Conflict transformation The pattern of transformation and the mediating role of emotion in nurse-physician conflicts

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Byungjoo Lee
JaeYoon Chang


This study investigated the conflict transformation pattern and the mediating role of emotions in nurse-physician conflicts. Nurses experience relatively heavier amount of relationship conflict compared to physicians. Relationship conflicts are known to have adverse effects on team satisfaction and team performance. Using a five-day diary study, data was collected from nurses in large hospitals. The respondents selected the physicians with the most frequent interaction, and answered questionnaires regarding that specific interaction while most existing studies used the information elicited from the interaction with the most conflicts. Several HLM analyses on conflicts scales showed that there were conflict transformation from task conflict to relationship conflict and that positive emotion mediated the transformation process. In other words, once task conflict was experienced, positive emotion decreases, and the decrease leads to the increase of relationship conflict the following day. However, the emotion itself did not carry over to the next day. This result suggests that nurses are capable of psychological detachment, which buffers the emotional association for two consecutive days.


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강규산, 탁진국 (2011). 팀내 경쟁과 팀 몰입, 팀 만족의 관계: 관계갈등의 매개효과를 중심으로. 한국심리학회지: 산업 및 조직, 24(1), 157-181.
김용순, 박진희, 임기영 (2006). 전공의와 간호사·의료기사 간의 인간관계 갈등과 의사소통에 대한 연구. 한국병원경영학회지, 11(2), 16-31.
박인조 (2001). 한국어 감정단어의 분석: 감정단어 목록마련과 차원 탐색. 서울대학교 대학원 석사학위논문.
서이아, 박경민, 이병숙 (2003). 일반간호사의 조직 내 의사소통 유형과 직무만족 및 간호업무성과의 관계. 한국보건간호학회지, 17(2), 317-332.
성양경 (2006). 팀 수준에서의 직무갈등과 관계갈등. 서울대학교 대학원 석사학위논문.
이명옥 (1997). 간호사의 상대적 권력과 대인갈등 관계 연구. 연세대학교 박사학위논문.
이병주, 김명언 (2012). 의사와 간호사 간 관계에서 나타나는 갈등의 유형, 원인 및 비대칭성. 한국심리학회지: 산업 및 조직, 25(1), 1-25.
이정우, 박용익, 백승주, 이지언, 이혜용, 정연옥 (2014). 간호사는 의사와 어떻게 의사소통하는가?: 간호사의 의사소통 경험에 대한 질적 연구. 인문논총, 71, 345-385.
이준모 (2005). 병원 조직에서의 갈등 전이. 서울대학교 대학원 석사학위논문.
조남옥, 홍여신, 김현숙 (2001). 간호사의 인간관계 갈등과 의사소통에 관한 조사연구. 한국간호교육학회지, 7(2), 369-378.
조수연 (2007). 팀 내 갈등 측정도구 개발 및 타당화. 성균관대학교 석사학위논문.
조용애, 김미경, 조명숙, 남은영 (2013). 간호사의 의료인 간 의사소통에 대한 조사연구. 임상간호연구, 19(1), 20-32.
한혜라, 박영숙 (1994). 의사와의 관계에 대한 간호사의 경험 분석. 간호학논문집, 8(1), 83-92.
Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173-1182.
Behfar, K. J., Mannix, E. A., Peterson, R. S., & Trochim, W. M. (2011). Conflict in small groups: The meaning and consequences of process conflict. Small Group Research, 42(2), 127-176.
Binnewies, C., Sonnentag, S., & Mojza, E. J. (2010). Recovery during the weekend and fluctuations in weekly job performance: A week-level study examining intra-individual relationships. Journal of Occupational and Organizational Psychology, 83(2), 419-441.
Bodtker, A. M., & Jameson, J. K. (2001). Emotion in conflict formation and its transformation: Application to organizational conflict management. The International Journal of Conflict Management, 12(3), 259-275.
Casanova, J., Day, K., Dorpat, D., Hendricks, B., Theis, L., & Wiesman, S. (2007). Nurse-physician work relations and role expectations. Journal of nursing administration, 37(2), 68-70.
