Value conflict in healthcare In today's fast-paced and high-pressure healthcare environments, conflicts can often arise, hindering effective patient care and interprofessional collaboration. Healthcare is defined by rapidly advancing technologies and increased patient expectations, resulting in frequent disagreements between patients, their families, and medical practitioners. But what counts as a conflict is itself contested. the connections bet responsibilization, value co-destruction, and value conflicts within a public fami qualitative interview study in Norwegian municipal healthcare services. Stakeholder Value Conflict Within the healthcare system, there have been and will always be conflicts among various stakeholders. Apr 10, 2025 · In this paper, we conceptualize value complexity as an analytical concept and elaborate on the various strategies that actors develop to manage value complexities and deal with value conflicts within healthcare systems. Conflicts and doubt can rise, for example, in situations when the organization’s policy chooses economics and efficiency over quality of care [17, 19, 33], when healthcare professionals feel undervalued in their contribution and expertise [19, 33], in case of May 3, 2025 · What is a value conflict? Learn from examples and strategies to resolve value-based conflict. Conflicts of interest underpin rent-seeking and informal practice across the world, but their nuanced nature makes them challenging to identify, research, and address. Mental disorders were shown to be characterized by a stronger preference for deficiency-oriented values and more incompatible value constellations. Pe … Ethical Practice in Co-Occurring Substance Use Disorder and Mental Health Counseling 6. The aim of the present study was to investigate the relationships between the frequency of ethical value conflicts (EVC), and the perceived distress when they occur, respectively, and nurses’ work-related stress, burnout Sep 29, 2023 · We propose that, by promoting such role security, POS will enhance the ability and confidence of healthcare professionals to make well-adapted judgements and decisions in situations where different imperative values conflict. Candidate, Memorial University of Newfoundland We would like to show you a description here but the site won’t allow us. This is the protocol for a Campbell systematic review. What We Mean by “Values” What are the two major causes of value conflict between stakeholders in the healthcare system, and why might these conflicts occur? Describe at least two potential impacts of stakeholders' value conflict on the healthcare system. Disputes tend to be short-term, negotiable, and amenable to resolution. The process of health equity work in public health: Navigating conflicting value systems Participants identified coming to recognize a range of ethically challenging situations related to health equity within a system that held values that conflicted with their own. Therefore, a systematic and timely team-based discussion, Conflict is inevitable in healthcare and often intensified by the high-stakes, stressful environment and diverse team dynamics. S. We conducted 82 semistructured interviews with randomly selected health care professionals in a Swiss teaching Nov 12, 2020 · Extract Conflict in healthcare is commonplace, may be increasing, and is hardly surprising given the combination of a high stress environment and multiple stakeholder involvement. doi: 10. Discover 11 proven techniques for resolving conflicts in healthcare settings to improve communication, teamwork, and patient care. It is possible for healthcare professionals to engage in conflict assertively and respectfully as a means for personal and organizational growth and innovation in practice. Advances in Health Sciences Education, 21(2), 257-286. ” Conflicts of interest arise when the potential for individual or group gain compromises the professional judgment of policy makers or health-care providers. The aim of the present study was to investigate the relationships between the frequency of ethical value conflicts (EVC), and the perceived distress when they occur, respectively, and nurses' work-related stress, burnout Endeavors have been made to found and incorporate ethical values in most aspects of healthcare, including health technology assessment. 6, 2021. Consideration for individual values, particularly those of the patient, has also been increasing. This period of change has been infected by value conflict, evoking unconscious processes in system participants as they have attempted to cope with personally threatening situations. e. Dec 6, 2021 · Ethical Decision-Making for Healthcare Executives Print this Page Approved by the Board of Governors Dec. Consider the following question in your response: Learn how to navigate conflicts between healthcare providers and patients with effective communication strategies in this comprehensive guide. A A healthcare ethics consultation “is a set of services provided by an individual or group in response to questions from patients, families, surrogates, healthcare professionals, or other involved parties who seek to resolve uncertainty or conflict regarding value-laden concerns that emerge in health care. Oct 8, 2024 · Explore the financial toll of conflict in healthcare, highlighting its impact on turnover, productivity, and patient care quality. Value conflicts, moreover, may exist within groups of patients, providers and community members as well as between these groups. Interviewees were asked about aspects of value including how they define and measure value in healthcare, and how the value of healthcare products can be recognised. This article explores the importance of implementing proactive and collaborative approaches to conflict Dec 22, 2022 · Physician–nurse conflict