissertação]. João Pessoa (PB): Universidade Federal da Paraíba; 2010.

Barbosa SLS, Costa GF, Cordeiro LJL, Alchieri JC. Workers’ participative management in the health care field: integrative literature. Rev. enferm. UFPE on line. 2011;5(8):2031-2037. DOI: https://doi.org/10.5205/reuol.1262-12560-1-LE.0508201129

Pavlakis A, Kaitelidou D, Theodorou M, Galanis P, Sourtzi P, Siskou O. Conflict management in public hospitals: the Cyprus case. Int. nurs. rev. 2011;58(2):242–248. DOI: 10.1111/j.1466-7657.2011.00880.x

Vaghetti HH, Padilha MICS, Lunardi Filho WD, Lunardi VL, Costa CFS. Significados das hierarquias no trabalho em hospitais públicos brasileiros a partir de estudos empíricos. Acta Paul. Enferm. (Online). 2011;24(1):87–93. DOI: https://doi.org/10.1590/S0103-21002011000100013

Greer LL, Saygi O, Aaldering H, Dreu CKW. Conflict in medical teams: opportunity or danger? Med. educ. 2012;46(10):935–942. DOI: 10.1111/j.1365-2923.2012.04321.x

Stecker M, Stecker MM. Disruptive staff interactions: a serious source of inter-provider conflict and stress in health care settings. Issues Ment Health Nurs. 2014;35(7):533–541. DOI: https://doi.org/10.3109/01612840.2014.891678

Sexton M, Orchard C. Understanding healthcare professionals' self-efficacy to resolve interpro-fessional conflict. J Interprof Care. 2016;30(3):316-23. DOI: 10.3109/13561820.2016.1147021

Pinhatti EDG, Vannuchi MTO, Sardinha DSS, Haddad MCL. Job rotation of nursing profes-sionals among the sectors of a hospital: a management tool in conflict resolution. Texto & contexto enferm. 2017;26(2):e1180015. DOI: https://doi.org/10.1590/0104-07072017001180015

Archambault-Grenier MA, Roy-Gagnon MH, Gauvin F, Doucet H, Humbert N, Stojanovic S, et al. Survey highlights the need for specific interventions to reduce frequent conflicts between healthcare professionals providing paediatric end-of-life care. Acta paediatr. 2018;107(2):262–269. DOI: https://doi.org/10.1111/apa.14013

Pitsillidou M, Farmakas A, Noula M, Roupa Z. Conflict management among health profession-als in hospitals of Cyprus. J Nurs Manag. 2018;26(8):953-960. DOI: 10.1111/jonm.12631

Vrgović P. Job stressors and interpersonal conflict resolution strategies of social workers in Ser-bia: Comparison with other public institutions. Int Soc Work. 2018;62(5):1444-1451. DOI: 10.1177/0020872818775495

Crilly J, Greenslade JH, Johnston A, Carlström E, Thom O, Abraham L, et al. Staff perceptions of the emergency department working environment: An international cross-sectional survey. Emerg Med Australas. 2019;31(6):1082-1091. DOI: 10.1111/1742-6723.13325

Freedman BD. Risk factors and causes of interpersonal conflict in nursing workplaces: Under-standings from neuroscience. Collegian. 2019;26(5):594–604. DOI: 10.1016/j.colegn.2019.02.001

Koesnell A, Bester P, Niesing C. Conflict pressure cooker: Nurse managers’ conflict manage-ment experiences in a diverse South African workplace. Health SA Gesondheid. 2019;24:1128. DOI: 10.4102/hsag.v24i0.1128

Moeta ME, Du Rand SM. Using scenarios to explore conflict management practices of nurse unit managers in public hospitals. Curationis. 2019;42(1):e1-e11. DOI: 10.4102/curationis.v42i1.1943

Moreira FTLS, Callou RCM, Albuquerque GA, Oliveira RM. Estratégias de comunicação efeti-va no gerenciamento de comportamentos destrutivos e promoção da segurança do paciente. Rev Gaúcha Enferm. 2019;40(esp):e20180308. DOI: https://doi.org/10.1590/1983-1447.2019.20180308

Mosadeghrad AM, Mojbafan A. Conflict and conflict management in Iranian hospitals. Int. J. Health Care Qual Assur. 2019;32(3):550-561. DOI: 10.1108/ijhcqa-09-2017-0165

Başoğul, C. Conflict management and teamwork in workplace from the perspective of nurses. Perspect. psychiatr. care. 2020;57(2):610-619. DOI: 10.1111/ppc.12584

Patton CM. Breaking the health-care workplace conflict perpetuation cycle. Leadersh. health serv. 2020;33(2):147-162. DOI: 10.1108/lhs-06-2019-0036

Van Keer RL, Deschepper R, Huyghens L, Bilsen J. Preventing conflicts between nurses and families of a multi-ethnic patient population during critical medical situations in a hospital. J. trans-cult. nurs. 2020;31(3), 250-256. DOI: https://doi.org/10.1177/1043659619859049

Andriopoulou M, Charos D, Kolypera V, Vivilaki VP, Tziallas D. Psychosocial factors associat-ed with conflicts among health professionals in the operating room in a Greek sample. J. nurs. manag. 2021;29(1):2707-2714. DOI: 10.1111/jonm.13428

Costa DL. O papel do enfermeiro gestor na gestão de conflitos [dissertação]. Porto (PT): Escola Superior de Enfermagem do Porto; 2021.

