In the face of the nursing shortage, hospitals have been creative in coming up with strategies to attract nurses into the organization. Most of the incentives involve financial remuneration, e.g., “sign-on bonuses of several thousand dollars, assistance with moving expenses, and housing incentives” (Learning House, 2007, p. 2), to mention a few. Although these recruitment initiatives would entice nurses into the organization, it would not guarantee the retention of the said nurses after they come on board (Learning House, 2007). In contrast, studies have shown that on top of making more money, “the work environment is one of the most important factors influencing the job satisfaction of nurses. A nurse who feels uncomfortable going to work will eventually not go, seeking another position or other career” (Learning House, 2007, p. 5).
The context of a
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982). Therefore, as cited in Learning House (2007)
Regardless of the cause, when conflict arises it should be dealt with. Some methods of conflict resolution do not really solve the problem; rather, the conflict is simply pushed underground, only to emerge again. Nurse managers should try to facilitate the resolution of conflict in a beneficial manner (p. 6). It is well documented that there are five styles of conflict management that are further ranked as either cooperative conflict management styles or uncooperative conflict management styles (Chan, Huang, & Ng, 2008). Cooperative conflict management styles include the ones that show concern for others (Chan, et al., 2008). However, Sportsman and Hamilton (2007) suggested that “constructive conflict management involves selecting the appropriate style based upon factors in the conflict, being comfortable choosing more than one style is an important skill” (Sportsman & Hamilton, 2007, p.
According to Robin (2002), there are five conflict resolution styles: confront compromise, collaborate, accommodate, and avoid. Identify the preference(s) you most often use from these resolution styles. Think about times you have interacted with styles other than your own. Once the differences between these styles are identified, they can be managed, and the appropriateness of when to use them can be determined.
As the forthcoming nursing shortage threatens the United States, organizations must be knowledgeable in the recruitment and retention of nurses. The challenge facing health care organizations will be to retain sufficient numbers of nurses to provide safe, efficient, quality care to patients. Organizations will look to recruit and attract quality nurses to fill vacancies. As turnover in nursing is a recurring problem, health care organizations will look for strategies to reduce turnover. The rate of turnover for bedside nurses in 2013 ranged from 4.4 to 44.6% (American Nurses Association, 2013). Nurse retention focuses on keeping nurses in the organization and preventing turnover. The purpose of this paper is to discuss the significance of recruitment and retention of nurses, review the literature, and explore how recruitment and retention apply to nursing.
Nurses are caring by nature. Nurses care for family members while at home, community members who may be neighbors, church members or friends from school and sports with children in common; however, nurses are known to display uncaring attitudes towards each other. When nurses are discourteous and disrespectful towards one another this may be known as workplace incivility. Incivility is defined by Merriam-Webster as, “the quality of state of being uncivil and a rude or discourteous act” (n.d.). Alexander (2017) related incivility to the events of the 2016 United States election as “rude and impolite behaviors that may be manifested when people feel fear or mistrust” (p. 79). Healthcare is subject to the same negative influence through communication between healthcare providers, educators and patients.
The paper will address the problem of nurse hostility toward each other. It will address the etiology of the problem, and suggest some possible solutions or therapy to the problem. It will be discovered if truly preventive programs such as violence-prevention programs
When examining the circumstances under which incivility thrives in nursing education, it is imperative that the issue is looked at from not only the perspective of the faculty, but from the nursing student
Huan, L. & Yazdanifard, R. (2012). The Differences of Conflict Management Styles and Conflict Resolution in Workplaces. Business & Entrepreneurship Journal. 1(1), 141-155.
Job satisfaction is linked to other positive attributes in the work environment. Many studies conducted prove to show that job satisfaction plays a pertinent role in the outcomes of recruitment and retention in nurse educator shortages (Brittner & O'connor, 2012). Proving that refining job satisfaction will ultimately influence nurse educator retention and attract more educators in the midst of a financial crisis shows that it can discourage this negative perception of a failing nursing structure in
College of Nurses of Ontario,(2009).Practice Guidelines: Conflict prevention and management. Retrieved April 3, 2014 from http://www.cno.org/Global/docs/prac/47004_conflict_prev.pdf
Vivar, C. G. (2006). Putting conflict management into practice: A nursing case study. Journal of Nursing Management, (14), 201-206.
