Transforming training into practice with the conflict management framework: a mixed methods study.
BMJ Paediatr Open
; 5(1): e001088, 2021.
Article
en En
| MEDLINE
| ID: mdl-34926836
ABSTRACT
Objective:
To implement and evaluate the use of the conflict management framework (CMF) in four tertiary UK paediatric services.Design:
Mixed methods multisite evaluation including prospective pre and post intervention collection of conflict data alongside semistructured interviews.Setting:
Eight inpatient or day care wards across four tertiary UK paediatric services.Interventions:
The two-stage CMF was used in daily huddles to prompt the recognition and management of conflict.Results:
Conflicts were recorded for a total of 67 weeks before and 141 weeks after implementation of the CMF across the four sites. 1000 episodes of conflict involving 324 patients/families across the four sites were recorded. After implementation of the CMF, time spent managing episodes of conflict around the care of a patient was decreased by 24% (p<0.001) (from 73 min to 55 min) and the estimated cost of this staff time decreased by 20% (p<0.02) (from £26 to £21 sterling per episode of conflict). This reduction occurred despite conflict episodes after implementation of the CMF having similar severity to those before implementation. Semistructured interviews highlighted the importance of broad multidisciplinary leadership and training to embed a culture of proactive and collaborative conflict management.Conclusions:
The CMF offers an effective adjunct to conflict management training, reducing time spent managing conflict and the associated staff costs.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Conflicto Psicológico
Tipo de estudio:
Observational_studies
/
Qualitative_research
/
Risk_factors_studies
Límite:
Humans
Idioma:
En
Revista:
BMJ Paediatr Open
Año:
2021
Tipo del documento:
Article
País de afiliación:
Reino Unido