Healthcare Professional’s Conflict Management Styles and Perceived Team Effectiveness and Cohesiveness in South-west, Nigeria: a cross-sectional study
DOI:
https://doi.org/10.60787/tnhj.v24i2.807Keywords:
Conflict, Healthcare professionals, Conflict management styles, Team effectiveness, Team cohesion, TeamworkAbstract
Background: This study assessed healthcare professionals’ preferred conflict management styles and their association with their perceived team effectiveness and cohesiveness.
Method: A cross-sectional study was conducted at a tertiary health facility, South-west, Nigeria among 300 healthcare professionals selected via a multi-stage sampling technique. The adapted Thomas-Kilmann conflict mode instrument was self-administered to assess respondents’ conflict management styles and based on their highest scores, were categorised into negative (accommodating, avoiding, competitive) and positive (collaborative, compromising) styles. Their perceived team effectiveness and team cohesiveness were assessed using pre-tested self-developed tools with >0.8 Cronbach’s alpha. Factors associated with their preferred conflict management style, their perceived team effectiveness and cohesion were determined at a 5% level of significance.
Result: The majority of 240 (80.0%) of the healthcare professionals adopted negative conflict management styles. A higher proportion of them perceived their teams as cohesive 188(67.9%), and effective 173(62.5%). Being a male (p=0.018), single (p=0.017), with <7 years of work experience post-graduation (p=0.024) and <6 years of experience working in teams (p=0.044) were significantly associated with a preference for positive conflict management styles. Health professionals with <6 years of teamwork experience and occasional or rare occurrences of personal conflicts with teammates had significantly higher perceived team cohesiveness and effectiveness scores. However, their preferred conflict management style was not significantly associated with their perceived team cohesiveness or effectiveness.
Conclusion: The healthcare professionals assessed commonly adopt negative conflict management styles but with no effect on their perceived team cohesiveness and effectiveness. Direct assessment of their team effectiveness and cohesiveness is advised.
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References
Mosadeghrad AM. Factors influencing healthcare service quality. Int J Heal Policy Manag. 2014;3(2):77–89.
Onyekwere LA. Inter-Professional Collaboration and Work Efficiency in secondary healthcare delivery system in Rivers state. Int J Sci Res Educ. 2013;6(1):9–46.
Brown J, Lewis L, Ellis K, Stewart M, Freeman TR, Kasperski MJ. Conflict on interprofessional primary health care teams can it be resolved? J Interprof Care. 2011;25(1):4–10.
Kozlowski SWJ, Ilgen DR. Enhancing the Effectiveness of Work Groups and Teams. Psychol Sci Public Interes [Internet]. 2006 [cited 2023 Dec 17];7(3):77–124. Available from: https://doi.org/10.1111/j.1529-1006.2006.00030.x
Enrique B, Marta B. Efficacy, Effectiveness and Efficiency in the Health Care: The Need for an Agreement to Clarify its Meaning. Int Arch Public Heal Community Med. 2020;4(1):3–5.
Arrow H, McGrath JE, Berdahl JL. Small Groups as Complex Systems: Formation, Coordination, Development, and Adaptation. SAGE Publications; 2000. 21–344 p.
Nazzaro A, Strazzabosco J. Group Dynamics and Team Building. Second Edi. World Federation of Hemophilia. 2009. 1–18 p.
Espinosa A, Harnden R. Team syntegrity and democratic group decision making: theory and practice. J Oper Res Soc. 2007 Aug;58(8):1056–64.
Grossman R, Nolan K, Rosch Z, Mazer D, Salas E. The team cohesion-performance relationship: A meta-analysis exploring measurement approaches and the changing team landscape. Organ Psychol Rev. 2021; 12:204138662110411.
Greer LL, Saygi O, Aaldering H, de Dreu CKW. Conflict in medical teams: opportunity or danger? Med Educ. 2012 Oct;46(10):935–42.
Baldwin DCJ, Daugherty SR. Interprofessional conflict and medical errors: results of a national multi-specialty survey of hospital residents in the US. J Interprof Care. 2008 Dec;22(6):573–86.
Pradhan C. Conflict at workplace. Indian J Soc Sci Lit Stud. 2022;8(1):95–9.
Mohammed ENA. Knowledge, causes, and experience of inter-professional conflict and rivalry among healthcare professionals in Nigeria. BMC Health Serv Res. 2022 Mar;22(1):320.
Ogunyemi D, Solnik MJ, Alexander C, Fong A, Azziz R. Promoting residents’ professional development and academic productivity using a structured faculty mentoring program. Teach Learn Med. 2010 Apr;22(2):93–6.
Tjosvold D. The conflict-positive organization: It depends upon us. J Organ Behav. 2008 Jan;29:19–28.
