An exploratory investigation on conflicts between physicians and nurses: Types, causes, and asymmetry 의사와 간호사 간 관계에서 나타나는 갈등의 유형, 원인 및 비대칭성

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Byungjoo Lee
MyungUn Kim

Abstract

This study investigated on the conflict types, causes, and asymmetry, which can be witnessed between physicians and nurses who are the essential members of the hospital. The data was collected through semi-structured interviews of physicians and nurses who worked within the same department. The results of this exploratory research illustrated significant indications of task conflicts, relationship conflicts, and process conflicts, in accordance with Jehn’s(1997) study, among the two professions. Furthermore, there were some conflicts related to the typical in-role behavior caused by factors such as misperformance due to the lack of knowledge/skill and the partial completion or nonexecution of order along both occupations. Additionally, indications of conflict type asymmetry between physicians and nurses resulting from the differences of power and perception, and asymmetry on conflict causes even when experiencing the same type of conflict existed. The implications and the limitations of this study with invitation of suggestions to remedy such conflicts are discussed.

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Empirical Articles

References

김남수, 유승흠, 손태용 (2002). 종합병원 응급실 의사와 간호사의 탈진(burn-out) 요인에 관한 연구. 한국병원경영학회지, 7(3), 1-24.
김명언 (1995). 자율적 변화극. 한국심리학회 춘계심포지움.
김용순, 박진희, 임기영 (2006). 전공의와 간호사ㆍ의료기사간의 인간관계 갈등과 의사소통에 관한 연구. 한국병원경영학회지, 11(2), 16-31.
노연희 (2008). 재취업자의 불완전고용: 선행요인 및 그 효과. 서울대학교 대학원 박사학위논문.
류정걸, 양동현 (2006). 종합병원의 의료서비스 품질수준과 경영성과 간의 관계. 한국병원경영학회지, 11(4), 82-103.
성양경 (2006). 팀 수준에서의 직무갈등과 관계갈등. 서울대학교 대학원 석사학위논문.
이명옥 (1997). 간호사의 상대적 권력과 대인갈등. 대한간호학회지, 27(1). 169-177.
이상돈 (1998). 의사와 간호사 사이의 분업과 책임의 분할-대법원 1994. 12. 22, 93도3030 판결에 대한 평석. 판례연구, 253- 284.
이영석, 오동근, 김명언, 이윤성, 신좌섭 (2010). 우리나라 의과대학교수를 위한 역량모델 탐색. 한국의학교육, 313-321.
이준모 (2005). 병원 조직에서의 갈등 전이. 서울대학교 대학원 석사학위논문.
이지연 (2002). 종합병원의 진료파트별 특성과 간호사-의사간 의사소통 유형. 서울대학교 보건대학원 석사학위논문.
조남욱, 홍여신, 김현숙 (2001). 간호사의 인간관계 갈등과 의사소통에 관한 조사연구. 한국간호교육학회지, 7(2), 369-378.
조영호, 이혜숙, 서형도 (2008). 병원 조직의 정서노동자에게 있어 경영이념(비전) 전파의 노력이 서비스 품질과 조직유효성에 미치는 영향에 관한 연구. 한국경영학회 통합학술대회.
조윤근, 황호영 (2007). 변혁적인 리더십이 부하의 자기효능감에 미치는 영향과 부하의 상사 수용도 조절효과. 한국병원경영학회지, 12(3), 68-95.
최수형, 조덕영, 홍태호 (2006). 대학병원의 조직문화와 직무특성이 조직시민행동에 미치는 영향에 관한 연구. 인적자원관리연구, 13(4), 191-207.
한혜라, 박영숙 (1994). 의사와의 관계에 대한 간호사의 경험 분석. 간호학논문집, 8(1), 83-92.
Baggs, J. G., & Schmitt, M. H. (1997). Nurses' and resident physicians' perceptions of the process of collaboration in an MICU. Research in Nursing & Health, 20, 71-80.
Callister, R. R., & Wall, J. A., Jr. (2001). Conflict across organizational boundaries: Managed care organizations versus health care providers. Journal of Applied Psychology, 86(4), 754-763.
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.
Cooperrider, D., & Whitney, D. (2005). Appreciative inquiry. Berrett-Koehler.
Copnell, B., Johnston, L., Harrison, D., Wilson, A., Robson, A., Mulcahy, C., Ramudu, L., McDonnell, G., & Best, C. (2004). Doctors' and nurses' perceptions of interdisciplinary collaboration in the NICU, and the impact of a neonatal nurse practitioner model of practice. Journal of Clinical Nursing, 13, 105- 113.
Cummings, T. G., & Worley, C. G. (2009). Organization development and change(9th ed.). South-Western Cengage Learning.
Curtis, K. A. (1994). Attributional analysis of interprofessional role conflict. Social Science and Medicine, 39(2), 255-263.
