Training paediatric healthcare staff in recognising, understanding and managing conflict with patients and families: Findings from a survey on immediate and 6-month impact
Journal article
Forbat, Liz, Simons, Jean, Sayer, Charlotte, Davies, Megan and Barclay, Sarah. (2017). Training paediatric healthcare staff in recognising, understanding and managing conflict with patients and families: Findings from a survey on immediate and 6-month impact. Archives of Disease in Childhood. 102(3), pp. 250 - 254. https://doi.org/10.1136/archdischild-2016-310737
Authors | Forbat, Liz, Simons, Jean, Sayer, Charlotte, Davies, Megan and Barclay, Sarah |
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Abstract | Background: Conflict is a recognised component of healthcare. Disagreements about treatment protocols, treatment aims and poor communication are recognised warning signs. Conflict management strategies can be used to prevent escalation, but are not a routine component of clinical training. Objective: To report the findings from a novel training intervention, aimed at enabling paediatric staff to identify and understand the warning signs of conflict, and to implement conflict resolution strategies. Design and setting: Self-report measures were taken at baseline, immediately after the training and at 6 months. Questionnaires recorded quantitative and qualitative feedback on the experience of training, and the ability to recognise and de-escalate conflict. The training was provided in a tertiary teaching paediatric hospital in England over 18 months, commencing in June 2013. Intervention: A 4-h training course on identifying, understanding and managing conflict was provided to staff. Results: Baseline data were collected from all 711 staff trained, and 6-month follow-up data were collected for 313 of those staff (44%). The training was successful in equipping staff to recognise and de-escalate conflict. Six months after the training, 57% of respondents had experienced conflict, of whom 91% reported that the training had enabled them to de-escalate the conflict. Learning was retained at 6 months with staff more able than at baseline recognising conflict triggers (Fischer's exact test, p=0.001) and managing conflict situations (Pearson's χ2 test, p=0.001). Conclusions: This training has the potential to reduce substantially the human and economic costs of conflicts for healthcare providers, healthcare staff, patients and relatives. |
Year | 2017 |
Journal | Archives of Disease in Childhood |
Journal citation | 102 (3), pp. 250 - 254 |
Publisher | BMJ |
ISSN | 0003-9888 |
Digital Object Identifier (DOI) | https://doi.org/10.1136/archdischild-2016-310737 |
Scopus EID | 2-s2.0-84964837803 |
Page range | 250 - 254 |
Research Group | School of Nursing, Midwifery and Paramedicine |
Publisher's version | File Access Level Controlled |
Place of publication | United Kingdom |
Editors | N. Brown |
https://acuresearchbank.acu.edu.au/item/86q52/training-paediatric-healthcare-staff-in-recognising-understanding-and-managing-conflict-with-patients-and-families-findings-from-a-survey-on-immediate-and-6-month-impact
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