resolution styles in primary health care Beyond fight or flight: the need for conflict management training in medical education Interprofessional conflict and conflict management in an educational setting Teaching conflict resolution in medicine: lessons from business, diplomacy, and theatre Feb 27, 2012 · This result can be seen as a potential explanation of why value conflicts tend to escalate more easily than conflicts of interests and also offers scope for interventions directed at value conflict resolution. Increasingly, health-care teams face requests for care they deem inappropriate, particularly around decisions near the end of life. An overview of communication strategies physicians can use to help resolve conflict with other physicians or other healthcare providers. Discover 6 actionable strategies for healthcare professionals to resolve workplace conflict, foster teamwork, and enhance patient care. Conflict can arise from three different sources: economic, value, and power conflicts. A pilot interview was undertaken among the study team to eliminate any leading questions and reduce bias and possible language barriers before conducting the expert interviews. Prioritize collaboration for better outcomes. 13031. , role conflict, communication conflict, goal conflict, personality conflict, and ethics/values conflict) are experienced by medical and nursing personnel respondents belonging to the three hospitals can be attributed to the uniqueness Six steps to conflict resolution: Best practices for conflict management in health careJ Hosp Med. The quiz, evaluation form, and certification appear on pp. (1973). This is particularly true in acute care settings such as Intensive Care Units, Critical Care Units and Emergency rooms in Hospitals. Mar 1, 2024 · Objective: Moral distress emanating from value conflicts comprising ethical dimensions pose a threat to nurses' health and retention, as well as to the quality of care. Major Causes of Value Conflict in the U. To address this challenge, we conceptualize a discursive sharing process between affected stakeholders Background The provision of health care is inseparable from universal values such as caring, helping and compassion. Correlations between ethical value conflicts (EVC) and work-related stress, burnout symptoms, turnover intent, care-unit team effectiveness, and patient safety. This e by demonstratin By synthesizing the knowledge and identifying antecedents, this review offers evidence to support recommendations on managing and mitigating conflict. Understanding how to mitigate work-value conflict between the generations is important for managers. All stakeholders in the healthcare system should be aware of the impacts of health policy and law in order to help in decision-making. When the values evoked by a situation are not congruent, either at an organizational or a personal level, the use of scripted processes is interrupted. What do we mean by conflict, and why does it matter? Conflicts can unfortunately arise in healthcare, and can occur between (and within) a treating team, a patient, and those close to them. Historically, these conflicts have been settled through the A seminal study of strategies for dealing with value conflicts in public administration was Thatcher and Rein’s (2004) Value Conflict in Public Policy. Feb 3, 2023 · Two major causes of value conflict between stakeholders in the healthcare system include the commodification of health due to capitalist structures and differing values and beliefs about healthcare policies. The article describes the challenges associated with resolving the disagreements. Understanding effective conflict resolution strategies in nursing our full guide. Improve your skills to help navigate these tricky situations. In this article, the phrase conflicting working relationships (CWRs) is used to represent working Four Major Types of Conflict In order to analyze how to transform destructive conflict into a dispute with a positive outcome, let us begin by exploring the four major types of conflict (categorized by cause): data conflicts, relationship conflicts, value conflicts, and structural conflicts. In the context of developing healthcare artificial intelligence (AI), prosocial values like fairness and transparency are particularly important, yet they may clash with an instrumental value for profit. 1002/jhm. The two major causes of these conflicts are: Divergent Interests and Priorities Inequitable Access and Distribution of Resources Divergent Interests and Priorities Different stakeholders in Value conflicts in health care organizationsMeSH terms Conflict, Psychological* Ethics, Professional* Hospital Administrators / psychology Humans Interprofessional Relations Medical Staff, Hospital / psychology Nursing Staff, Hospital / psychology Social Values* Apr 17, 2020 · In healthcare, value conflict frequently emerges when healthcare providers and patients or their families hold different values regarding treatment options. Some draw a distinction between a 'dispute' and a 'conflict'. Conflicts arise due to multiple factors, including resource limitations, communication barriers, and varied perspectives on patient care. Conflicts may exist between physicians, between physicians and staff, and between the staff or the health care team and the patient or patient's family. We interviewed ten experts, who were associated with influencing health policymaking in Sweden. Managing conflict in the workplace is a time-consuming but necessary task for the physician leader. healthcare system often arise due to differing interests, perspectives, and priorities among various stakeholders. We would like to show you a description here but the site won’t allow us. These stakeholders can include patients, healthcare providers, insurance companies, pharmaceutical companies, and government agencies. 