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British Journal of Medicine and Medical Research, ISSN: 2231-0614,Vol.: 9, Issue.: 10

Original-research-article

Doctor-Nurse Conflict in Nigerian Hospitals: Causes and Modes of Expression

 

Ademola T. Olajide1, Michael C. Asuzu1 and Taiwo A. Obembe2*

1Department of Community Medicine, Faculty of Clinical Sciences College of Medicine, University of Ibadan, Ibadan, Nigeria.

2Department of Health Policy and  Management, Faculty of Public Health College of Medicine, University of Ibadan, Ibadan, Nigeria.

Article Information
Editor(s):
(1) Crispim Cerutti Junior, Department of Social Medicine, Federal University of Espirito Santo, Brazil.
Reviewers:
(1) Robert Cooper, College of Business and Public Administration, Drake University, USA.
(2) Eliane Da Silva Grazziano, Nursing Department, Federal University, São Carlos, Brazil.
(3) Anonymous, University of Campinas (UNICAMP), Brazil.
(4) Anonymous, University of Port Harcourt, Nigeria.
(5) Anonymous, University of Sao Paulo, Brazil.
(6) Anonymous, University of Ghana, Ghana.
Complete Peer review History: http://sciencedomain.org/review-history/10206

Abstracts

Background: Conflict within the health team is a recognized problem known to hinder quality health care service delivery. In order to achieve the objective for which a hospital is set up, interactions between all members within a medical team must be conducted in such a way that conflicts are minimized as much as possible.

Aims: To examine conflict issues between doctors and nurses and to determine the causes and modes of expression of such conflicts in Nigerian hospitals.

Methods: A cross-sectional study with quantitative and qualitative approaches was carried out in 2 tertiary hospitals in Ekiti State, Nigeria. Data was collected over 4 weeks in April 2005.

Pre-tested semi-structured questionnaires were self-administered to 323 participants (Response rate=96.4%) recruited. Focused group discussions (FGDs) were conducted with three groups each of doctors and nurses in the selected hospitals. Data were analyzed using frequencies, percentages and logistic regression.

Results: Majority of our respondents were females (81.7%); below 40 years (53.0%); married (75.9%); nurses (84.5%) and with less than 15 years of professional experience (50.3%). Odds of conflicts were significantly higher with limited opportunities for staff interaction (OR=1.8, CI=1.1-2.9); desire for power (autonomy) by doctors (OR=3.2, CI=1.9-5.2) and desire for more influence by nurses (OR=12.5, CI=4.8-41.3). Chances of expressing conflicts were significantly higher as strikes (OR=2.1; 1.3-3.5) but less with physical assaults (OR=0.1, CI=0.03-0.41).

Conclusion: Doctor-nurse conflict is associated with a combination of socio-economic and interpersonal-intergroup factors. Hospital management must understand the interplay of these factors and recognize its role in the handling of such conflicts. Doctors and nurses must also acquire the understanding of team building and group dynamics through training.

Keywords :

Conflict; health team; doctors; nurses; hospital; burnout.

Full Article - PDF    Page 1-12

DOI : 10.9734/BJMMR/2015/15839

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