Potential sources of conflict in intensive care units – a questionnaire study

Anna Paprocka-Lipińska; Małgorzata Drozd-Garbacewicz; Janusz Erenc; Maria Wujtewicz; Janina Suchorzewska; Marek Olejniczak; Magdalena Wujtewicz; Henryk Aszkiełowicz; Astryda Dończyk; Jacek Furmanik; Andrzej Gadomski; Tomasz Kołacki; Ewa Lenkiewicz; Andrzej Małek; Joanna Sawicka; Bartosz Suchanowski; Jolanta Wawrzyniak; Jerzy Węgielnik; Radosław Owczuk

doi:10.5114/ait.2019.89223

eISSN: 1731-2531
ISSN: 1642-5758

Anaesthesiology Intensive Therapy

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Original paper

Potential sources of conflict in intensive care units – a questionnaire study

Anna Paprocka-Lipińska

¹

,

Małgorzata Drozd-Garbacewicz

²

,

Janusz Erenc

³

,

Maria Wujtewicz

⁴

,

Janina Suchorzewska

¹

,

Marek Olejniczak

¹

,

Magdalena Wujtewicz

⁴

,

Henryk Aszkiełowicz

⁵

,

Astryda Dończyk

⁶

,

Jacek Furmanik

⁷

,

Andrzej Gadomski

⁸

,

Tomasz Kołacki

⁹

,

Ewa Lenkiewicz

¹⁰

,

Andrzej Małek

¹¹

,

Joanna Sawicka

¹²

,

Bartosz Suchanowski

¹³

,

Jolanta Wawrzyniak

¹⁴

,

Jerzy Węgielnik

¹⁵

,

Radosław Owczuk

⁴

Department of Ethics, Faculty of Medicine, Medical University of Gdańsk, Poland

University of Gdańsk, Poland

Department of Sociology, Public Affairs and Economy, University of Gdańsk, Poland

Department of Anaesthesiology and Intensive Therapy, Faculty of Medicine, Medical University of Gdańsk, Poland

Department of Anaesthesiology and Intensive Therapy, Hospital in Malbork, Poland

Department of Anaesthesiology and Intensive Therapy, Specialist Hospital in Chojnice, Poland

Department of Anaesthesiology and Intensive Therapy, Tczew Hospitals PLC, Poland

Department of Anaesthesiology and Intensive Therapy, Specialist Hospital in Kościerzyna, Poland

Department of Anaesthesiology and Intensive Therapy, Hospital in Stargard Gdański, Poland

10.

Department of Anaesthesiology and Intensive Therapy, Department of Hyperbaric Medicine and Sea Rescue, University Centre for Maritime and Tropical Medicine in Gdynia, Poland

11.

Department of Anaesthesiology and Intensive Therapy, Specialist Hospital in Wejherowo, Poland

12.

Department of Anaesthesiology and Intensive Therapy, Children’s Hospital in Gdańsk, Poland

13.

Department of Anaesthesiology and Intensive Therapy, Regional Hospital in Kartuzy, Poland

14.

Department of Anaesthesiology and Intensive Therapy, Regional Specialist Hospital in Słupsk, Poland

15.

Department of Anaesthesiology and Intensive Therapy, Hospital in Gdańsk, Poland

Anaesthesiol Intensive Ther 2019; 51, 5: 357–360

DOI: https://doi.org/10.5114/ait.2019.89223

Online publish date: 2019/10/29

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AMA

Paprocka-Lipińska A, Drozd-Garbacewicz M, Erenc J, et al. Potential sources of conflict in intensive care units – a questionnaire study. Anaesthesiology Intensive Therapy. 2019;51(5):357-360. doi:10.5114/ait.2019.89223.

APA

Paprocka-Lipińska, A., Drozd-Garbacewicz, M., Erenc, J., Wujtewicz, M., Suchorzewska, J.,  & Olejniczak, M. et al. (2019). Potential sources of conflict in intensive care units – a questionnaire study. Anaesthesiology Intensive Therapy, 51(5), 357-360. https://doi.org/10.5114/ait.2019.89223

Chicago

Paprocka-Lipińska, Anna, Małgorzata Drozd-Garbacewicz, Janusz Erenc, Maria Wujtewicz, Janina Suchorzewska, Marek Olejniczak,  and Magdalena Wujtewicz et al. 2019. "Potential sources of conflict in intensive care units – a questionnaire study". Anaesthesiology Intensive Therapy 51 (5): 357-360. doi:10.5114/ait.2019.89223.

Harvard

Paprocka-Lipińska, A., Drozd-Garbacewicz, M., Erenc, J., Wujtewicz, M., Suchorzewska, J., Olejniczak, M., Wujtewicz, M., Aszkiełowicz, H., Dończyk, A., Furmanik, J., Gadomski, A., Kołacki, T., Lenkiewicz, E., Małek, A., Sawicka, J., Suchanowski, B., Wawrzyniak, J., Węgielnik, J.,  and Owczuk, R. (2019). Potential sources of conflict in intensive care units – a questionnaire study. Anaesthesiology Intensive Therapy, 51(5), pp.357-360. https://doi.org/10.5114/ait.2019.89223

MLA

Paprocka-Lipińska, Anna et al. "Potential sources of conflict in intensive care units – a questionnaire study." Anaesthesiology Intensive Therapy, vol. 51, no. 5, 2019, pp. 357-360. doi:10.5114/ait.2019.89223.

Vancouver

Paprocka-Lipińska A, Drozd-Garbacewicz M, Erenc J, Wujtewicz M, Suchorzewska J, Olejniczak M et al. Potential sources of conflict in intensive care units – a questionnaire study. Anaesthesiology Intensive Therapy. 2019;51(5):357-360. doi:10.5114/ait.2019.89223.

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Background
Conflicts occur in intensive care units (ICUs), and an international multicentre study conducted in 2008, including 323 ICUs from 24 European countries, confirmed the occurrence of this phenomenon. There are no data in Poland. The aim of the study was to analyse the frequency of the occurrence of conflicts in ICUs in Polish hospitals, and their most frequent sources.

Methods
The study was based on an original questionnaire performed in 12 ICUs in the Pomeranian Voivodship. The respondents were asked questions regarding the frequency, type, and lines of conflicts between employees, as well as potential causes of conflicts.

Results
Completed surveys were received from 232 employees, including 79 doctors and 153 nurses. The phenomenon of occurrence of conflicts was confirmed by about 30% of the staff, providing answer that conflicts occur “often”. About 43% of staff estimated that conflicts “sometimes” occur and 25% chose the answer “rarely”. Analysis of the answers made it possible to identify the most common potential causes of conflict.

Conclusions
The main sources of conflicts in ICUs appear to be external factors such a financial issues and physical overload. The hospital policy and the health policy of the state are also important. The perceived conflicts require careful and constant monitoring. The frequency of hidden conflicts requires thorough assessment of their impact on the quality of work.

keywords:

Potential sources of conflict in intensive care units – a questionnaire study

conflicts, teamwork in medicine, interpersonal relationships