Conflict Resolution
In this model, the person withdraws from the situation, tries to remain neutral and delays responding to conflict. Also known as "The Escapist".
What is Avoidance?
Which cause of conflict occurs when two people have the same or related responsibilities; the potential for conflict exists. Example: A nurse who works 2300-0700 & a nurse who works from 0700-1500 are unsure who is to weigh the patient.
What is Role Conflict?
An example of this stage is when the nurse manager and nurses on a unit agree that the current scheduling system is causing a conflict and agree to work together to come up with a solution.
What is Stage 4 or Manifest Conflict? Two parties are involved and aware of the conflict and action is taken.
This precaution should be used for pts with known or suspected tuberculosis, measles, chickenpox, herpes zoster & smallpox.
What is Airborne precautions?
These items are included under the Situation section of the SBAR.
Client initials, room #, age, gender, admit date, chief complaint & admitting diagnosis, admitting/consulting physicians, allergies, code status
In this model, the person suppresses and smooths over differences, dreads conflict and maintains harmony. Also known as "The Peacemaker".
What is Accommodation?
Which cause of conflict occurs when a nurse forgets to notify a patient's family of a change in visiting hours; resulting in annoyance when they arrive and cannot visit?
What is Communication Conflict?
An example of this stage would be a nurse feeling anger toward the nurse manager after finding out that they are scheduled to work two holidays in a row.
What is Stage 3 or Felt Conflict?
This precaution should be used for pts with Clostridium difficile, or wound and skin infections, or multi-drug resistant bacteria such as methicillin-resistant Staphylococcus aureus (MRSA).
What is Contact Precautions?
These items are included under the Recommendation section of the SBAR.
Needed changes in care (diet or activity, etc.), What are you concerned about? Safety needs? Planning needs? (Discharge planning or education needs), Pending (upcoming) exams/labs, etc. Any unresolved correspondence from the physician or family? Does the next shift need to complete anything/be aware of anything?
In this model, the person takes a middle of the road position, there is give and take by both parties and seldom confronts conflict. Also known as "The Trader".
What is Compromise?
Which cause of conflict occurs when one person places his or her personal achievement and advancement above everyone else's?
What is Goal Conflict?
In this stage, a party perceives that a problem is present; although an actual conflict might not actually exist.
What is Stage 2 or Perceived Conflict?
This precaution should be used for pts with pertussis, influenza virus, adenovirus, rhinovirus, N. meningitides, and group A streptococcus (for the first 24 hours of antimicrobial therapy).
What is Droplet precautions?
These items are included under the Background section of the SBAR.
Social, medical and surgical history. Relevant past testing.
This model is based on power, can be appropriate in short-term needs and the person is aggressive and uncooperative. Also known as "The Player".
What is Competition?
Which cause of conflict occurs when when a graduate nurse has a conflict with the physician's order of "no code" on a young adolescent patient? She has trouble taking care of the patient as he reminds her of her younger brother who died tragically in an MVA.
What is Ethical or Values Conflict?
An example of this stage would be that a new scheduling policy is being implemented within the organization. The nurse should recognize that change is a common cause of conflict.
What is Stage 1 or Latent Conflict?
This precaution includes using hand hygiene, use of personal protective equipment (e.g., gloves, masks, eyewear), respiratory hygiene / cough etiquette, sharps safety (engineering and work practice controls), safe injection practices (i.e., aseptic technique for parenteral medications), using sterile instruments and devices, clean and disinfected environmental surfaces.
What is Standard Precautions?
These items are included under the Assessment section of the SBAR.
Assessment findings, relevant information such as trends, most recent VS, labs, diagnostics, IV, oxygen, and important WNL data. (e.g. incision for a surgical patient). Include current pain score (if applicable) and any interventions recently completed (especially those that will need follow up).
In this model, the person is assertive and cooperative, they objectively evaluate differing views and it often leads to creativity and new ideas. Also known as "The Problem-Solver".
What is Collaboration?
Which cause of conflict occurs when there is an incompatibility of individuals.
What is Personality Conflict?
In this stage there is completion of the conflict process and can be positive or negative.
What is Stage 5 or Conflict Aftermath?
This precaution would be used for patients with Hepatitis C and HIV.
What is Standard Precautions?
Why is SBAR is important to use?
Clear overall picture of patient; better outcomes occur when providers have all the information.