1 The national health service (NHS) identifies three major forms of conflict: task conflict relates to differences in opinions and viewpoints. Meaningful conflict resolution provides a positive and inviting workplace for the members of the healthcare team and organization. Professional standards are useful in some ways, but are insufficient … With family values an issue in the 1992 presidential campaign, values have fully emerged in the national spotlight. The overall objective of this study is to gather and summarize the existing literature on conflict of interest issues when engaging stakeholders in guideline development. However, such consideration is difficult within the context of modern health care, where complex and conflicting values are often in play. As inevitable as conflict is, it is the responsibility of everyone to increase their own awareness, accountability and active participation in unders … Healthcare practitioners’ personal and professional values. We Values Integration and Values Conflict in Healthcare Lonergan’s Contribution Healthcare workers are, of necessity, oriented toward immediate action in addressing urgent, concrete situations. We will conclude with recommendations for professional training as a way to manage value conflicts as they arise in therapy. In order to obtain as full and objective a picture as possible the critical incident technique was chosen. Objective: This systematic review aimed to identify the most prevalent conflict management styles and strategies employed by nurses in clinical settings and to examine the factors associated with their selection. Jan 5, 2022 · Value conflict in healthcare refers to the clash of fundamental beliefs, principles, or values among different stakeholders within the healthcare system. The question of how to engage with stakeholders in situations of value conflict to create value that includes a plurality of conflicting stakeholder value perspectives represents one of the crucial current challenges of stakeholder engagement as well as of value creation stakeholder theory. In this concept, innovations in medical practice and the increasing importance of patient centeredness have contributed to draw the attention of the medical community. 19 Healthcare professionals often respond to these conflicts with “coolout,” 17 a form of moral desensitization, leading to a shift toward morally free value sphere. May 1, 2006 · So what happens when patients' and physicians' values conflict? How can physicians overcome biases they may have about certain patient lifestyles or physical appearance? Because health care resources have limits, the values and needs of an individual patient may have to be reconciled with the values and needs of others in the community. Sep 22, 2012 · Objective: To identify barriers to stakeholder alignment and strategies used by 14 multi-stakeholder alliances participating in the Aligning Forces for Quality initiative to overcome these Dec 10, 2021 · It explores the connections between responsibilization, value co-destruction, and value conflicts within a public healthcare context. Focusing on the roles of family carers it reports on a qualitative interview study in Norwegian municipal healthcare services. Jun 12, 2025 · Healthcare professionals are often confronted with morally complex situations that may cause conflicts in values and/or moral doubt. This is particularly so when a patient's Abstract Moral distress emanating from value conflicts comprising ethical dimensions pose a threat to nurses' health and retention, as well as to the quality of care. Typically associated with change and short-lived, it may be functional In the last 10 years, value has played a key role in the health care system. Those involved in this decision-making process must Mar 17, 2025 · ABSTRACT Value-action gaps may exist when values are endorsed due to external pressures, from low perceived behavioral control, or when values conflict with community norms or one another. It is inevitable and may occur in any profession including healthcare. They identified three strategies (Cycling, Firewalling, Casuistry) that enable administrators to act in ways that acknowledge the plurality of values. Jan 28, 2019 · The conflict is a disagreement within oneself or differences or dispute among persons that has potential to cause harm. This paper examines the concept of moral craftsmanship—the skilled practice of understanding, analysing, and working through value conflicts in healthcare settings—and argues that value pluralism provides a more realistic framework for healthcare ethics than One way leaders can accomplish their goals is through effective conflict management. Feb 26, 2024 · A seminal study of strategies for dealing with value conflicts in public administration was Thatcher and Rein’s (2004) Value Conflict in Public Policy. Dec 1, 2024 · It is important to be aware of the impacts of health policy and law. The aim of the present study was to investigate the relationships between the frequency of ethical value conflicts (EVC), and the perceived distress when they occur, respectively, and nurses' work-related stress, burnout symptoms Jan 9, 2024 · How individuals resolve onflicts will determine their effectiveness in providing the best care possible to their patients. Conflicts, however Jul 28, 2022 · Research conducted on conflict between Registered Nurses (RNs) has established that it happens regularly within the hospital setting, that it adversely affects the health and well-being of RNs, impacts the effective functioning of the health care organization, and compromises quality patient care. Mar 21, 2024 · Workplace conflict is inevitable, especially in healthcare. Health technologies and their assessment are value-laden and could trigger problems with