HCA 230 Week 8 Discussion Question 1
HCA 230 Week 8 Discussion Question 1
CSU - Dominguez hills
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Date Created: 11/16/15
Week 8 dq1 Post your response to the following: Describe a conflict from the text or your personal experience that occurred in the health care field. How did diversity contribute to this conflict with respect to culture, profession, race, gender? Briefly define the different types of conflicts (interest, roles, interpersonal, violent) and identify the type of conflict your example describes. Read another student’s conflict and speculate if you think it can be categorized under a different conflict type—interest, roles, interpersonal, or violent—than the student originally identified. Do you think another diversityrelated issue could have been involved? Explain your response. The conflict that I had in the health care field was when I use to work at Prescription Solutions. People would call and get there prescription refilled over the phone. Well one man was really rude, he had called and asked, where his medication was, and so I pulled up all his information and it was shipped out from the pharmacy. So then I tracked his package. Come to find out they had a snow storm and he lived on a steep hill and the UPS driver could not get to him. Well this man did not understand and started cursing me out making racial slurs not even knowing what race I really was. Diversity contributes to this conflict because first this man did not know what race I was. Second he made gender remark “Stating that women are only good for certain things.” And through all this I had to stay professional but I really wanted to use some not so nice choice of words. Conflict of interest is taken on more but yet sacrificing another. Example would be seeing more patients but spending less time with them. Role conflict is playing more than one role and the expectations conflict for those roles. Example is a nurse becoming a friend or too friendly to a patient. Interpersonal conflict is when your goals and objective are different from someone else’s. Violent conflict is actually hurting someone, physically, mentally and verbally. The main conflict that keeps coming to mind is with my daughter’s pediatric office. The office she goes to has maybe 10 doctors in the office. At this office they only make appointment the day you want to be seen. You cannot make an appointment ahead of time. Well I called one morning right when they open to make an appointment for my daughter who was sick. Well I get through and they put me on hold like they always do for like 10 minutes. Now mind you they opened at 8 and it is now 8:10 and there are 10 doctors in the office. Well when the lady finally got on the phone she ask the same question they always ask which is what insurance are you filing, is your child well, sick, or is this a recheck, and what doctor do you want to see. Well I told her my child was sick and that I was filing Medicaid and what doctor I wanted to see. Well she began to tell me that the doctor I wanted was booked up. So I said well I will see another doctor and she said that all the doctors were booked but I could leave a message for the nurse to call me back. I was so mad because I did not understand how they were full already it was only 10 minutes in. So I hung up mad and decided to call back and see if I could not get an appointment because of the insurance I was filing. Well when I called back I told them I was filing blue cross blue shield and lord and behold they had appointments. I just about had a heart attack. I asked her after she told me she had an appointment why when I just called and said I had Medicaid she did not have any appointments but now that I had insurance they would see me. She was speechless and did not know what to say. I screamed and hollered a little and she ended up giving me the appointment. I thought it was ridiculous that my child's insurance coverage was not good enough to get an appointment and how do they know that he was not really sick and needed that appointment. In my opinion, it was violent conflict I used because I did a lot of yelling and honestly I know it is not motherly like but if I would have been in front of them I do not know what would have happen. This conflict scernio was found in the text material. A nurse was asked by the patient "Why are they sending me home from the hospital when I still feel ill and scared?" The conflict is a role conflict for the nurse because she has built a relationship with the patient and she is aware of the patient's anxieties of being released from the hospital. However, the nurse is obligated to follow the instructions from the doctor and is not allowed to question the doctor's instructions in front of the patient. Conflicts of interest when an individual is trying to meet certain goals but has to sacrifice other goals to achieve certain goals. Conflict of roles when a person is playing more than one role but the expectations for the roles conflict. For example: A nurse closely connecting to a patient but still has to follow instructions from the doctor regardless of how the nurse feels about the situation of the patient. Interpersonal Conflicts: occurs when a persons goals are different from another's goals Violent Conflict: occurs when a person inflicts physical, verbal, or emotional abuse on another individual. There is a personal conflict currently occurring at my work place. I work for a business that is dedicated to individuals with developmental disabilities. I am the Health Care Assistant, and because I do not have my nursing license yet, I assist the resident RN Supervisor and the LPN at our facility. I've held this position for a year and a half and for the first year I loved my job. The RN Supervisor and I were able to work together efficiently and have a natural rapport. Unfortunately, she moved on to a bigger better job, and I got a new boss a few