Paper
Saturday, July 24, 2004
This presentation is part of : The Nurse Manager
Desire for Control and Conflict Managment Modes Among Nurse Managers in General Hospitals
Tova Hendel, RN, PhD, Nursing Department, Tel Aviv University, Tel Aviv, Israel and Miri Fish, RN, MA, Nursing Administration, Rabin Medical Center, Belinson Campus, Petach -Tikva, Israel.
Learning Objective #1: Describe the Thomas-Kilmann two-dimensional framework (Assertiveness/Cooperativeness) and five predominant modes to conflict management
Learning Objective #2: Clarify the concept Desire for Control and its relation to managers' conflict mode choices, according to the study results

Desire for Control and Conflict Management Modes among Nurse Managers in General Hospitals

Hendel Tova, RN PhD, Nursing Department, Tel-Aviv University, Israel. Fish Miri, RN MA, Rabin Medical Center, Petach Tikva, Israel.

Objectives: Measure head nurses` general Desire for Control. Identify head nurses` conflict management modes. Examine relationship between Desire for Control and conflict management modes.

Design: Cross-sectional study

Sample/setting: The study was performed in 2002 in 5 general hospitals. Sample consisted of 60 head nurses from medical/surgical and ICU wards.

Variables: Desire for Control(DC) Conflict Management (CM) Modes: Competing, Collaborating, Compromising, Avoiding, Accommodating.

Method Three-part questionnaire was used, consisting of: The Thomas-Kilmann Conflict Mode Instrument (1974). The Desirability of Control scale (Burger, 1992). Demographic characteristics.

Main findings Compromising was found to be the frequent mode chosen in CM

A significant bivariate positive relationship was found between DC and the choice of the Competing mode in CM(p=.007). A borderline positive relationship was found between professional education and DC (p=. 062). Tenure in profession and Tenure in position were found to be significantly influencing the choice of Collaborating mode in CM (p=. 004, p=. 008, respectively).

Main Conclusions A mode, which is considered a form of a lose-lose approach, was found the most frequent mode in use.

Head nurses with high DC tend to choose a win-lose approach to CM. A high DC is not considered an advantage in effective CM.

Implications Preparation in CM should start early in professional socialization process. Skill and comfort in using a variety of conflict –handling modes, is essential. DC is tied to achievement motivation and behaviors.

Learner Objectives:

The learner will be able to describe the Thomas & Kilmann two dimensional framework . The learner will be able to clarify the concept "Desire for Control" and its relation to managers` conflict mode choices.

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