week3 outline

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Dec 6, 2023

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Final Paper Outline Conflict is a part of life. I. Introduction Conflict is a wide concept that is an inevitable part of life. Conflict involves a misunderstanding or opposition between two or more parties. A conflict can happen anywhere and between anyone. While conflict is not always a negative thing as it can provide growing opportunities, it is always best to address the conflict and utilize appropriate ways to navigate towards the healthiest resolution. Several years ago, I spent many nights at the hospital with my daughter as she is medically complex. I vividly remember one night when she stopped tolerating her tube feeds while she was in the intensive care unit. I called for the nurse to page the doctor as I was concerned with her becoming dehydrated. The doctor eventually found his way to the room, it was late at night, so I tried to remain patient with him. As he observed my daughter, he simply said “well, she has Down Syndrome so…” I was an exhausted, worried, and very angry mother by that point and demanded he give her fluids to prevent further intervention. The doctor declined my request and left only several nurses to visit later and determined she was so dehydrated after several failed attempts to locate an accessible vein, she ultimately

had to insert one through her scalp. My daughter, at the time, was only 8 months old and had already endured some of the hardest days prior to this. I was furious as I believed if the doctor had listened to me rather than concern himself with one of her irrelevant diagnosis’s, my daughter would not have had to endure that extra pain. This paper will focus on three topics. Power and conflict, Negotiation skills and resolving conflict, and apologies, forgiveness, and reconciliation. In our text, “conflict as "a struggle over values and claims to scarce status, power, and resources in which the opponents aim to neutralize, injure, or eliminate this rival" (Jandt,2021). Negotiating and resolving conflict is crucial to beneficial outcomes.” A successful win–win negotiation strengthens the relationship between the parties (Jandt 2021). Apologies, forgiveness, and reconciliation is a multi-step process. While not all apologies are forgiven, the acknowledgement of personal responsibility and any offensive behavior is the first step to creating a successful resolution. Forgiveness is an emotional and cognitive process, while forgiveness does not require you to forget, it does provide the space to move forward by agreeing to a resolution or simply agreeing to disagree. Lastly, reconciliation is the final step of acknowledging both parties’ contribution to the conflict and choosing to move forward from the conflict. It’s a much more complicated, involved process that can include forgiveness but moves beyond it. For-givenness is solo; reconciliation is a joint venture (Rusbult et al., 2). II. Power and Conflict. The conflict of power between parents and healthcare providers is more frequent than imagined. A. “Conflicts between healthcare professionals and relatives regularly occur in matters such as whether or not to limit life-sustaining treatment, the

appropriate time for patients to be discharged from the intensive care unit (ICU) and the patients’ death.” (Intensive Care Med. 2003;29:1489–1497) B. This shows the strain on both the healthcare professional and relatives that prompt a conflict. This article focuses on a situation where the patient themselves is unlikely to communicate their wants or needs, leaving the family to be their voice. The healthcare professional holds the power of treatment, the relatives challenging that becomes a conflict. III. Negotiation skills and resolving conflicts with others. A. “When a confrontation becomes necessary, a team approach is best. The communication should be direct and clear, and the physician should be given a chance to respond at the end of the complaints but not before. The goal is to correct the situation and look for the good to build upon.” (USF Health Online 2023) B. This example of negotiation provides both sides of the conflict to openly address their concerns without interruption. The negotiation is to hear both the conflict at hand and the feedback from the person confronted. Many times, a conflict is only one sided because the opposing party is unaware of any concerns. Open communication provides negotiation possibilities. IV. Apologies, forgiveness, and reconciliation. A. “Within the medical system, apologies remain controversial. Physicians often wish to apologize to patients harmed by medical errors, but they may not disclose errors to patients and their families

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because of the concern that disclosing errors could increase the likelihood of a malpractice claim. However, greater utilization of full apologies could in turn create a more transparent health care system.” (. Yale Law J 114:85–148, 2004) B. This example explores the potential dangers of apologizing while also shining light on the chance of reconciliation when it does occur. It’s difficult for a physician to apologize, and even more difficult for a patient or family to trust the physician again but acceptance of one’s error that contributed to the conflict can prove to be a therapeutic learning system for physicians and a therapeutic healing system for patients and families. Not all apologies are forgiven, not all forgiveness is forgotten, but moving forward from the conflict is always a solution. A conflict can happen anywhere and between anyone and while it’s not an easy ordeal to work through, it can be a growing opportunity for those involved. There are many components to conflicts, as mentioned above. Power, negotiation, apologizing, forgiving, and reconciliation. There are also many components that may stand in the way of these things from happening. The day after my daughter’s dehydration incident I utilized the tools that were available by making the head nurse aware of the situation. I utilized her power to negotiate with him and ultimately had him removed from my daughter’s case. While I do not know the outcome for this doctor, I did receive an apology from the nurses. I forgave this doctor, but I never forgot what he did and spoke. The forgiveness was a great example of “forgiven, but not forgotten.” Reconciliation was

never necessary and ultimately, my daughter was discharged a week later. A conflict may be difficult, but someone will always learn a thing or two from it and hopefully that will help them grow as a parent, a professional, or a human in general. Resources Bibas S, Bierschbach RA: Integrating remorse and apology into criminal procedure. Yale Law J 114:85–148, 2004 Gawande A: Being Mortal. Medicine and What Matters in the End [Kindle edition]. New York: Henry Holt and Co, 2014 Jandt, F. E. (2021). Conflict and communication (2nd ed.). Cognella. Levi DL: The role of apology in mediation. NYU Law Rev 72:1165–210, 1997

week3 outline

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