Galinsky, A. D., Magee, J. C., Ena Inesi, M., & Gruenfeld, D. H. (2006). Power and perspectives not taken. Psychological Science, 17(12), 1068-1074.
Garman, A. N., Leach, D. C., & Spector, N. (2006). Worldviews in collision: Conflict and collaboration across professional lines. Journal of Organizational Behavior, 27, 829-849.
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.
Haslam, S. A. (2004). Psychology in organizations: The social identity approach(2nd ed.). London: Sage.
Hendel, T., Fish, M., & Berger, O. (2007). Nurse/physician conflict management mode choices: Implications for improved collaborative practice. Nursing Administration Quarterly, 31(3), 244-253.
Hojat, M., Gonnella, J., Nasca, T., Fields, S., Cicchetti, A., Scalzo, A., Taroni, F., Amicosante, A., Macinati, M., Tangucci, M., Liva, C., Ricciardi, G., Eidelman, S., Admi, H., Geva, H., Mashiach, T., Alroy, G., Alcorta-Gonzalez, A., Ibarra, D., & Torres- Ruiz, A. (2003). Comparisons of American, Israeli, Italian and Mexican physicians and nurses on the total and factor scores of the Jefferson scale of attitudes toward physician- nurse collaborative relationships. International Journal of Nursing Studies, 40, 427-435.
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.
Jehn, K. A., Rispens, S., & Thatcher, S. M. B. (2010). The effects of conflict asymmetry on work group and individual outcomes. Academy of Management Journal, 53(3), 596-616.
Jehn, K. A., Rupert, J., Nauta, A., & van den Bossche, S. (2010). Crooked conflicts: The effects of conflict asymmetry in mediation. Negotiation and Conflict Management Research, 3(4), 338-357.
Johnson, C. (2009). Bad blood: Doctor-nurse behavior problems impact patient care. Physician Executive, 35(6), 6-11.
Keenan, G. M., Cooke, R., & Hillis, S. L. (1998). Norms and nurse management of conflicts: Keys to understanding nurse-physician collaboration. Research in Nursing & Health, 21, 59-72.
Kozlowski, S., & Ilgen, D. (2006). Enhancing the effectiveness of work groups and teams. Psychological Science in the Public Interest, 7(3), 77-124.
Lockhart-Wood, K. (2000). Collaboration between nurses and doctors in clinical practice. British Journal of Nursing, 9(5), 276-280.
Nembhard, I. M., & Edmondson, A. C. (2006). Making it safe: The effects of leader inclusiveness and professional status on psychological safety and improvement efforts in health care teams. Journal of Organizational Behavior, 27, 941-966.
Perlow, R., & Repenning, N. (2009). The dynamics of silencing conflict. Research in Organizational Behavior, 29, 195-223.
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.
Schulz, R., & Johnson, A. C. (2003). Management of hospitals and health services. Washington, D. C.: Beard Books.
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.
Strauss, A., & Corbin, J. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory(2nd ed.). Sage Publications, Inc.
Suddaby, R. (2006). From the editors: What grounded theory is not. Academy of Management Journal, 49(4), 633-642.
Tellis-Nayak, M., & Tellis-Nayak, V. (1984). Games that professionals play: The social psychology of physician-nurse interaction. Social Science and Medicine, 18(12), 1063-1069.
Treiman, D. J. (1977). Occupational prestige in comparative perspective. New York: Academic Press.
Weingart, L. (1992). Impact of group goals, task component complexity, effort, and planning on group performance. Journal of Applied Psychology, 77, 682-693.
Weisbord, M. R. (1976). Organizational diagnosis: Six places to look for trouble with or without a theory. Group & Organization Studies, 1(4), 430-447.