Causes Of Tens�on Between Phys�c�an-Nurse In Work�ng Env�ronments And Management Of Confl�ct

Nam�k Kemal University, Faculty of Medicine, Department of Orthopedics and Traumatology.

CAUSES OF TENSION BETWEEN PHYSICIAN-NURSE IN WORKING ENVIRONMENTS AND MANAGEMENT OF CONFLICT
Aim: The aim of the current study was to investigate the empirical studies on the reasons for conflict among physicians and nurses with a literature review on the topic. In that way, all the past findings were reviewed for the consideration of readers. By conducting this study, it was aimed to present some recommendations and to give information about the styles that preferred for the conflict management to the professionals and academics in the field. Thus, the current study was designed as a literature review.
Methods: The universe of the study consists of experimental studies examining conflicts between physicians and nurses. Related studies are provided from databases such as Google Scholar, Ulakbim, YOK Thesis and Turkish Medical Index. Between the years of 2004-2018 national publications on the subject were scanned and 41 studies were reached. Among these, studies that did not meet the inclusion criteria were excluded and the remaining 17 studies were included in the study. In the screening of studies were used key words such as "hospital", "nurse", "physician" and "conflict".
Results: The main conflict between physicians and nurses was found to be the uncertainty of job descriptions, communication problems, working conditions, physician's rude and destructive behaviors and occupational perception. The most commonly used styles in conflict management are integration, compromise, listening/comprehension and avoidance; the least used ones were forced and domination.
Conclusion: Based on the findings, it was found that both nurses and physicians have the conflict because of different reasons and use different kinds of conflict management styles.

Keywords:

�al��ma Ortamlar�nda Hekim-Hem�ire Aras�ndaki Gerilim Nedenleri Ve �at��malar�n Y�netimi

Nam�k Kemal �niversitesi T�p Fak�ltesi Ortopedi ve Travmatoloji Anabilimdal�.

�ALI�MA ORTAMLARINDA HEK�M-HEM��RE ARASINDAK� GER�L�M NEDENLER� VE �ATI�MALARIN Y�NET�M�
Ama�: Bu �al��man�n amac� hekim ve hem�ireler aras�ndaki �at��ma sebeplerini dikkate alan deneysel �al��malar� inceleyerek literat�r derleme taramas� ger�ekle�tirmek ve elde edilen bulgular� sentezleyerek okuyucular�n dikkatine sunmakt�r. Ger�ekle�tirilecek bu �al��ma ile gerek uygulay�c�lara gerekse ara�t�rmac�lara hekim ile hem�ire aras�ndaki gerilim nedenlerine ili�kin �nerilerde bulunulmas�, �at��malar� y�netmede tercih ettikleri stiller hakk�nda bilgi verilmesi ama�lanmaktad�r. Bu �al��ma literat�r derleme �al��mas� niteli�indedir.
Y�ntem: �al��man�n evrenini hekim ve hem�ireler aras�ndaki �at��malar�n incelendi�i deneysel �al��malar olu�turmaktad�r. �lgili �al��malar Google Akademik, Ulakbim, Y�K Tez ve T�rk T�p Dizini gibi veri tabanlar�ndan sa�lanm��t�r. 2004-2018 y�llar� aras�nda konuyla ilgili yap�lm�� olan ulusal yay�nlar taranm�� ve 41 �al��maya eri�ilmi�tir. Bunlar aras�ndan dahil etme kriterlerine uymayan �al��malar d��lanm�� ve kalan 17 �al��ma ara�t�rma kapsam�na al�nm��t�r. �al��malar�n taranmas�nda; �hastane�, �hem�ire�, �hekim� ve ��at��ma� anahtar kelimeleri kullan�lm��t�r.
Bulgular: Hekim ve hem�ireler aras�ndaki temel �at��ma nedenlerinin; g�rev tan�mlar�n�n belirsizli�i, ileti�im sorunlar�, �al��ma ko�ullar�, hekimin kaba ve y�k�c� davran��lar� ile meslek alg�s� oldu�u saptanm��t�r. �at��malar�n y�netiminde en fazla kullan�lan stillerin t�mle�tirme, uzla�ma, dinleme/anlama ve ka��nma oldu�u; en az kullan�lanlar�n ise zorlama ve h�kmetme oldu�u belirlenmi�tir.
Sonu�: Hekim, hem�ire ve di�er sa�l�k �al��anlar�n�n meslekta�lar� ile �e�itli sebeplerden dolay� �at��ma ya�ad�klar� ve �at��malar�n� y�netmede farkl� y�netim stillerini kulland�klar� belirlenmi�tir.

Anahtar Kelimeler:

Ya�ar Mahsut Din�el. Causes Of Tens�on Between Phys�c�an-Nurse In Work�ng Env�ronments And Management Of Confl�ct. Journal of Health and Nursing Management. 2019; 6(3): 256-265

Corresponding Author: Ya�ar Mahsut Din�el, T�rkiye