months ago. My new boss is not as experienced as my old boss, but loves her new title and interjects it in almost every conversation. The conflict arises professionally, as the new boss does not handle situations in a professional manner and blatantly flaunts her title to those she is 'superior' to. There has been a lot of friction at the work place and numerous people have been offended by this behavior. The RN Supervisor states that she is the boss and things will be done her way, which I can grant as her right. The issue arises however when she will not deal with the direct care staff who are caring for the individuals and has implemented strict guidelines on who she will work with and who she will not. This is a conflict of interest because everyone should be working together to ensure proper care. This is also a conflict of roles because everyone is unsure of who they are supposed to deal with now. I feel that this is an interpersonal conflict because the main idea of our facility is to provide care in a nonhostile work environment, and the RN Supervisor is more concerned about her job title than the clients. I do not feel as though this issue is related to culture, race, or gender because the issue is not revolving around those stereotypes, but instead is resulting from a professional prejudice. I experienced this kind of conflict when I took the young daughter of a friend to the Emergency Room. My friend had called to tell me that she was distressed because all of the places she had sought treatment for her sick daughter had said that the child was only teething and refused to diagnose or treat her further. I had her bring her daughter to me and I then took her to the ER myself. I explained the situation and asked to be seen as soon as possible since I felt the child was having difficulty breathing. The attendant at the ER was very rude in her communications with me. I explained to her that the child's parent's where not with her and that I was caring for her and thus did not have access to the paperwork information that the attendant wanted from me. This led to a complete breakdown in communications as the attendant insisted that the information had to be provided regardless of how much the child was suffering. The ER supervisor intervened at the point and had the child examined. The child was diagnosed and treated for pneumonia. I recognized that my confrontational attitude was destructive to the initial situation, but I felt that the attendant was very unreasonable and the child's condition warranted my raising a scene. I would term this a violent conflict that resulted because the attendant felt overwhelmed by the situation and refused to believe my assessment of the child's condition. There is a conflict that I had encountered when doing my internship at a nephrology clinic. It was my third week and the nurse had called out sick. Well apparently, a chart that she put on one of the doctors desk was supposed to go to another doctor. Now there charts are color coded and depending on the stage of kidney failure they see either one of the four doctors in the office. Well I was happening to be sitting at her desk that day when the doctor had a fit that it was not his chart and he cant stand interns. Throwing the chart at me saying that I needed to put it on the right desk. It would of been fine if he asked for me to put it on the correct doctors desk I would of not had a problem. Well the doctor that was suppose to receive the chart apologized for his behavior. The nurse came in the following day saying that it was her and not me. The doctor who had flipped out still could not apologize for his actions. Because the doctor said straight out that he cannot stand interns showed a lack of respect with profession. Conflict of interestThe doctor should of been more open with working interns instead of just assuming that interns do not know what they are doing. Violent conflict The doctor using verbal abuse along with throwing the chart at me. Interpersonal conflictwhen goals and objectives are different from another's. Role conflictthe nurse who is responsible for these certain charts along with other duties made an honest mistake and someone else was blamed. Race, gender, culture, and profession are all components of diversity; and diversity is one contributing source of conflict. Conflict can arise when people have disagreements with divergent views and goals of others. conflicts are unavoidable and inherent in just about every aspect of life, and the workplace is no exception. The combination of diverse people and profession within the high pressure atmosphere of medical settings create the 'perfect storm' for the escalation of conflict. In health care, conflict not only affect employees within health organizations, it can seriously impact patients' health and well being as well. For this reason, it is imperative to address issues that can potentially escalate out of control. Types of conflicts common to health care include conflict of interest, role conflict, interpersonal, and violent conflict. The internal aspect of conflict of interest occurs when people are forced to sacrifice one objective over another. Interpersonal conflict usually occur among people who work together have divergent goals and views that may negatively affect productivity. Axia College (2011) states that, this type of conflict can become violent conflict given the culture that exists in most health care settings. On the other hand, role conflict occurs when a person plays multiple roles but the expectations of those roles conflict (Axia College, 2011). Profession is one factor of diversity which contribute to role conflict in the health care field. For example, within the hierarchy of the health profession, nurses are expected to behave a certain way. Nurses often find themselves having to balance their role as advocates for patients, while serving as subordinates to doctors. Sometimes nurses have