CRITICAL CARE NURSES' CONFLICT AND COMMUNICATION GAP DURING CARE OF PATIENTS WITH CORONA VIRUS | ||||
| Port Said Scientific Journal of Nursing | ||||
| Article 2, Volume 9, Issue 2, August 2022, Page 1-25 PDF (691.38 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/pssjn.2022.95554.1149 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Noha Mohammed Ibrahim  1; Shereen Abd El-Moneam Ahmed2; Wafaa Ismail Shereif3
| ||||
| 1Faculty | ||||
| 2Assistant. Prof of Medical-Surgical Nursing, Faculty of Nursing, Suez Canal University, Egypt | ||||
| 3Prof of Medical-Surgical Nursing, Faculty of Nursing, Mansoura University, Egypt | ||||
| Abstract | ||||
| Background: Corona Virus overwhelmed many countries’ healthcare systems, causing high levels of conflict amongst frontline nurses. Aim: To explore the conflict level and communication gap amongst the critical care nurses during the care of patients with COVID-19. Subjects and Method: Design: A descriptive exploratory design was utilized. Setting: The study implemented at the intensive care units (ICUs) affiliated to Abo Khalifa Emergency Hospital in Ismailia City, Egypt Subjects: A convenient sample of 80 nurses working at the critical care units affiliated with a specialized isolation hospital in Ismailia City, Egypt, from July to September 2020. Tools: tool one a self-administered conflicts and communication gap questionnaire, which contained three parts (Nurses' Personal characteristics profile, Nursing Conflict Scale (NCS), and Rahim Organizational Conflict Inventory-II form C, to assess staff nurses' preferred conflict resolution strategies. Results clarified that conflict was experienced by all critical care nurses, with 42.5% of the studied nurses have had moderate conflict, with the most common factors precipitating conflict being recurrent contact with infected patients and fear of infection for themselves and their loved ones by all the entire nurses (100%). Conflict types reported by the critical care nurses were intergroup, intrapersonal, competitive, intragroup, interpersonal, and disruptive by (3.59±1.43, 3.40±1.31, 3.21±1.24, 3.17 ±1.32, 2.93±1.23, and 2.47±1.41) respectively, with a statistically significant positive correlation between the level of conflict and collaboration, compromise, and avoiding conflict management styles (p-value.036,.002, and.000 respectively). Conclusion: Slightly less than half of nurses had moderate conflict levels, and collaborating was the most common used conflict resolution strategy, with the least one being avoidance. Recommendations: Training in conflict resolution strategies during outbreaks of terrorism as COVID- 19. | ||||
| Keywords | ||||
| Critical Care Nurses; Conflict and Communication Gap; Patients with COVID-19 | ||||
| References | ||||
|
Abd-Elrhaman, E.S.A., and Ghoneimy, A.G.H. (2018). The Effect of Conflict Management Program on Quality of Patient Care. American Journal of Nursing Science; 7(5): 192-201
Adams, J. G., and Walls, R. M. (2020). Supporting the health care workforce during the COVID-19 global epidemic. JAMA; 323(15), 1439. https://doi.org/10.1001/jama.2020.3972
Ahmed, S. and Obied, H. (2016). Effect of utilizing conflict management strategies for ICU nurses on patient care. Journal of Nursing and Health Science; 5(2):39-46.
Al-Hamdan, Z. (2009). Nurse managers, diversity and conflict management. Diversity in Health and Care 2009; 6: xxx–xxx. 1-14.
Alshammari, H.F. and Dayrit, R.D.J. (2017). Conflict and Conflict Resolution among the Medical and Nursing Personnel of Selected Hospitals in Hail City. IOSR Journal of Nursing and Health Science; 6(3): 45-60.
Borasio, G.D., Gamondi, C., Obrist, M., Jox, R. (2020). For the Covid-Task Force of palliative Ch. COVID-19: decision making and palliative care. Swiss Med Wkly; 150 (1314): w20233.
Buchbinder, S.B., Buchbinder, D. (2014). New leadership for today's health care professionals: Concepts and cases. (1 eds) Jones & Bartlett Learning, USA.
Charan, J and Biswas, T. (2013). How to calculate sample size for different study designs in medical research?. Indian Journal of Psychological Medicine; 35: 121
Cherry, B., Jacob, S.R. (2017). Contemporary nursing: Issues, trends, & Management, Mosby Co.
Egypt: WHO Coronavirus Disease (COVID-19) Dashboard . (2021). https://covid19.who.int/region/emro/country/eg. Retrieved 08/9/2021
El Dashan, M. E. A. & Keshk, L. I. (2014). Managers’ Conflict Management Styles and its Effect on Staff Nurses’ Turnover Intention at Shebin El Kom Hospitals, Menoufiya Governorate. World Journal of Medical Sciences; 11(1): 132-143.
