Two nurses are at odds over patient care decisions. How will you navigate this conflict effectively?

1 Understand Views

When two nurses have conflicting opinions on patient care, the first step is to thoroughly understand both perspectives. Listen actively to each nurse's reasoning and concerns without immediate judgment. This helps in identifying the root of the disagreement, whether it's a matter of different interpretations of a patient's needs, varying levels of comfort with certain procedures, or even personal stressors impacting decision-making. Understanding each viewpoint provides a foundation on which to build a resolution.

2 Open Dialogue

Once you understand the differing viewpoints, facilitate an open dialogue between the nurses. Encourage them to express their thoughts and concerns in a respectful manner, focusing on the patient's needs rather than personal differences. This conversation should happen away from patients and other staff to ensure privacy and prevent the conflict from affecting the workplace environment. Effective communication is key to resolving differences and finding a common ground.

3 Consult Policies

In situations where nurses disagree on patient care, it's crucial to consult established healthcare policies and guidelines. These documents often provide clarity on the standard procedures and can serve as an objective reference point for both parties. By referring to these guidelines, you can help the nurses understand the best practices for the situation at hand and steer the discussion towards a resolution that aligns with professional standards.

4 Seek Mediation

If understanding views and open dialogue do not lead to a resolution, consider seeking mediation from a supervisor or a neutral third party. Mediators can offer a fresh perspective and help facilitate a solution by remaining impartial. They can also ensure that the discussion remains focused on patient care rather than personal conflicts. Mediation can be an effective tool for resolving disputes and restoring harmony in the nursing team.

5 Patient-Centered Focus

Throughout the conflict resolution process, it's crucial to maintain a patient-centered focus . Remind both nurses that the primary goal is the health and safety of the patient. Encourage them to set aside personal differences and collaborate to develop a care plan that serves the best interest of the patient. A patient-centered approach can often bridge the gap between conflicting opinions and lead to a consensus.

6 Reflect and Learn

After resolving the conflict, take time to reflect on the situation and what can be learned from it. Encourage both nurses to consider how they can handle similar situations differently in the future. Reflection can lead to personal growth and improved teamwork. It's also an opportunity to identify any systemic issues that may have contributed to the conflict, such as unclear policies or inadequate communication channels, which can then be addressed to prevent future disagreements.

7 Here’s what else to consider

This is a space to share examples, stories, or insights that don’t fit into any of the previous sections. What else would you like to add?