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The Role of Power in Health Care Conflict: Recommendations for Shifting Toward Constructive Approaches

Bochatay, Naike and Kuna, Ágnes and Csupor, Éva and Pintér, Judit Nóra and Muller-Juge, Virgine and Hudelson, Patricia and R. Nendaz, Mathieu and Csabai, Márta and Bajwa, Nadia and Kim, Sara (2020) The Role of Power in Health Care Conflict: Recommendations for Shifting Toward Constructive Approaches. Academic Medicine. ISSN 1040-2446 (In Press)

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Abstract

Purpose The combination of power and conflict is frequently reported to have a detrimental impact on communication and on patient care, and it is avoided and perceived negatively by health care professionals. In view of recent recommendations to explicitly address power and conflict in health professions education, adopting more constructive approaches toward power and conflict may be helpful. Method The authors used social bases of power (positional, expert, informational, reward, coercive, referent) identified in the literature to examine the role of power in conflicts between health care professionals in different cultural settings. They drew upon semistructured interviews conducted from 2013 to 2016 with 249 health care professionals working at health centers in the United States, Switzerland, and Hungary, in which participants shared stories of conflict they had experienced with coworkers. The authors used a directed approach to content analysis to analyze the data. Results The social bases of power tended to be comparable across sites and included positional, expert, and coercive power. The rigid hierarchies that divide health care professionals, their professions, and their specialties contributed to negative experiences in conflicts. In addition, the presence of an audience, such as supervisors, coworkers, patients, and patients’ families, prevented health care professionals from addressing conflicts when they occurred, resulting in conflict escalation. Conclusions These findings suggest that fostering more positive approaches toward power and conflict could be achieved by using social bases of power such as referent power and by addressing conflicts in a more private, backstage, manner.

Item Type: Article
Subjects: B Philosophy. Psychology. Religion / filozófia, pszichológia, vallás > BF Psychology / lélektan
B Philosophy. Psychology. Religion / filozófia, pszichológia, vallás > BF Psychology / lélektan > BF21 Applied psychology / alkalmazott pszichológia
Depositing User: Dr. Ágnes Kuna
Date Deposited: 24 Sep 2020 08:10
Last Modified: 31 Dec 2020 00:50
URI: http://real.mtak.hu/id/eprint/114382

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