to make difficult choices even when they do not necessarily agree with them. Patients expect nurses to advocate on their behalf, but can experience disappointment when nurses' subordinate role cause them not to act in the best interest of the patient. Axia College of University of Phoenix. (2011). Communication in Health Organization. Retrieved February 8, 2011, from Axia College, Week Eight Reading, aXces, HCA/230—Communication Skills of The Health Care Professional Course Web site. When I worked with the mentally challenged in a group home setting, you are dealing with eight different personalities. I worked with another coworker who was at the time older than I was at the time and treated some of the residents as children and talked down to them. One of the residents had issues at work and was all ready irritated when she came home and instead of leaving her alone for a time to calm down she started to bark order at her and made her go off and get violent towards her and came after her with a knife. I jumped into the middle and took the knife and had her up against the wall with her arms pined up against the wall and had to talk her down. A role is the way a person is supposed to act or behave within certain functions of a job. Interpersonal conflict can be between people who depend on each other to accomplish goals, values that could stand in there way, if conflict can become violent. Conflict of interest is internal and occurs when a person has several objectives to meet and has to sacrifice one for another to meet the goal. I had a situation when I gave birth to my first child I still remember this to the day. First, the hospitals send you home to quickly in my opinion. After I was sent home I wasn't really feeling good. I couldn't keep any food down and I was running a temperature. My mother rushed my to the hospital. I was taken back quickly but the staff wasn't very pleasant. During my examination they didn't take under consideration that I just gave birth and I had several incisions. Then I was placed in the hall way for a period of time. At this point, me an my mother began to complain. After about two hours in the ER I was placed in a room. My mother was told that they didn't know what the problem was it could be some afterbirth but they wasn't sure. My mother left to get some rest. During the course of the night my temperature spiked. I was trying to call her but I was so weak I dropped the phone in some water. I was calling the nurse and they never came. When they did come I told them to call my mother and they didn't. The had to call the doctor in to try and control the temperature. The next day I told my mother what happen the entire staff that was on the shift that night got written up. Of course the hospital tried to compensate but I was just glad to leave. After being there for almost a week I had a kidney infection. Conflict of Interest is internal and occurs when a person wishes to meet multiple objectives but meeting one objective means sacrificing another. Role Conflict occurs when a person is playing more than one role but the expectation for those roles conflict. Interpersonal conflict occurs when people who depend on each other have conflicting goals, aims and values that seem to stand in the way of accomplishing their objectives. Violent conflict involves at least two parties using physical force to resolve competing claims or interest. The conflict that I experienced when I worked in a nursing home as an activities aid with a resident, and one night when I was working he was doing good all afternoon. I was doing my regular routine that day, and my job as an activities aid was to make my rounds to the residences and chat with them, help with the activities, and help the CNAs watch him when I was done with all the requirements that an activity aid supose to do. The CNAs were supose to keep an eye on him while the activities aid to the job that is required in my job preference, and then after finished up my rounds it was my job to go back to the activity room and help the CNAs with this certain resident while the rest of the residence were in bed for the night. When I took over for the CNAs with this resident I had noticed that he wasn't acting like himself, and so I had brought it up the LPNs and Nurses about what I noticed that was different in his behavior. They kept insisting that there was nothing wrong with him, and it seemed like they just blew me off. I continued on watching him, and then I still knew that there was something wrong with him. I brought it up to their attention again, and they still blew me off once more. Then I brought it up to their attention again, but this time the LPNs were changing shifts. A new LPN started her shift, and so I went to her about this resident. She came and checked him, and she also seen that there was something wrong him. She told me that I did the right thing by questioning the other LPNs and nurses about the residents condition, and that thanks to me I saved that residents life. He was rushed to the hospital. I believe that the reason the nurses kept blowing me off was because of my job preference was an activities aid, and so they had figured that because I wasn't a LPN or a nurse that I didn't know what I was talking about. I also believe that this conflict was interpersonal and roles conflict. Conflict of interest is internal and occurs when a person wishes to meet multiple objectives but meeting one objective means sacrificing another. Role conflict occurs when a person is playing more than one role but the expectations for those roles conflict. Interpersonal conflict occurs when people who depend on each other have conflicting goals, aims, and values that seem to stand in the way of accomplishing their objectives. violent conflict occurs when a person working together in highpressure situations can foster a sense of camaraderie and mutual support.
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