How can we cooperate better? The determinants of conflict solving competence in Polish pediatric nurses’ relations with parents of hospitalized children
More details
Hide details
Submission date: 2015-01-12
Final revision date: 2015-04-13
Acceptance date: 2015-04-13
Online publication date: 2015-07-13
Publication date: 2015-07-13
Health Psychology Report 2015;3(4):345–351
Our pilot study carried out at two Polish pediatric hospital departments revealed that conflicts with parents of hospitalized children represent the main concern of pediatric nurses. The aim of this study was to examine factors determining the conflict solving competence in pediatric nurses in order to develop effective communication training programs for pediatric ward staff.

Participants and procedure
A total of 78 pediatric nurses completed measures of occupational and perceived stress, conflict modes and competence in solving conflicts with parents of hospitalized children.

The key factor influencing conflict solving competence was the level of perceived stress and supervisor support.

Systemic supervised activities aimed at reducing the level of stress, e.g. Balint groups or reflective supervision, could be helpful in mastering the conflict solving competences. Also a paradigm shift from the individual patient to his/her family considered as a patient could potentially improve nurse-parent relations.
Author blinded. (2012).
Bartram, T., Joiner, T., & Stanton, P. (2004). Factors affecting the job stress and job satisfaction of Australian nurses: Implications for recruitment and retention. Contemporary Nurse Journal, 17, 293-304.
Bell, J. M. (2009). Family Systems Nursing: Re-examined [Editorial]. Journal of Family Nursing, 15, 123-129. DOI: 10.1177/1074840709335533.
Bowlby, J. (1969). Attachment. Attachment and Loss (vol. 1). New York: Basic Books.
Bowlby, J. (1980). Loss: Sadness & Depression. Attachment and Loss (vol. 3). London: Hogarth Press.
Borucki, Z. (1988). Stres organizacyjny [Occupational stress]. Gdańsk: Wydawnictwo Uniwersytetu Gdańskiego.
Chan, M. (1981). Intergroup conflict and conflict management m the R & D divisions of four aerospace companies (Doctoral dissertation, University of California, Los Angeles). Dissertation Abstracts International, 42, 1767-A.
Coyne, I. (2008). Disruption of parent participation: nurses’ strategies to manage parents on children’s wards. Journal of Clinical Nursing, 17, 3150-3158. DOI: 10.1111/j.1365-2702.2006.01928.x.
Gehring, T. M., Widmer, J., Bänziger, O., & Marti, D. (2002). Quality of work and need for supervision among physicians and nurses of a pediatric intensive care unit. Clinical Child Psychology and Psychiatry, 7, 595-608. DOI: 10.1177/1359104502007004011.
Herk, N. A., Thompson, R. C., Thomas K. W., & Kilmann, R. H. (2011). International Technical Brief for the Thomas-Kilmann Conflict Mode Instrument. CPP Inc.
Horn, J. D., Feldman, H. M., & Ploof, D. L. (1995). Parent and professional perceptions about stress and coping strategies during a child’s lengthy hospitalization. Social Work in Health Care, 21, 107-127.
Jánošová, J. (2014). Control cognitions as predictors of distress in a cross-cultural context. Health Psychology Report, 2, 227-236. DOI: 10.5114/hpr.2014.46363.
Karasek, R., Baker, D., Marxer, F., Ahlbom, A., & Theorell, T. (1981). Job decision latitude, job demands and cardiovascular disease. American Journal of Public Health, 71, 694-705.
Karasek, R. (1979). Job Demands, Job Decicion Latitude, and Mental Strain: Implications for Job Redesign. Administrative Science Quarterly, 24, 285-308.
Leahey, M., & Harper-Jaques, S. (1996). Family-nurse relationships: Core assumptions and clinical implications. Journal of Family Nursing, 2, 133-151. DOI: 10.1177/107484079600200203.
Levinson, W. (1997). Doctor-patient communication and medical malpractice: implications for pediatricians. Pediatric Annals, 26, 186-193.
Levenstein, S., Prantera, C., Varvo, V., Scribano, M. L., Berto, E., Luzi, C., & Andreoli, A. (1993). Development of the perceived stress questionnaire: A new tool for psychosomatic research. Journal of Psychosomatic Research, 37, 19-32. DOI: 10.1016/0022-3999(93)90120-5.
Lynn-McHale, D., & Deatrick, J. (2000). Trust between family and health care provider. Journal of Family Nursing, 6, 210-230. DOI: 10.1177/107484070000600302.
McCarthy, V. J., Power, S., & Greiner, B. A. (2010). Perceived occupational stress in nurses working in Ireland. Occupational Medicine, 60, 604-610. DOI: 10.1093/occmed/kqq148.
Nield-Anderson, L., Minarik, P., Dilworth, J. M., Jones, J., Nash, P. K., O’Donnell, K. L., & Stein-Miller, E. A. (1999). Responding to “difficult” patient. American Journal of Nursing, 99, 26-34.
Rabinowitz, S., Kushnir, T., & Ribak, J. (1996). Preventing burnout: increasing professional self efficacy in primary care nurses in a Balint Group. AAOHN Journal: Official Journal of the American Association of Occupational Health Nurses, 44, 28-32.
Rabinowitz, S., Kushnir, T., & Ribak, J. (1994). Developing psychosocial mindedness and sensitivity to mental-health issues among primary-care nurses using the Balint group method. Israel Journal of Psychiatry and Related Sciences, 31, 280-286.
Redo, K., & Bielawska-Batorowicz, E. (2014). Expectations towards medical personnel – a study with infertility clinic patients. Health Psychology Report, 2, 218-226. DOI: 10.5114/hpr.2014.45197.
Revilla, V. M. (1984). Conflict management styles of men and women administrators in higher education (Doctoral dissertation, University of Pittsburgh, 1984). Dissertation Abstracts International, 45, 1601A.
Roden, J. (2005). The involvement of parents and nurses in the care of acutely-ill children in a non-specialist pediatric setting. Journal of Child Health Care, 9, 222-240. DOI: 10.1177/1367493505054419.
Tates, K., Elbers, E., Meeuwesen, L., & Bensing, J. (2002). Doctor-parent-child relationships: a “pas de trois”. Patient Education and Counseling, 48, 5-14.
Tekiela, D., & Zaworska A. (2006). Rodzice w szpitalu. Pomoc czy przeszkoda? [Parents in the child hospital: help or a hindrance?]. Magazyn Pielęgniarki i Położnej, 7-8, 36-37.
Winnicott, D. W. (1957/2010). Dziecko, jego rodzina i świat [The child, the Family and the Outside World]. Warszawa: Oficyna Ingenium.
Valentine, P. (1995). Management of conflict: do women/nurses handle it differently? Journal of Advanced Nursing, 22, 142-149. DOI: 10.1046/j.1365-2648.1995.22010142.x.
von Klitzing, W. (1999). Evaluation of reflective learning in a psychodynamic group of nurses caring for terminally ill patients. Journal of Advanced Nursing, 30, 1213-1221. DOI: 10.1046/j.1365-2648.1999.01187.x.
Copyright: © Institute of Psychology, University of Gdansk This is an Open Access journal, all articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (https://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.