Exploring Nursing Team Conflict in Health Care Team Interactions

  • Randolph WiltEmail author
Conference paper
Part of the Springer Proceedings in Business and Economics book series (SPBE)


This study uses communication theory to analyze cultural and ethical conflict between team-based nurses. From a health care perspective, floor nurses conveyed stories about conflicts they had experienced during professional teamwork. Analysis of these stories produced a set of conflict themes. While nursing conflict themes are plentiful in the extant literature, limited studies have approached the topic from a communication point of view. This perspective’s strength lies in identifying cultural conflict elements that coincide with organizational and interpersonal theories, thus broaden understanding beyond individual quirks and idiosyncrasies. The paper’s analysis pairs these theories with the themes identified in the nurses’ stories, demonstrating how cultural conflict identification, progression, and possible intervention can impact the larger context of team nursing.


Team-based nursing Nursing conflict Cultural conflict Ethical conflict Conflict narratives Medical communication Cultural conflict themes 


  1. Adams A, Bond S. “Hospital nurses” job satisfaction, individual and organizational characteristics. J Adv Nurs. 2000;32:536–43. Scholar
  2. Adams SJ. Generation X: how understanding this population leads to better safety programs. Prof Saf. 2000;45:26.Google Scholar
  3. Amato-Vealey EJ, Barba MP, Vealey RJ. Hand-off communication: a requisite for perioperative patient safety. AORN J. 2008;88:763–74. Scholar
  4. Antonazzo E, Scott A, Skatun D, Elliott RF. The labour market for nursing: a review of the labour supply literature. Health Econ. 2003;12:465–78. Scholar
  5. Apker J. Role development in the managed care era: a case of hospital-based nursing. J Appl Commun Res. 2001;29:117–36. Scholar
  6. Apker J, Propp KM, Zabava Ford WS. Negotiating status and identity tensions in the health care team: an exploration of nurse role dialectics. J Appl Commun Res. 2005;33:93–115. Scholar
  7. Arneson RJ. The principle of fairness and free-rider problems. Ethics. 1982;92:616–33. Scholar
  8. Barney SM. A changing workforce calls for twenty-first century strategies. J Healthc Manag. 2002;47:81–4.CrossRefGoogle Scholar
  9. Berger J, Fisek MH, Norman RZ. Status characteristics and social interaction: an expectation-states approach. New York: Elsevier Scientific Publishing; 1977. Scholar
  10. Broad CD. Some reflections on moral-sense theories in ethics. Proc Aristot Soc. 1944;45:131–66. Scholar
  11. Cavanagh SJ. The conflict management style of staff nurses and nurse managers. J Adv Nurs. 1991;16:1254–60. Scholar
  12. Coleman JS. Free riders and zealots: the role of social networks. Sociol Theory. 1988;6:52–7. Scholar
  13. Cox KB. The effects of intrapersonal, intragroup, and intergroup conflict on team performance effectiveness and work satisfaction. Nurs Adm Q. 2003;27:153–63. Scholar
  14. Donnelly LF, Bownas DA. Policy capturing: an approach to understanding personnel decision-making processes. Public Pers Manag. 1984;13:81–9. Scholar
  15. Dovidio J, Piliavin J, Gaertner S, Schroeder D, Clark R. The arousal: cost-reward model and the process of bystander intervention: a review of the evidence. In: Clark MS, editor. Prosocial behavior. Newbury Park: Sage Publications; 1991. p. 86–118.Google Scholar
  16. Dunn-Cane KM, Gonzalez JL, Stewart HP. Managing the new generation. AORN J. 1999;69:930–40. Scholar
  17. Dzurec LC, Bromley GE. Speaking of workplace bullying. J Prof Nurs. 2012;28:247–54. Scholar
  18. Eason FR, Brown ST. Conflict management: assessing educational needs. J Nurses Staff Dev. 1999;15:92–6. Scholar
