Workplace interpersonal conflicts among the healthcare workers: Retrospective exploration from the institutional incident reporting system of a university-affiliated medical center.

OBJECTIVE:There have been concerns about the workplace interpersonal conflict (WIC) among healthcare workers. As healthcare organizations have applied the incident reporting system (IRS) widely for safety-related incidents, we proposed that this system might provide a channel to explore the WICs. ME...

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Main Authors: Jih-Shuin Jerng, Szu-Fen Huang, Huey-Wen Liang, Li-Chin Chen, Chia-Kuei Lin, Hsiao-Fang Huang, Ming-Yuan Hsieh, Jui-Sheng Sun
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2017-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC5293271?pdf=render
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author Jih-Shuin Jerng
Szu-Fen Huang
Huey-Wen Liang
Li-Chin Chen
Chia-Kuei Lin
Hsiao-Fang Huang
Ming-Yuan Hsieh
Jui-Sheng Sun
author_facet Jih-Shuin Jerng
Szu-Fen Huang
Huey-Wen Liang
Li-Chin Chen
Chia-Kuei Lin
Hsiao-Fang Huang
Ming-Yuan Hsieh
Jui-Sheng Sun
author_sort Jih-Shuin Jerng
collection DOAJ
description OBJECTIVE:There have been concerns about the workplace interpersonal conflict (WIC) among healthcare workers. As healthcare organizations have applied the incident reporting system (IRS) widely for safety-related incidents, we proposed that this system might provide a channel to explore the WICs. METHODS:We retrospectively reviewed the reports to the IRS from July 2010 to June 2013 in a medical center. We identified the WICs and typed these conflicts according to the two foci (task content/process and interpersonal relationship) and the three properties (disagreement, interference, and negative emotion), and analyzed relevant data. RESULTS:Of the 147 incidents with WIC, the most common related processes were patient transfer (20%), laboratory tests (17%), surgery (16%) and medical imaging (16%). All of the 147 incidents with WIC focused on task content or task process, but 41 (27.9%) also focused on the interpersonal relationship. We found disagreement, interference, and negative emotion in 91.2%, 88.4%, and 55.8% of the cases, respectively. Nurses (57%) were most often the reporting workers, while the most common encounter was the nurse-doctor interaction (33%), and the majority (67%) of the conflicts were experienced concurrently with the incidents. There was a significant difference in the distribution of worker job types between cases focused on the interpersonal relationship and those without (p = 0.0064). The doctors were more frequently as the reporter when the conflicts focused on the interpersonal relationship (34.1%) than not on it (17.0%). The distributions of worker job types were similar between those with and without negative emotion (p = 0.125). CONCLUSIONS:The institutional IRS is a useful place to report the workplace interpersonal conflicts actively. The healthcare systems need to improve the channels to communicate, manage and resolve these conflicts.
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spelling doaj.art-3e9bc418216a4542a62076c564aee7c02022-12-21T20:28:18ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01122e017169610.1371/journal.pone.0171696Workplace interpersonal conflicts among the healthcare workers: Retrospective exploration from the institutional incident reporting system of a university-affiliated medical center.Jih-Shuin JerngSzu-Fen HuangHuey-Wen LiangLi-Chin ChenChia-Kuei LinHsiao-Fang HuangMing-Yuan HsiehJui-Sheng SunOBJECTIVE:There have been concerns about the workplace interpersonal conflict (WIC) among healthcare workers. As healthcare organizations have applied the incident reporting system (IRS) widely for safety-related incidents, we proposed that this system might provide a channel to explore the WICs. METHODS:We retrospectively reviewed the reports to the IRS from July 2010 to June 2013 in a medical center. We identified the WICs and typed these conflicts according to the two foci (task content/process and interpersonal relationship) and the three properties (disagreement, interference, and negative emotion), and analyzed relevant data. RESULTS:Of the 147 incidents with WIC, the most common related processes were patient transfer (20%), laboratory tests (17%), surgery (16%) and medical imaging (16%). All of the 147 incidents with WIC focused on task content or task process, but 41 (27.9%) also focused on the interpersonal relationship. We found disagreement, interference, and negative emotion in 91.2%, 88.4%, and 55.8% of the cases, respectively. Nurses (57%) were most often the reporting workers, while the most common encounter was the nurse-doctor interaction (33%), and the majority (67%) of the conflicts were experienced concurrently with the incidents. There was a significant difference in the distribution of worker job types between cases focused on the interpersonal relationship and those without (p = 0.0064). The doctors were more frequently as the reporter when the conflicts focused on the interpersonal relationship (34.1%) than not on it (17.0%). The distributions of worker job types were similar between those with and without negative emotion (p = 0.125). CONCLUSIONS:The institutional IRS is a useful place to report the workplace interpersonal conflicts actively. The healthcare systems need to improve the channels to communicate, manage and resolve these conflicts.http://europepmc.org/articles/PMC5293271?pdf=render
spellingShingle Jih-Shuin Jerng
Szu-Fen Huang
Huey-Wen Liang
Li-Chin Chen
Chia-Kuei Lin
Hsiao-Fang Huang
Ming-Yuan Hsieh
Jui-Sheng Sun
Workplace interpersonal conflicts among the healthcare workers: Retrospective exploration from the institutional incident reporting system of a university-affiliated medical center.
PLoS ONE
title Workplace interpersonal conflicts among the healthcare workers: Retrospective exploration from the institutional incident reporting system of a university-affiliated medical center.
title_full Workplace interpersonal conflicts among the healthcare workers: Retrospective exploration from the institutional incident reporting system of a university-affiliated medical center.
title_fullStr Workplace interpersonal conflicts among the healthcare workers: Retrospective exploration from the institutional incident reporting system of a university-affiliated medical center.
title_full_unstemmed Workplace interpersonal conflicts among the healthcare workers: Retrospective exploration from the institutional incident reporting system of a university-affiliated medical center.
title_short Workplace interpersonal conflicts among the healthcare workers: Retrospective exploration from the institutional incident reporting system of a university-affiliated medical center.
title_sort workplace interpersonal conflicts among the healthcare workers retrospective exploration from the institutional incident reporting system of a university affiliated medical center
url http://europepmc.org/articles/PMC5293271?pdf=render
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