关键词: COVID-19 pandemic conflict management developing nursing roles intensive care nurses workforce issues

Mesh : Humans Cross-Sectional Studies Pandemics Saudi Arabia / epidemiology COVID-19 / epidemiology Surveys and Questionnaires Intensive Care Units Nurses / psychology

来  源:   DOI:10.1111/nicc.12980

Abstract:
Intensive care units (ICUs) have been overwhelmed by the increasing number of coronavirus disease 2019 (COVID-19) cases, causing psychological burdens, stress, and various types of conflict among nurses.
To examine the occurrence, type, and intensity of conflict and preferred management styles among ICU nurses during the COVID-19 pandemic.
This cross-sectional descriptive study was conducted in a government hospital in Saudi Arabia using a convenience sample of 95 nurses from three ICUs. Data were collected using an e-questionnaire comprising the Nursing Conflict Scale, Rahim Organizational Conflict Inventory-II, and sociodemographic variables.
Most participants reported exposure to moderately (64.2%) or highly (34.79%) intense conflict during the pandemic. The competitive (2.23 ± .472) and intragroup (2.23 ± .385) types of conflict were the most frequently reported. The preferred conflict management style was collaborating (21.85 ± 5.49), followed by accommodating (18.39 ± 4.03). Pearson\'s correlation analysis showed that age, years of experience, and education were significantly associated with conflict type and management style. Preparedness to care for suspected or confirmed COVID-19 cases was associated with interpersonal conflict (r = .20, p = .04).
The participants experienced moderate- to high-intensity conflict; however, they employed constructive rather than destructive management styles.
Nurse leaders, policymakers, and educators must initiate transformational intervention programmes to enhance and sustain nurses\' competencies in constructive conflict management strategies. Interpersonal communication and crisis management training programmes should be formulated to raise nurses\' awareness and enhance their competencies vis-à-vis taking a positive approach to overcoming various conflict types and levels, particularly during crises.
摘要:
背景:重症监护病房(ICU)因2019年冠状病毒病(COVID-19)病例的增加而不堪重负,造成心理负担,压力,以及护士之间的各种冲突。
目的:为了检查发生情况,type,在COVID-19大流行期间,ICU护士之间的冲突强度和首选管理方式。
方法:这项横断面描述性研究是在沙特阿拉伯的一家政府医院中进行的,使用了来自三个ICU的95名护士的便利样本。使用电子问卷收集数据,包括护理冲突量表,拉希姆组织冲突清单-II,和社会人口统计学变量。
结果:大多数参与者报告在大流行期间暴露于中度(64.2%)或高度(34.79%)的强烈冲突。竞争性(2.23±.472)和组内(2.23±.385)类型的冲突是最常见的报告。首选的冲突管理风格是合作(21.85±5.49),其次是适应(18.39±4.03)。皮尔逊相关分析表明,年龄,多年的经验,教育与冲突类型和管理风格显著相关。对疑似或确诊COVID-19病例的护理准备与人际冲突相关(r=.20,p=.04)。
结论:参与者经历了中度到高强度的冲突;然而,他们采用建设性而不是破坏性的管理方式。
结论:护士领导,政策制定者,教育者必须启动转化干预计划,以增强和维持护士在建设性冲突管理策略中的能力。应制定人际沟通和危机管理培训计划,以提高护士的认识并提高其能力,以采取积极的方法克服各种类型和级别的冲突,尤其是在危机期间。
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