  19. Fink CF. Some conceptual difficulties in the theory of social conflict. J Confl Resolut. 1968;12:412–60. Scholar
  20. Finkelman A. Managed care: a nursing perspective. Upper Saddle River: Prentice Hall; 2001.Google Scholar
  21. Firth R. Ethical absolutism and the ideal observer. Philos Phenomenol Res. 1952;12:317–45. Scholar
  22. Folger J, Poole M, Stutman R. Working through conflict: strategies for relationships, groups, and organizations. 5th ed. Boston: Pearson; 2005.Google Scholar
  23. Fritzsche BA, Finkelstein MA, Penner LA. To help or not to help: capturing individuals’ decision policies. Soc Behav Personal. 2000;28:561–78. Scholar
  24. Gardner K. The historical conflict between caring and professionalization: a dilemma for nursing. In: Gaunt DA, editor. The presence of caring in nursing. New York: National League for Nursing; 1992. p. 241–55.Google Scholar
  25. Gentile B, Twenge JM, Campbell WK. Birth cohort differences in self-esteem, 1988–2008: a cross-temporal meta-analysis. Rev Gen Psychol. 2010;14(3):261–8.CrossRefGoogle Scholar
  26. Glaser BG, Strauss AL. The discovery of grounded theory: strategies for qualitative research. New York: Aldine de Gruyter; 1999.Google Scholar
  27. Gray DP, Thomas DJ. Critical reflections on culture in nursing. J Cult Divers. 2006;13:76.Google Scholar
  28. Gubrium J. Analyzing field reality. Newbury Park: Sage Publications; 1988.Google Scholar
  29. Hightower T. Subordinate choice of conflict-handling modes. Nurs Adm Q. 1986;11:29–34.Google Scholar
  30. Hocker L, Wilmot W. Interpersonal conflict. Dubuque: William C. Brown; 1978.Google Scholar
  31. Hunter J. Before the shooting begins: searching for democracy in American’s culture war. New York: Free Press; 1994.Google Scholar
  32. Hutchinson M, Vickers M, Jackson D, Wilkes L. Workplace bullying in nursing: towards a more critical organisational perspective. Nurs Inq. 2006;13:118–26. Scholar
  33. Huntley R. The world according to Y: inside the new adult generation. Crows Nest: Allen & Unwin; 2006.Google Scholar
  34. Kavanagh KH, Kennedy PH. Promoting cultural diversity: strategies for health care professionals. Newbury Park: Sage Publications; 1992.Google Scholar
  35. Kim KH. The creativity crisis: the decrease in creative thinking scores on the torrance tests of creative thinking. Creat Res J. 2011;23:285–95. Scholar
  36. Klandermans B. Mobilization and participation: social-psychological expansions of resource mobilization theory. Am Sociol Rev. 1984;49:583–600. Scholar
  37. Kohn L, Corrigan J, Donaldson M. To err is human: building a safer heath system. Washington: National Academies Press; 2000.Google Scholar
  38. Kruger J, Dunning D. Unskilled and unaware of it: how difficulties in recognizing one’s own incompetence lead to inflated self-assessments. J Pers Soc Psychol. 1999;77:1121–34. Scholar
  39. Kuklick B. The mind of the historian. Hist Theory. 1969;8:313–31. Scholar
  40. Lyons ST, Duxbury L, Higgins C. An empirical assessment of generational differences in basic human values. Psychol Rep. 2007;101:339–52. Scholar
  41. Mahon MM, Nicotera AM. Nursing and conflict communication: avoidance as preferred strategy. Nurs Adm Q. 2011;35:152–63. Scholar
  42. Marriner A. Managing conflict: comparing strategies and their use. Nurs Manag. 1982;13:29–31. Scholar
  43. McNamara SA. Incorporating generational diversity. AORN J. 2005;81:1149–52. Scholar
  44. Meissner JE. Nurses: are we eating our young? Nursing. 1986;16:51–3.Google Scholar
  45. Miller K, Joseph L, Apker J. Strategic ambiguity in the role development process. J Appl Commun Res. 2000;28:193–214. Scholar