Assi MD, Eshah NF, Rayan A. The relationship between mindfulness and conflict resolution styles among nurse managers: a cross-sectional study. SAGE Open Nurs. 2022;8:23779608221142371. DOI: 10.1177/23779608221142371

House S, Wilmoth M, Stucky C. Job satisfaction among nurses and physicians in an Army hospi-tal: A content analysis. Nurs. outlook. 2022;70(4):601–615. DOI: https://doi.org/10.1016/j.outlook.2022.03.012

Geta A, Biks GA, Dellie E, Yazachew L. Job satisfaction and associated factors among health professionals working at public and private hospitals in Bahir Dar city, northwest Ethiopia: a com-parative cross-sectional study. BioMed Res Int. 2021;6632585. DOI: https://doi.org/10.1155/2021/6632585

Vaseghi F, Yarmohammadian MH, Raeisi A. Interprofessional collaboration competencies in the health system: a systematic review. Iran J Nurs Midwifery Res. 2022;27(6):496-504. DOI: 10.4103/ijnmr.ijnmr_476_21

Gunasingha RM, Knudsen N, Scialla T, Shepherd A, Clay A. Vital Conversations: An Interac-tive Conflict Resolution Training Session for Fourth-Year Medical Students. MedEdPORTAL. 2021;17:11074. DOI: 10.15766/mep_2374-8265.11074

Kim S, Bochatay N, Relyea-Chew A, Buttrick E, Amdahl C, Kim L, et al. Individual, interper-sonal, and organisational factors of healthcare conflict: A scoping review. J Interprof Care. 2017;31(3):282-290. DOI: 10.1080/13561820.2016.1272558

Cochran N, Charlton P, Reed V, Thurber P, Fisher E. Beyond fight or flight: the need for con-flict management training in medical education. Conflict Resolut. Q. 2018;35(4):393-402. DOI: 10.1002/crq.21218

Poitras ME, Maltais ME, Bestard-Denommé L, Stewart M, Fortin M. What are the effective elements in patient-centered and multimorbidity care? a scoping review. BMC Health Serv Res. 2018;18(1):446. DOI: 10.1186/s12913-018-3213-8

Cypher RL. Shared decision-making: a model for effective communication and patient satisfac-tion. J. Perinat Neonatal Nurs. 2019;33(4):285-287. DOI: 10.1097/JPN.0000000000000441

Schaller MD, Gatesman-Ammer A. Introducing conflict resolution and negotiation training into a biomedical sciences graduate curriculum. BMC Med Educ. 2022;22(1):419. DOI: https://doi.org/10.1186/s12909-022-03494-5

Lyons O, Forbat L, Menson E, Chisholm JC, Pryde K, Conlin S, et al. Transforming training into practice with the conflict management framework: a mixed methods study. BMJ Paediatr Open. 2021;5(1):e001088. DOI: 10.1136/bmjpo-2021-001088

Miles F, Barclay S, Menson E, Shepherd T, Webster L. Boldly going… Introducing conflict management training to starship children's hospital. J. paediatr. child health. 2023;59(3):424–426. DOI: https://doi.org/10.1111/jpc.16347

Long NH, Long NX. Self-evaluation of conflict management skills: a cross-sectional study among vietnamese nurses in 2021. Iran J Nurs Midwifery Res. 2022;27(5):461-465. DOI: 10.4103/ijnmr.ijnmr_363_21

Souza e Souza LPS, Souza AG. Enfermagem brasileira na linha de frente contra o novo Corona-vírus: quem cuidará de quem cuida? J. nurs. health [Internet]. 2020 [cited 2023 Aug 10];10(n.esp.):e20104005. Available from: https://docs.bvsalud.org/biblioref/2020/05/1095606/1-enfermagem-brasileira-na-linha-de-frente-contra-o-novo-coron_ygPksqt.pdf

Melnyk BM, Fineout-Overholt E. Evidence-Based Practice in Nursing & Healthcare: a Guide to Best Practice. Washington (DC): Lippincott Williams & Wilkins; 2010.

Published

2024-09-10

How to Cite

Cassiano, C., Henriques, S. H., Maria Osugui, D., Maria Kalckmann de Macedo, S., Gagossian Savóia, L., & Andrian Leal, L. (2024). ESTRATÉGIAS INDIVIDUAIS E ORGANIZACIONAIS PARA O GERENCIAMENTO DE CONFLITOS NA SAÚDE: REVISÃO DE ESCOPO. Revista Baiana De Enfermagem, 38(.). https://doi.org/10.18471/rbe.v38.55776

Issue

Section

Review