Rahim AM. Managing conflict in organizations [Internet]. Fifth. New York, United States of America: Routledge, Taylor & Francis; 2023 [cited 2024 Jan 4]. 14–342 p. Available from: https://books.google.com.ng/books?hl=en&lr=&id=zQa6EAAAQBAJ&oi=fnd&pg=PA1934&dq=Conflict+management+styles+describe+how+a+person+typically+responds+to+interpersonal+conflict+situations&ots=sFFFFoy2MP&sig=KeAy-0XBT2vsfDOIvvv7LEL6dSQ&redir_esc=y#v=onepage&q
Thomas KW, Kilmann RH. Thomas-Kilmann Conflict Mode Instrument: Profile and Interpretive Report [Internet]. CPP Inc. 2008 [cited 2022 Jan 4]. Available from: https://lig360.com/wp-content/uploads/2022/09/Conflict-Styles-Assessment.pdf
John-Eke EC, Akintokunbo OO. Conflict Management as a Tool for Increasing Organizational Effectiveness: A Review of Literature. Int J Acad Res Bus Soc Sci. 2020;10(5):299–311.
Okhakhu E. Managing Organizational Conflicts: A Phenomenological Study of Nurse/ Physician Conflicts in Nigerian Hospitals and their Impact on Managed Care Delivery. J Entrep Organiz Manag. 2014 Jun;
Olajide A, Asuzu M, Obembe T. Doctor-Nurse Conflict in Nigerian Hospitals: Causes and Modes of Expression. Br J Med Med Res [Internet]. 2015;9(10):1–12. Available from: http://sciencedomain.org/abstract/10206
Ayandiran EO, Ola OC, Salami KK, Agunbiade OM. Experiences of Conflicts and Conflict Management Styles among Healthcare Professionals: Do Conflict’ s Perception and Attitude Matter ? Ife Soc Sci Rev. 2015;24(2):1–15.
Behfar K, Peterson R, Mannix E, Trochim W. The Critical Role of Conflict Resolution in Teams: A Close Look at the Links Between Conflict Type, Conflict Management Strategies, and Team Outcomes. J Appl Psychol. 2008 Feb; 93:170–88.
Ronquillo Y, Ellis VL, Toney-Butler TJ. Conflict Management. [Internet]. In: StatPe. StatPearls Publishing; 2023 [cited 2023 Nov 16]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470432/
Moisoglou I, Prezerakos P, Galanis P, Siskou O, Maniadakis N, Kaitelidou D. Conflict Management in a Greek Public Hospital: Collaboration or Avoidance? Professor, National School of Public Health, Greece. Int J caring Sci. 2014 Jan; 07:75–82.
Kanani A, Farahani AK. Evaluation of Relationship between Conflict Management Styles and Organization Effectiveness. Res J Appl Sci Eng Technol. 2014; 7:795–800.
Pitsillidou M, Farmakas A, Noula M, Roupa Z. Conflict management among health professionals in hospitals of Cyprus. J Nurs Manag. 2018;1–8.
Whitworth BS. Is there a relationship between personality type and preferred conflict-handling styles? An exploratory study of registered nurses in southern Mississippi. J Nurs Manag. 2008 Nov;16(8):921–32.
Sportsman S, Hamilton P. Conflict Management Styles in the Health Professions. J Prof Nurs. 2007;23(3):157–66.
McCrae RR, Costa PT. A five-factor theory of personality. In: Pervin LA, John OP, editors. Handbook of personality: Theory and research. 2nd Editio. Guilford, New York; 2017. p. 139–53.
Tehrani HD, Yamini S. Personality traits and conflict resolution styles: A meta-analysis. Pers Individ Dif. 2020; 157:109794.
Delak B, Širok K. Physician–nurse conflict resolution styles in primary health care. Nurs Open. 2022;9(2):1077–85.
Ahanchian MR, Emami Zeydi A, Armat MR. Conflict management styles among Iranian critical care nursing staff: a cross-sectional study. Dimens Crit Care Nurs. 2015;34(3):140–5.
Ali F, Saleem N. Relationship Between Conflict Resolution Styles and Marital Satisfaction among Married Academicians. Gomal Univ J Res. 2022 Oct; 38:300–18.
Dildar S, Ansari Z, Arshad M. Personality traits and conflict resolution styles of single and married individuals. J Behav Sci. 2021;31(1):161–81.
Dildar S, Amjad N. Gender Differences in Conflict Resolution Styles (CRS) in Different Roles: A Systematic Review. Pakistan J Soc Clin Psychol. 2017;15(2):37–41.
Kantek F, Kavla I. Nurse-nurse manager conflict: how do nurse managers manage it? Health Care Manag (Frederick). 2007;26(2):147–51.
González FJ, de Cabo A, Morán MJ, Manzano JM. [Team cohesiveness: opinions of a group of primary health care professionals from Salamanca]. Aten primaria. 1993 Apr;11(6):302–4.
Bronkhorst B, Tummers L, Steijn B, Vijverberg D. Organizational climate and employee mental health outcomes. Health Care Manage Rev. 2015;40(3):254–71.
De Dreu CKW, Van Vianen AEM. Managing relationship conflict and the effectiveness of organizational teams. J Organistional Behav. 2001;22(3):309–28.
Temkin-Greener H, Gross D, Kunitz SJ, Mukamel D. Measuring interdisciplinary team performance in a long-term care setting. Med Care. 2004;472–81.
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