  46. Morse BW, Piland RN. An assessment of communication competencies needed by intermediate-level health care providers: a study of nurse-patient, nurse-doctor, nurse-nurse communication relationships. J Appl Commun Res. 1981;9:30–41. Scholar
  47. Nelsey L, Brownie S. Effective leadership, teamwork and mentoring—essential elements in promoting generational cohesion in the nursing workforce and retaining nurses. Collegian. 2012;19:197–202. Scholar
  48. Parry E, Urwin P. Generational differences in work values: a review of theory and evidence. Int J Manag Rev. 2011;13:79–96. Scholar
  49. Peplau HE. Themes in nursing situations. Am J Nurs. 1953;53:1221–3. Scholar
  50. Piliavin J, Dovidio J, Gaertner S, Clark R III. Emergency intervention. Woodbury: Academic; 1981.Google Scholar
  51. Rahim A, Bonoma TV. Managing organizational conflict: a model for diagnosis and intervention. Psychol Rep. 1979;44:1323–44. Scholar
  52. Rawls J. A theory of justice. Cambridge: Harvard University; 1971.Google Scholar
  53. Robinson R. City of Austin demographics – top ten demographics trends in Austin. Austin City Connection. 2010. Accessed 21 Dec 2010.
  54. Sargeant J, Loney E, Murphy G. Effective interprofessional teams: “contact is not enough” to build a team. J Contin Educ Health Prof. 2008;28:228–34. Scholar
  55. Sauer P. Do nurses eat their young? Truth and consequences. J Emerg Nurs. 2012;38:43–6. Scholar
  56. Schwartz SH. Universals in the content and structure of values: theoretical advances and empirical tests in 20 countries. Adv Exp Soc Psychol. 1992;25:1–65. Scholar
  57. Simons S. Workplace bullying experienced by Massachusetts registered nurses and the relationship to intention to leave the organization. Adv Nurs Sci. 2008;31:E48–59. Scholar
  58. Smith-Trudeau P. Veterans, boomers, xers and nexters: understanding the generational differences in nursing. Vermont Nurse Connect. 2001;4(3):6.Google Scholar
  59. Stewart KD, Bernhardt PC. Comparing millennials to pre-1987 students and with one another. N Am J Psychol. 2010;12(3):579.Google Scholar
  60. Strauss A, Corbin J. The basics of qualitative research: techniques and procedures for developing grounded theory. Thousand Oaks: Sage Publications; 1998.Google Scholar
  61. Swearingen S, Liberman A. Nursing generations: an expanded look at the emergence of conflict and its resolution. Health Care Manag. 2004;23:54–64. Scholar
  62. Thornton B, McCoy E, Baldwin D. Role relationships on interdisciplinary health care teams. In: Baldwin D, Rowley B, Williams V, editors. Interdisciplinary health care teams in teaching and practice. Seattle: New Health Perspectives; 1980. p. 217–34.Google Scholar
  63. Twenge JM, Im C. Changes in the need for social approval, 1958–2001. J Res Pers. 2007;41:171–89. Scholar
  64. Twenge JM, Konrath S, Foster JD, Keith Campbell W, Bushman BJ. Egos inflating over time: a cross-temporal meta-analysis of the narcissistic personality inventory. J Pers. 2008;76:875–902. Scholar
  65. Twenge JM, Campbell WK, Gentile B. Generational increases in agentic self-evaluations among American college students, 1966–2009. Self Identity. 2012;11:409–27. Scholar
  66. Ungar S. The effects of effort and stigma on helping. J Soc Psychol. 1979;107:23–8. Scholar
  67. Valentine PE. A gender perspective on conflict management strategies of nurses. J Nurs Scholarsh. 2001;33:69–74. Scholar
  68. Weston M. Integrating generational perspectives in nursing. Online J Issues Nurs. 2006;11(2):2.Google Scholar
  69. Wong M, Gardiner E, Lang W, Coulon L. Generational differences in personality and motivation: do they exist and what are the implications for the workplace? J Manag Psychol. 2008;23:878–90. Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Concordia University TexasAustinUSA

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