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Factors associated with the quality of conflict management among anesthesia technicians

Published online by Cambridge University Press:  27 August 2024

A. Ghenim
Affiliation:
1Occupational Medicine Department, Farhat Hached Academic hospital
M. Kahloul
Affiliation:
2Sahloul Academic Hospital, Anesthesia and Intensive Care Department, Sousse, Tunisia
I. Kacem*
Affiliation:
1Occupational Medicine Department, Farhat Hached Academic hospital
A. Aloui
Affiliation:
1Occupational Medicine Department, Farhat Hached Academic hospital
A. Chouchane
Affiliation:
1Occupational Medicine Department, Farhat Hached Academic hospital
M. Ajmi
Affiliation:
2Sahloul Academic Hospital, Anesthesia and Intensive Care Department, Sousse, Tunisia
W. Naija
Affiliation:
2Sahloul Academic Hospital, Anesthesia and Intensive Care Department, Sousse, Tunisia
M. Maoua
Affiliation:
1Occupational Medicine Department, Farhat Hached Academic hospital
N. Mrizak
Affiliation:
1Occupational Medicine Department, Farhat Hached Academic hospital
*
*Corresponding author.

Abstract

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Introduction

A conflict arises when one or more individuals, groups or organizations disagree, creating internal or external tensions that can cause damage. This is particularly serious in operating theatres, where decisions involving life or death are common. Indeed, in this particular context, the multiplicity of stakeholders, the divergence of opinions and decisions related to patient care, the frequency of critical situations, stress and the limitation of resources are established causes of disagreement and tension.

Objectives

To identify factors associated with the alteration of conflict management quality among anesthesia and resuscitation technicians (ART).

Methods

This is an observational, multicenter, cross-sectional and analytical study, enrolling all ART exercising at the two teaching hospitals of Sousse (Tunisia) over a two month period(March 1, 2022 to April 30, 2022). Conflict management was assessed using the Conflict Handling Style Scale.

Results

Our study involved 50 participants, only eight of whom reported having had previous training in communication and conflict management. Conflicts in the hospital were rated frequent to very frequent by 58% of participants. Task conflicts were the most reported (74%). The main causes of conflict were lack of leadership (60%), unequal distribution of tasks (42%) and workload (28%). The main repercussions of the conflicts were the delay in patients care (60%), therapeutic errors (42%), and the cancellation or postponement of some acts (34%). The main factors associated with impaired conflict management abilities were age<40 years (p=0,03), tobacco consumption (p=0,001), and number of dependent children<2 p<10-3).

Conclusions

In light of our results, it would be useful and urgent to develop the soft skills of our human resources, particularly in terms of communication and conflict management.

Disclosure of Interest

None Declared

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of European Psychiatric Association
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