"Nurse- physician relationships have become more important in the changing health care environment with the greater emphasis on interprofessional teams" (Finkelman, pg 368).

I would tell the director that I thought we could handle the situation and wanted to build teamwork before coming to the director. Without teamwork and good communication you do not have a good unit. It takes everyone coming together to make the unit succeed.

I would try to have a staff meeting to address the issue of not communicating well together and gather more information about what is going on. During the staff meeting the nurses should do a communication and conflict building exercise to bring unity to the unit. 

"Positive professional communication is critical. Both sides should initiate positive dialogue rather adversarial positions. Cooperation and collaboration are also integral to the success of this relationship" (Finkelman, pg 370). 

Nurses and doctors have to respect each other because they have to work alongside of each other and they need to learn to get along. People have different opinions but talking to each other in a calmly manner and not yelling at each other will help with taking the best care for the patient. The overall goal of the doctor and the nurse is to get the patient better. "Poor physician- nurse interaction also compromises patient- care" (Finkelman, pg. 370).

The manager needs to let the nurse knows that they are not alone and have the open door policy so the nurse feels comfortable enough to come to the manager if need be. Conflict is going to happen but if the nurses are educated on how to handle conflict then conflict would not be as bad.

When dealing with conflict, people need to "consider if this is the time and place to address the conflict" (Finkelman, pg 373). Sometimes "stepping back or taking a break may be the best position to take. Actively listening to each other is key to conflict resolution.

"A supportive work environment contributes to win–win solutions for the employee and the organization and thereby reduces levels of work stress" (Cadmus & Johansen, 2016).

Conflict resolution should include everyone that works on that particular unit. If nurses are having trouble communicating with doctors then they need to confront the doctor. The nurse needs to pull the doctor aside and tell them without shouting what is on your mind.

James 1:19 states "Know this, my beloved brothers: let every person be quick to hear, slow to speak, slow to anger. This is a good scripture because people need to actively listen to the other person and be slow to fight back.

Finkelman, A. (2016). Leadership and management for nurses: Core competencies for quality care (3rd ed.). Custom. Boston, MA: Prentice Hall, Inc.

Johansen, M. L., & Cadmus, E. (2016). Conflict management style, supportive work environments and the experience of work stress in emergency nurses. Journal Of Nursing Management, 24(2), 211-218. doi:10.1111/jonm.12302


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