Interprofessional Conflicts

< /
|
1
|
2
|
3
|
4
|
5
|
6
|
7
|
8
|
9
|
10
|
11
|
12
|
13
|
14
|
15
|
16
|
17
|
18
|
19
|
20
|
21
|
22
|
23
|
24
|
/ >

Talking it through


Watch Dr. Miles as she discusses the conflict over Mr. Stein’s care with Ms. Adams. What skills does she use? Use the check box to note your observations and then click the grey button for feedback.




What skills did Dr. Miles use in this discussion?

  • Uses a respect statement and validates Ms. Adams’ standards and feelings:
  • Is nonjudgmental and attributes positive intent
  • Uses a respect statement: “I can see that you’ve been giving Mr. Stein excellent care.”
    Validates Ms. Adams standards and feelings: “I can see that you’ve been giving Mr. Stein excellent care. And I understand that watching him die would be hard for you.”
  • Acknowledges emotions
  • Acknowledges the difficult situation and poor communication: “I understand that watching him die would be hard for you and you didn’t know Mrs. Stein’s thinking has changed. We left you in the dark.”
  • Elicits all perspectives and concerns
  • Dr. Miles does ultimately get this information saying, “And withholding antibiotics doesn’t fit with your standards of good care?” “So, your goal is to sustain his life as long as possible.” But she could have been more explicit in her effort to elicit Ms. Adams concerns instead of stating them for her.
  • Finds shared interest
  • Though Dr. Miles does say: “It’s our job to provide the best care we can…” this comes across as directive instead of collaborative. If Dr. Miles had done a more thorough job eliciting Ms. Adams concerns, she could have found more areas of shared interest.
  • Brainstorms solutions
  • Dr. Miles still directs much of the discussion and does not demonstrate a collaborative effort to brainstorm solutions during the conversation. However, she does suggest sitting down with Mrs. Stein and Ms. Adams for further discussion, “I suggest the three of us sit down together. Talk through what will likely happen. Work out a plan for Mr. Stein’s care. Then we’ll all be on the same page.”