Management of care
Conflict creates significant tension in the workplace and frequently results in inadequate professional consequences. A supervisor dealing with a dispute may encounter an optimism dilemma and frequently finds himself or herself second-guessing himself or herself, irrespective of how the scenario was managed. Conflict is not always regarded favorably or as a chance for growth in some institutions. Most people in these institutions view conflict as ineffective, uncomfortable, and a waste of time and energy. On the other hand, disagreement offers practitioners crucial responses on how situations are proceeding. When regarded in a favorable light, personality disputes can notify a medical care supervisor regarding what isn’t functioning in the institution. If conflict is not addressed and regulated, it can have a negative impact on the working environment, restricting departmental growth and depreciating worker morale.
Should you have done something differently? If so, what?
Based on the scenario of Mr. Riley, I could have done something different. Rather than composing ” Nurse Martin is not to be delegated to Mr. Reilly once more, “I could have discussed in the report regarding Mr. Reilly’s angry outburst and intimidating declaration. To avert the dispute, the situation of Mr. Reilly should be appropriately conveyed among the medical care group delegated before forwarding any data to the assigned physician. Also, I could have advised the chief nurse on the need to include the client in the treatment plan. Patient involvement entails the client being involved in choice-making or conveying viewpoints regarding various therapeutic approaches, which involves exchanging data, emotions, and indications, as well as acknowledging medical team directions. The client’s involvement in medical care and therapeutic choice-making is not a novel concept, but it has recently become an ideological requirement in numerous nations and medical care structures around the universe. According to several studies, it is revealed that client involvement in medical care has been linked to better therapeutic consequences. Furthermore, this involvement leads to enhanced disease management, enhanced physiological functioning, increased client adherence with supplementary prophylactic activities, and enhanced medical in clients with severe back pain (Bombard et al., 2018). Emphasizing the significance of client involvement in intervention choice-making encourages service providers and medical care teams to promote client involvement in therapeutic choice-making.
It is critical to provide safe and high-quality services by ensuring that patients have accurate data about their assessment and therapeutic interventions. Providing acceptable data to sufferers is a time-consuming procedure, but given the positive results, such as clients’ empowerment in creating choices after obtaining the required data, its advancement has become essential. Observing clients’ perspectives and assessing outcomes of services offered from clients’ perspectives would provide valuable data from which service practitioners’ effectiveness (from clients’ perspectives) could be contrasted. Before and after each therapeutic process, the client is questioned about various attributes of the value of life, such as discomfort level, psychological health, and capacity to start moving. In this manner, the effectiveness of the therapeutic process in terms of these three facets of health is determined from the client’s perspective (Vahdat et al., 2014).
Also, I would recommend a proper handover process. Clinical handover is the efficient momentary or perpetual transition of professional obligation and accountability for a few or all facets of a client’s treatment to another individual or specialist collective. This handover does not occur only at the end of a shift. It occurs continuously within and among workgroups and is regarded as a period of danger for clients, as discrepancies in data handover can have an influence on client safety (Smeulers, Vermeulen & Lucas, 2014). The NMC code of conduct requires practitioners to collaborate with coworkers in order to assess the effectiveness of their duties and ensure the safety of patients in their treatment. Handovers allow practitioners to communicate the care they are providing, converse issues and worries, and guarantee that everyone is aware of what is proceeding on. By doing so, the group can avoid having task-based conflicts, jobs omitted or repeated.
Could the evaluation of clinical performance by you and nurse Martin have been done in a manner that would not have resulted in conflict?
The conflict would not have occurred if the clinical performance had been effectively evaluated, which would have been accomplished through effective communication. Lack of clearness with anticipations or standards, inadequate interaction, a dearth of apparent authority, personality discrepancies, and organizational changes are common causes of dispute. Bullying, restricted communication or failure to share essential data, conversational differences, and a dearth of sincerity and transparency are examples of conflict-related behavior. Effective communication and transparency would also promote collaboration in the healthcare system, thus ensuring patient safety. Collaboration in medical treatment is described as medical care practitioners taking on additional responsibilities and cooperating to solve complications and make choices in order to establish and carry out client treatment strategies.
Collaboration among practitioners, caregivers, and other medical care practitioners raises team participants’ understanding of each other’s expertise and abilities, resulting in continuous choice-making advancement. Unlike a transdisciplinary strategy, in which every team participant is only accountable for operations linked to his or her profession and concocts different objectives for the client, an interdisciplinary approach brings all professions engaged in the treatment plan together to establish a combined effort on behalf of the client with a mutual objective (O’Daniel & Rosenstein, 2008). The collaboration of specialized solutions results in incorporated treatments. The framework of care considers the various evaluations and therapeutic interventions, and it packages these solutions to establish a customized treatment initiative that best meets the client’s necessities. The client finds it more uncomplicated to communicate with the unified group than with countless practitioners who are unaware of what others are practicing to manage the client. Also, enhancing an effective handover process would provide precise, dependable communication of appropriate data from every shift transition to ensure the consistency of reliability, safety, and efficacious client treatment.
If you were nurse Martin, what could you have done to prevent the conflict?
If I were nurse Martin, I would have informed the other clinical shift, delegated the particular evaluation gathered regarding the reduced bowel sounds, and define the command of ambulation if abided so that I could precisely hand over it. Before reaching out to Mr. Riley’s doctor, I would have collaborated with other medical practitioners and communicate the issue to see whether I would gather additional knowledge to care for the patient. I would have also tried to establish a solid relationship with Mr. Riley, and that way, it would have been easier to advise him to adhere to the treatment orders (Jesús & Julia, 2020). Additionally, I could have an in-depth discussion with Mr. Riley’s doctor regarding the patient’s behaviors concerning treatment adherence. By undertaking the above-mentioned approaches, the conflict would not have occurred.
References
Jesús Molina-Mula, & Julia Gallo-Estrada. (2020). Impact of nurse-patient relationship on quality of care and patient autonomy in decision-making. PubMed Central (PMC). https://doi.org/ 10.3390/ijerph17030835
Marian Smeulers, Hester Vermeulen, & Cees Lucas. (2014). Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. PubMed. DOI: 10.1002/14651858.CD009979.pub2
Michelle O’Daniel, & Alan H. Rosenstein. (2008). Professional communication and team collaboration – Patient safety and quality – NCBI bookshelf. National Center for Biotechnology Information. https://www.ncbi.nlm.nih.gov/books/NBK2637/
Shaghayegh Vahdat, Zeinab Hamzehgardeshi, Somayeh Hessam, & Leila Hamzehgardeshi. (2014). Patient involvement in health care decision making: A review. PubMed Central (PMC). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3964421/
Yvonne Bombard et al. (2018, July 26). Engaging patients to improve quality of care: A systematic review. Implementation Science. https://implementationscience.biomedcentral.com/articles/10.1186/s13012-018-0784-z
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