Choi, K., & Cho, B. (2011). Competing hypotheses analyses of the associations between group task conflict and group relationship conflict. Journal of Organizational Behavior, 32, 1106 -1126.
Choi, J. N., & Sy, T. (2010). Group-level organizational citizenship behavior: Effects of demographic faultlines and conflict in small work groups. Journal of Organizational Behavior, 31, 1032-1054.
De Dreu, C., & Weingart, L. (2003). Task versus relationship conflict, team performance, and team member satisfaction: A meta-analysis. Journal of Applied Psychology, 88(4), 741-749.
De Wit, F. R. C., Greer, L. L., & Jehn, K. A. (2012). The paradox of intragroup conflict: A meta-analysis. Journal of Applied Psychology, 97(2), 360-390.
De Wit, F. R. C., Jehn, K., & Scheepers, D. (2013). Task conflict, information processing, and decision-making: The damaging effect of relationship conflict. Organizational Behavior and Human Decision Processes, 122, 177-189.
Dimotakis, N., Scott, B. A., & Koopman, J. (2011). An experience sampling investigation of work place interactions, affective states, and employee well-being. Journal of Organizational Behavior, 32, 572-588.
Gabriel, A. S., Diefendorff, J. M., & Erickson, R. J. (2011). The relations of daily task accomplishment satisfaction with changes in affect: A multilevel study in nurses. Journal of Applied Psychology, 96(5), 1095-1104.
Gamero, N., González-Romá, V., & Peiró, J. M. (2008). The influence of intra-team conflict on work teams' affective climate: A longitudinal study. Journal of Occupational and Organizational Psychology, 81, 47-69.
Greer, L. L., Jehn, K. A., & Mannix, E. A. (2008). Conflict transformation: A longitudinal investigation of the relationships between different types of intragroup conflict and the moderating role of conflict resolution. Small Group Research, 39(3), 278-302.
Halbesleben, J. R. B., & Wheeler, A. R. (2011). I owe you one: Coworker reciprocity as a moderator of the day-level exhaustion- performance relationship. Journal of Organizational Behavior, 32, 608-626.
Hansson, A., Arvemo, T., Marklund, B., Gedda, B., & Mattsson, B. (2010). Working together-primary care doctors' and nurses' attitudes to collaboration. Scandinavian Journal of Public Health, 38, 78-85.
Ilies, R., Johnson, M., Judge, T., & Keeney, J. (2011). A within-individual study of interpersonal conflict as a work stressor: Dispositional and situational moderators. Journal of Organizational Behavior, 32, 44-64.
Jehn, K. A. (1995). A multimethod examination of the benefits and detriments of intragroup conflict. Administrative Science Quarterly, 40, 256-282.
Jehn, K. A. (1997). A qualitative analysis of conflict types and dimensions in organizational groups. Administrative Science Quarterly, 42, 530-557.
Jehn, K. A., & Bendersky, C. (2003). Intragroup conflict in organizations: A contingency perspective on the conflict-outcome relationship. Research in Organizational Behavior, 25, 187-242.
Jehn, K. A., Greer, L., Levine, S., & Szulanski, G. (2008). The effects of conflict types, dimensions, and emergent states on group outcomes. Group Decision and Negotiation, 17, 465-495.
Jehn, K. A., & Mannix, E. A. (2001). The dynamic nature of conflict: A longitudinal study of intragroup conflict and group performance. Academy of Management Journal, 44(2), 238-251.
Jiang, J. Y., Zhang, X., & Tjosvold, D. (2013). Emotion regulation as a boundary condition of the relationship between team conflict and performance: A multi-level examination. Journal of Organizational Behavior, 34, 714-734.
Johnson, C. (2009). Bad blood: doctor-nurse behavior problems impact patient care. Physician Executive, 35(6), 6-11.
Judge, T. A., Scott, B. A., & Ilies, R. (2006). Hostility, job attitudes, and workplace deviance: Test of a multilevel model. Journal of Applied Psychology, 91(1), 126-138.
Keaveney, S. M. (2008). The blame game: An attribution theory approach to marketer- engineer conflict in high-technology companies. Industrial Marketing Management, 37, 653-663.
