Tackling Causes of Conflict among the Nurses

Tackling Causes of Conflict among the Nurses
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Part 1
Introduction
Nursing is an important field in health and medicine that facilitates service delivery to an ever increasing patient population. The field requires a lot of passion due to numerous challenges involved in discharging duties. The most common problem is conflict among the nurses especially conflict involving newly recruited and experienced nurses (Ashker, Penprase, & Salman, 2012). The paper, therefore, focuses on finding solutions to the causes of such conflicts. To achieve that evidence will be retrieved from relevant journals in the nursing field, it will be analyzed, and then findings will be used to give recommendations on how best such conflicts can be addressed.
Clinical question under research
How best can we tackle the causes of conflict among staff in the nursing unit?
Many factors influenced the selection of this research question. There have been concerns raised about the rampant increase of conflict among nurses especially those working in the nursing unit (Høye & Severinsson, 2010). The newly appointed nurses have found themselves in unnecessary conflict with experienced nurses leading to disruption of service delivery in health care centers. The ongoing conflicts among experienced and newly recruited nurses not only affect their working relationships but also expose patients to the danger of being given poor services (Fernandes & Moreira, 2013). The need to prevent these looming effects is what influenced my choice of the research question.
Locating and retrieving evidence
EBSCOhost online library was used to get information for conducting research. To get the right journal I had to analyze each journal and relate it to my research question. I used peered reviewed journals because they focus on a particular topic hence it is easier to find the right information in details. I avoided textbooks because they have so much information on different fields, and hence they would provide me with scanty information (Iglesias, et al., 2012). I used nursing journals published between 2010 and 2015. That was because the nursing profession has evolved so much over time and hence addressing issues affecting it requires updated information.
The hierarchy of evidence throughout the study was based on Joanna Briggs Hierarchy of Evidence. The FAME model was used in selecting evidence whereby the model represents Feasibility, Appropriateness, meaningfulness, and effectiveness. Under feasibility concept only journals that provided practical solutions to causes of conflict were chosen. Concerning appropriateness concept, only those journals that were in the nursing conflict context were chosen (Iglesias, et al., 2012). Concerning meaningfulness concept only, nursing journals touching on positive conflict resolution were selected. Concerning the notion of effectiveness, only those journals that had positive outcomes on the research question were considered.
The research used case-control type of study to establish cases on conflicts affecting nurses and provide necessary control measures. The research was tedious and hence the use of key terms was necessary for establish the right research materials. Conflict, nurses and causes and prevention were the keywords that made research easier (Iglesias, et al., 2012). The key search strategy used was Boolean operators. For example, I used the operator (NOT) to exclude other medical practitioners' titles while searching for nurses. That ensured that only the required information was sought and helped to save on time.
Summary of evidence
Authors and year of publication

Hierarchy of Evidence – Type of Evidence & Ranking

The Research Question / or Problem being addressed

Aim of the Study

Description of participants/subjects involved in the study

Type of Research Method

1 Ashker, V., Penprase, B., & Salman, A. (2012).

(Joanna Briggs Hierarchy of Evidence)
Case-control studies(5)

emotional stressors and coping strategies

Establish causes of emotional stress, and how to avoid it to control conflicts

The study involved nurses working in hemodialysis units

Qualitative

2 Fernandes, M., & Moreira, I. (2013).

(Joanna Briggs Hierarchy of Evidence)
Cross-sectional surveys(6)

Conflict-related Ethical issues experienced by intensive care unit nurses

Find out common ethical issues that cause conflict among nurses and how to control it to reduces cases of conflicts

The study involved nurses working in intensive care unit nurses

Qualitative

3 Iglesias, L., et al. (2012).

(Joanna Briggs Hierarchy of Evidence)
Case-control studies(5)

Conflict resolution styles in the nursing profession

To provide differed methods of resolving conflicts

The study was conducted using nurses in Australian Nursing Profession

Qualitative

4 Günüşen, N., Serçekuş, P., & Durmaz, A. (2014)

(Joanna Briggs Hierarchy of Evidence)
Case-control studies(5)

problem-solving skills

To explore the relevant skills for tackling conflicts

The study was conducted based on nursing students

Qualitative

5 Shafer, L., & Gillaspie Aziz, M. (2013).

(Joanna Briggs Hierarchy of Evidence)
Cross-sectional surveys(6)

Effective nurse-led quality improvement to shape a unit's culture

To find out if involving nurses in improving quality of health care facilities can reduce conflicts

The study involved nurses specialized in the surgery department

Qualitative

6 Ramos, F., et al. (2015).

(Joanna Briggs Hierarchy of Evidence)
Cross-sectional surveys(6)

Ethical conflicts

To explore a variety of conflicts that arise due to ethical issues and how to control them

undergraduate nursing students in Brazil

Qualitative

7 Sarsfield, E. (2014).

(Joanna Briggs Hierarchy of Evidence)
Cross-sectional surveys(6)

Differences between Novices’ and Experts’ solving III-structured problems

To compare the method used by Novices and Experts to resolve conflict and strike a balance between the two to minimize in conflict cases

The study used two samples; one comprising of new nurses and another comprising of experienced nurses

Qualitative

8 Lim, J., Bogossian, F., & Ahern, K. (2010).

(Joanna Briggs Hierarchy of Evidence)
Cross-sectional surveys(6)

Stress and coping in Australian nurses

To establish how stress has been a key cause of conflict among Australian nurses, how the issues were solved and application of the knowledge to the health sector

The study was based on Australian nurses who were under stress

Qualitative

9 Burgess, L., Irvine, F., & Wallymahmed, A. (2010).

(Joanna Briggs Hierarchy of Evidence)
Cross-sectional surveys(6)

stress, personality and coping in intensive care nurses

To find out how combination of personality combined with stress cause conflicts among nurses in intensive care nurses and how to control the situation

The study involved intensive care nurses and looked into their stress levels and personality

Qualitative

10 Høye, S., & Severinsson, E. (2010).

(Joanna Briggs Hierarchy of Evidence)
Cross-sectional surveys(6)

Cultural and professional conflicts for intensive care nurses

To identify how professional and cultural conflicts vary for intensive care nurses and how to minimize them

The study involved intensive care nurses involved in cultural and professional conflicts

Qualitative

Synthesizing evidence/ Literature review
Ashker, V., Penprase, B., & Salman, A. (2012). Work-related emotional stressors and coping strategies that affect the well-being of nurses working in hemodialysis units. Nephrology nursing journal, 39(3), 231-237.
There are many emotional stressors surrounding the working environment in the nursing unit. Such stressors include workload, difficulty in communicating with patients and monotony of work. These stressors interfere with moods of nurses in the hemodialysis units and lead to conflicts such as the use of abusive language towards one another. To reduce such conflicts nurses should be relieved of stress by recruiting more nurses to reduce workload, rotating nurses to eliminate work monotony and training nurses on effective communication skills.
Fernandes, M., & Moreira, I. (2013). Ethical issues experienced by intensive care unit nurses in e...