Elshimy, H.M., Abel El-Megid, M., and Mohamed, S. (2002). Nursing conflict scale: Development of an instrument and testing its validity and reliability. The Scientific Journal of Al-Azhar Medical Faculty (Girls); 23: 679-693.
Finset, A., Bosworth, H., Butow, P., Gullbrandsen, P., et al., (2020). Effective health communication- A key factor in fighting the COVID-19. Patient Education and Counseling J; 103(2020): 873-876.
Grasselli, G., Pesenti, A., Cecconi, M. (2020). Critical care utilization for the COVID-19 outbreak in Lombardy, Italy: early experience and forecast during an emergency response. JAMA; 323(16): 1545.
Higazee, M.Z.A. (2015). Types and Levels of Conflict Experienced by Nurses in the Hospital Settings. Health Science Journal; 9(6:7): 1-6. www.hsj.gr/archive
Huber, D.L. (2014). Leadership & nursing care management, 5th edn., Elsevier, St Louis, MO.
Kantek, F. (2007). Nurse-Nurse Manager Conflict: How Do Nurse Managers Manage It?. The Health Care Manager J; 26 (2): 147–151
Marquis, B. and Huston, C. (2015). Leadership Roles and Management Functions in Nursing: Theory and Application: from: https://books.Google.com.eg/books? Id.
Ministry of Health and Population: Egypt. (2020). Egy_support. www.mohp.gov.eg . Retrieved 09, September, 2021.
Moisoglou, I., Panagiotis, P., Galanis, P., Siskou, O., Maniadakis, N. & Kaitelidou, D. (2014). ‘Conflict management in a Greek public hospital: Collaboration or avoidance?. International Journal of Caring Sciences; 7(1): 75–82.
Polyzou, M and Tsiotras, G. (2018). Analysis of Determinant Factors of Conflict in Greek Hospitals. International Journal of Caring Sciences; 11(2): 935-945.
Rahim, M. A. (2011). Managing conflict in organizations; 4th ed., New Jersey: Transaction Publishers, ISBN 978-1-4128-1456-0.
Robert, R., Kentish-Barnes, N., Boyer, A., Laurent, A., Azoulay,E., and Reignier, J. (2020). Ethical dilemmas due to the Covid-19 pandemic. Annals of Intensive Care; 10 (84). https://doi.org/10.1186/s13613-020-00702-7
Rocha, P.M.B., and Correa, H. (2020). Addressing interpersonal conflict among healthcare workers during the coronavirus pandemic. Braz J Psychiatry; 00:000-000. http://dx.doi.org/10.1590/1516-4446-2020-1109
Sullivan, E.J. (2012) Effective leadership and management in nursing. (8 eds) Pearson, Boston Co.
Tan, Benjamin Y.Q.; Chew, Nicholas W.S.; Lee, Grace K.H.; Jing, Mingxue; Goh, Yihui; Yeo, Leonard L.L.; Zhang, Ka; Chin, Howe-Keat; Ahmad, Aftab; Khan, Faheem Ahmed; Shanmugam, Ganesh Napolean; Chan, Bernard P.L.; Sunny, Sibi; Chandra, Bharatendu; Ong, Jonathan J.Y.; Paliwal, Prakash R.; Wong, Lily Y.H.; Sagayanathan, Renarebecca; Chen, Jin Tao; Ying Ng, Alison Ying; Teoh, Hock Luen; Ho, Cyrus S.; Ho, Roger C.; Sharma, Vijay K. (2020). "Psychological Impact of the COVID-19 Pandemic on Health Care Workers in Singapore". Annals of Internal Medicine. doi:10.7326/M20-1083. ISSN 0003-4819. PMC 7143149. Retrieved 20 July 2020.
WHO EMRO. (2020). Corona Virus | COVID-19 | Health topics – WHO EMRO http://www.emro.who.int/health-topics/corona-virus/index.html retrieved 08,September, 2021.
WHO Health Emergency Dashboard. (2021). WHO Coronavirus Disease (COVID-19) Dashboard. https://covid19.who.int/ retrieved 08, September, 2021.
Xie, J., Tong, Z., Guan, X., Du, B., Qiu, H., Slutsky, A.S. (2020 ). Critical care crisis and some recommendations during the COVID-19 epidemic in China. Intensive Care Med; 46(5): 837–40. | ||||
|
Statistics Article View: 249 PDF Download: 285 |
||||