Finally, a more obvious and direct cause of nurse turnover is overall dissatisfaction with the current job. This can be for numerous reasons related to pay, benefits, job growth availability, lack of autonomy, or simply feeling unappreciated. According to one source, “a 2014 survey of more than 3,300 nurses found that they were stressed, overworked, underappreciated, and underutilized” (Fischer, 2016). No matter the reason a nurse chooses to leave their job, the negative outcomes remain the same. The most common of these outcomes are that hospitals lose money, it decreases patient quality of care, and it continues the cycle of more turnover in the nursing profession. “It is predicted that there will be a shortage of nearly 1 million nurses in the United States by 2020” (Hunt, 2009). Hospitals are impacted financially by the high nurse turnover rates. “The financial costs of losing a single nurse has been calculated to equal about twice the nurse’s annual salary” (Hunt, 2009). With these numbers in mind, the hospital spending more money to retain nurses could be a smart and beneficial action for them to
Management spends several hundred dollars for each new nurse that it hire and train. Using Benner’s theory, and investing in nurse retention will decrease costs, as well as having resulted in better patient outcome. A savings of one and one- half to two times of a salary is estimated to have occurred in reducing nursing turnover (Friedman, Delaney, Schmidt, Quinn, & Macyk, 2013). During my first four to five years in my current post,. I noted there to be an increase in novice and advance nurses not staying very long. Upon doing exit interviews it was brought to my attention, that the orientation, he or she received was not enough to make them feel comfortable. The nurses felt that he or she had been rushed through orientation, and did not feel confident in dealing with some
Many people enjoy working or participating in a group or team, but when a group of people work together chances are that conflicts will occur. Hazleton describes conflict as the discrepancy between what is the perceived reality and what is seen as ideal (2007). “We enter into conflicts reluctantly, cautiously, angrily, nervously, confidently- and emerge from them battered, exhausted, sad, satisfied, triumphant. And still many of us underestimate or overlook the merits of conflict- the opportunity conflict offers every time it occurs” (Schilling, nd.). Conflict does not have to lead to a hostile environment or to broken relationships. Conflict if resolved effectively can lead to a positive experience for everyone involved. First, there must be an understanding of the reasons why conflicts occur. The conflict must be approached with an open mind. Using specific strategies can lead to a successful resolution for all parties involved. The Thomas-Kilmann Conflict Mode Instrument states “there are five general approaches to dealing with conflict. The five approaches are avoidance, accommodation, competition, compromise, and collaboration. Conflict resolution is situational and no one approach provides the best or right approach for all circumstances” (Thomas, 2000).
Thomas, K. W. (1992). Conflict and conflict management: Reflections and update. . Journal Of Organizational Behavior, 13(3), 265-274.
Conflict is unavoidable and connected to a world where different ideas and opinions are challenged. Negative conflict occurs when voices are not expressed appropriately, discussions are not in control or different parties reject moving forward with a solution. There is difficulty resolving disagreements because there are multiple reactions to disputes. However, a positive conflict supports debates without a destructive outcome. They improve communication, introduce principles that are important to others, and reduce chaos. On the other hand, the approach that a person uses to address conflict dictates the outcome they receive. Methods for resolving conflict include avoiding the problem, smoothing out a situation, competing against the ideas
When most people hear that word conflict, they decide instantly if this is something they care to get involved in. Most people rather avoid conflict than get caught up in other people’s drama. Laura Stacks author of conflict in the workplace compares conflict to pain. She argues that pain and conflict has one thing in common; no one likes either. However, someone once said that pain was a gift, because pain is the indicator that God blessed us with so that, we will know when something is wrong and we may need medical attention. If pain is not all bad according to Stacks illustration conflict is not all bad either. According to Porter-O’Grady and Malloch, (2015) it is normal for conflict to occur within various relationships; people will just have to learn to deal with conflict sooner or later. This paper will address the issues surround workplace conflicts and their resolutions.