Causes of conflict between clinical and administrative staff in hospitals

نویسندگان

1 Department of Public Health, School of Public Health, Ardabil University of Medical Science, Ardabil, Iran

2

3 Epidemiology and Biostatistics

4 Health Promotion and Education, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

5

doi
چکیده

BACKGROUND: Providing the high‑quality services in hospitals depends on to minimize conflictbetween all members within a health team. This study aimed to identify the causes of conflictsexperienced by clinical and administrative staff in hospitals.METHODS: A cross‑sectional study was carried out in 2018. The sample included 320 clinicaland administrative staff from six hospitals affiliated to Ardabil University of Medical Sciences thatwere selected using two‑step clustering sampling method. Data collection was accomplished byself‑administered questionnaires. Descriptive statistics, t‑test, and ANOVA were used for dataanalysis.RESULTS: Total conflict score revealed that clinical staff had higher levels of perceived conflict thanadministrative staff. In terms of organizational position, the study results showed a significant differencein the reported conflict between nurse groups and other groups (physicians and paramedical,administrative, financial, and logistic staff). The most important causes of conflict in the viewpoint ofclinical staff were organizational and job characteristics (3.54 ± 1.28), poor management (3.51 ± 1.12),and inefficient communication system (3.42 ± 1.33). For administrative staff, on the other hand,poor management (3.18 ± 1.33), inefficient communication system (3.17 ± 1.36), and attitudes andperceptions (3.06 ± 1.41) were shown to be paramount factors.CONCLUSION: Clinical and administrative staff of hospitals are like parts of a train track. Theirrational relationship between them will result in distortion and lower quality of services. Therefore,effective strategies to decrease staffs’ experience of conflict need to be developed. This might createa healthier and more productive work environment which positively affects the care quality.