Kerwin, S., Doherty, A., & Harman, A. (2011). “It’s not conflict, it’s differences on opinion”: An in-depth examination of conflict in nonprofit boards. Small Group Research, 42(5), 562-594.
Medina, F. J., Munduate, L., Dorado, M. A., Martínez, I., & Guerra, J. M. (2005). Types of intragroup conflict and affective reactions. Journal of Managerial Psychology, 20(3/4), 219- 230.
Meier, L. L., Gross, S., Spector, P. E., & Semmer, N. K. (2013). Relationship and task conflict at work: Interactive short-term effects on angry mood and somatic complaints. Journal of Occupational Health Psychology, 18(2), 144-156.
Nair, N. (2008). Towards understanding the role of emotions in conflict: A review and future directions. International Journal of Conflict Management, 19(4), 359-381.
Ohly, S., Sonnentag, S., Niessen, C., & Zapf, D. (2010). Diary studies in organizational research. Journal of Personnel Psychology, 9(2), 79-93.
Pelled, L. H. (1996). Demographic diversity, conflict, and work group outcomes: An intervening process theory. Organization Science, 7(6), 615-631.
Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods(2ed.). Sage Publications.
Rawwas, M. Y. A., Vitell, S. J., & Barnes, J. H. (1997). Management of conflict using individual power sources: A retailers' perspective. Journal of Business Research, 40, 49-64.
Reeves, S., Freeth, D., Glen, S., Leiba, T., Berridge, E., & Herzberg, J. (2006). Delivering practice-based interprofessional education to community mental health teams: Understanding some key lessons. Nurse Education in Practice, 6, 246-253.
Rispens, S. (2012). The influence of conflict issue importance on the co-occurrence of task and relationship conflict in teams. Applied Psychology: An International Review, 61(3), 349-367.
Robinson, F. P., Gorman, G., Slimmer, L. W., & Yudkowsky, R. (2010). Perceptions of effective and ineffective nurse-physician communication in hospitals. Nursing Forum, 45(3), 206-216.
Rosenstein, A. H. (2002). Nurse-physician relationships: Impact on nurse satisfaction and retention. American Journal of Nursing, 102(6), 26-34.
Simons, T. L., & Peterson, R. S. (2000). Task conflict and relationship conflict in top management teams: The pivotal role of intragroup trust. Journal of Applied Psychology, 85(1), 102-111.
Snelgrove, S., & Hughes, D. (2000). Interprofessional relations between doctors and nurses: Perspective from South Wales. Journal of Advanced Nursing, 31(3), 661-667.
Sonnentag, S. (2012). Psychological detachment from work during leisure time: The benefits of mentally disengaging from work. Current Directions in Psychological Science, 21(2), 114- 118.
Suls, J., Martin, R., & David, J. P. (1998). Person-environment fit and its limits: Agreeableness, neuroticism, and emotional reactivity to interpersonal conflict. Personality and Social Psychology Bulletin, 24, 88-98.
Sutton, R. E., Mudrey-Camino, R., & Knight, C. C. (2009). Teachers' emotion regulation and classroom management. Theory Into Practice, 48, 130-137.
Thoresen, C., Kaplan, S., Barsky, A., Warren, C., & De Chermont, K. (2003). The affective underpinnings of job perceptions and attitudes: A meta-analytic review and integration. Psychological Bulletin, 129(6), 914-945.
Van den Berg, W., Curseu, P. L., & Meeus, M. T. H. (2014) Emotion regulation and conflict transformation in multi-team systems. International Journal of Conflict Management, 25(2), p171-188.
Yang, J., & Mossholder, K. W. (2004). Decoupling task and relationship conflict: The role of intragroup emotional processing. Journal of Organizational Behavior, 25, 589-605.
Yildirim, A., Ates, M., Akinci, F., Ross, T., Selimen, D., Issever, H., Erdim, A., & Akgün, M. (2005). Physician-nurse attitudes toward collaboration in Istanbul’s public hospitals. International Journal of Nursing Studies, 42, 429-437.

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