Conflict Between Beginning Registered Nurses and the Intraprofessional Nursing Team

QUESTION

Explain how (give a number of reasons) conflict may occur between
the beginning registered nurse and the
intraprofessional nursing team
and give1 (one) evidence-based example of a potential negative outcome that mayoccur because of conflict between nurses.

ANSWER

Conflict Between Beginning Registered Nurses and the Intraprofessional Nursing Team

Introduction

Conflict in the healthcare setting, particularly between beginning registered nurses (RNs) and the intraprofessional nursing team, is not uncommon. These conflicts can arise due to various factors and may lead to negative outcomes that impact patient care and the overall work environment. In this essay, we will explore the reasons behind conflict in this context and provide an evidence-based example of a potential negative outcome resulting from such conflict.

Reasons for Conflict

1. Hierarchy and Experience Disparities: One of the primary reasons for conflict is the hierarchical nature of healthcare teams. Beginning RNs often have less experience compared to their colleagues, which can lead to power imbalances and differences in decision-making. More experienced nurses may perceive the newer RNs as less capable, while beginners may feel undervalued.

2. Communication Challenges:Effective communication is crucial in healthcare, but misunderstandings and miscommunications can occur, especially in high-stress situations. Beginning RNs may struggle to assert themselves or express concerns, leading to frustration among team members.

3. Workload and Stress: Healthcare environments can be fast-paced and demanding. Beginning RNs may feel overwhelmed by their workload and the high expectations of patient care. This stress can lead to conflicts, as nurses may inadvertently take out their frustrations on each other.

4. Differing Approaches to Patient Care: Nurses may have varying approaches to patient care, influenced by their training and experiences. Beginning RNs might question the methods of more experienced nurses, leading to disagreements about the best course of action.

5. Resource Allocation: Allocation of limited resources, such as time and supplies, can be a source of conflict. Beginning RNs may perceive disparities in resource allocation as unfair, leading to tension within the team.

Evidence-Based Example of Negative Outcome

A potential negative outcome resulting from conflict between nurses is compromised patient safety. Research has shown that conflicts and poor teamwork among healthcare providers can lead to medical errors and adverse events that harm patients (Reader et al., 2011).

For instance, consider a scenario where a beginning RN notices a medication error made by a more experienced colleague but hesitates to speak up due to fear of conflict. The experienced nurse administers the incorrect medication, leading to an adverse reaction in the patient. This outcome not only harms the patient but also erodes trust within the nursing team and may result in legal and ethical consequences.

Conclusion

Conflict between beginning RNs and the intraprofessional nursing team can arise from factors such as hierarchy, communication challenges, workload, differing approaches to care, and resource allocation. These conflicts can have negative consequences, with compromised patient safety being a significant concern. Addressing and resolving conflicts through effective communication, teamwork, and a commitment to patient-centered care are essential for maintaining a harmonious and safe healthcare environment.