Staff Nurse Recommendations for Managing Conflict and Improving Workplace Culture

Friday, April 12, 2013

Kathleen M. Lux, PhD, RN-BC, CHES
Jane B. Hutcheson, MS, BSN
Ann R. Peden, CNS, DSN
Department of Nursing, Capital University, Columbus, OH

Learning Objective 1: The learner will be able to state 3 impacts disruptive behavior has on the workplace.

Learning Objective 2: The learner will be able to discuss 3 staff nurse recommendations for educating nurses and other healthcare workers about conflict resolution.

The purpose of this qualitative descriptive study was to identify educational strategies that can prepare new graduates to manage disruptive behavior (DB) in the workplace. Rosenstein (2011) defines DB as any inappropriate behavior, confrontation, or conflict – ranging from verbal abuse to sexual harassment – that harms or intimidates others to the extent that quality of care or patient safety could be compromised.

Individual interviews lasting between 40 – 60 minutes were conducted with nine staff nurses currently in practice using an interview guide.  Content analysis procedures guided data analysis.  Once all data were coded, the codes were sorted into categories, and then into larger themes. To assure trustworthiness of the findings, verification procedures described by Creswell (1998) were used.  To decrease researcher bias, the investigators met to share their personal assumptions about DB  prior to coding. To assure that the data were accurately coded, interrater reliability was established prior to data analysis. To verify the accuracy of our findings, member checks were conducted with three participants.  They were presented with the study findings and asked to verify the accuracy of the findings. All agreed that the findings did reflect their experiences related to DB.  

Staff nurses recommended education on communication skills, especially learning how to communicate with hostile individuals, and helping students realize that an important part of the communication process is giving and receiving constructive criticism. Descriptions that participants provided about their work culture were an unexpected finding that has relevance for nursing education. Nurses described lack of management support and interventions for conflict resolution, personality clashes with coworkers and devaluation of nursing work as their major concerns.