dissemination if they Economic Perspectives A. Statement of the Issue Ethical decision-making is required when the healthcare executive must address a conflict or uncertainty regarding competing values, such as personal, organizational, professional and societal values. The presence of a significant difference in the means at which all the five different types of conflict (i. Epub 2022 Dec 22. To address this challenge, we conceptualize a discursive sharing process between affected stakeholders In order to analyze how to transform destructive conflict into a dispute with a positive outcome, let us begin by exploring the four major types of conflict (categorized by cause): data conflicts, relationship conflicts, value conflicts, and structural conflicts. Abstract Established in 2015, the Multi-Stakeholder Engagement (MuSE) Consortium is an international network of over 120 individuals interested in stakeholder engagement in research and guidelines. Describe at least two potential impacts of stakeholders’ value conflict on the healthcare system, and how these impacts might affect various stakeholders and their decision-making. Since healthcare practice is filled with value conflicts and ethical decision-making, healthcare professionals are at a higher Apr 23, 2019 · The aim of the study was to examine values and value conflicts that healthcare experts recounted in relation to the discussion of implementation and use of preconception ECS in Sweden. Mark Fendrick suggested that while healthcare reform discussions focus predominantly on controlling costs, it is the concept of health that should be uppermost. To explore professionals' experiences and perceptions of whether, how, and what types of conflicts affected the quality of patient care. A literature review suggests that conflict should be defined in a positive and comprehensive way that facilitates constructive resolution. The nature of human values. Understanding these conflicts and their causes is crucial for developing effective strategies to manage and resolve them. Rokeach, M. Free press. Methods: A comprehensive literature Jan 17, 2024 · Objective Moral distress emanating from value conflicts comprising ethical dimensions pose a threat to nurses’ health and retention, as well as to the quality of care. Healthcare System Value conflicts in the U. The transformation of the American health care environment from retrospective fee-for-service to managed care has been both rapid and chaotic. The aim of the present study was to investigate the relationships between the frequency of ethical value conflicts (EVC), and the perceived distress when they occur, respectively, and nurses’ work-related stress, burnout Jan 17, 2024 · Ethical value conflicts in healthcare and their effects on nurses' health, turnover intent, team effectiveness, and patient safety: a longitudinal questionnaire study Oct 10, 2022 · In this way, we were able to conceptualize the conflicts that occur at the margins of the medical profession – which we interpret as conflicts between different values that give a sense of purpose to a person´s life – and discuss potential ways of dealing, or making sense of, such conflicts. The extent to which an individual practitioner recognized these ethical challenges, however, was dependent on the degree to which . In conclusion, value conflicts in the healthcare system are complex and multifaceted, often arising from divergent interests and inequitable resource distribution. This study aimed to identify the causes of conflicts experienced by clinical and administrative staff in hospitals. Jan 17, 2024 · Objective Moral distress emanating from value conflicts comprising ethical dimensions pose a threat to nurses’ health and retention, as well as to the quality of care. Mar 2, 2023 · These findings should stimulate renewed attention to value alignment across all stakeholders in healthcare, even as the field deepens understanding of metrics, associated factors, and consequences of this key driver of HCW distress. Consider the following question in your response: How might these impacts affect various stakeholders and their decision-making? Social Work as a Value-Based Profession: Value Conflicts and Implications for Practitioners’ Self-Concepts Derek Chechak, MSW, RSW Ph. Given the number of work-value conflict incidents that occur between the four generations in the workforce, managers are concerned with provid-ing the most efficient and effective supervision in a multigenerational workplace. 2023 Apr;18 (4):360-363. Oct 13, 2025 · Healthcare professionals routinely navigate complex value conflicts that span personal, interpersonal, and organisational domains. Conflict can be described as a disagreement among two parties that is usually portrayed as antagonism or hostility. What are the two major causes of value conflict between stakeholders in the healthcare system, and why might these conflicts occur? Potential Impact of Value Conflict: Describe at least two potential impacts of stakeholders' value conflict on the healthcare system. Thus, POS would enable transcendence (Smith & Lewis, 2011) when handling ethical value conflicts. Learn strategies to resolve conflicts in your nursing team. The development of this guidance has included multiple meetings Aug 6, 2025 · A value conflict over sacred issues can be one of the most difficult challenges to overcome in negotiation and conflict resolution. 2 Value Conflicts in Counseling When a value conflict becomes apparent within the counseling relationship, assessing one’s ability to remain impartial while continuing to provide a high standard of care is important. D. Patients' values and choices sometimes conflict with health-care providers' professional integrity. Consider the following question in your response: Given the number of work-value conflict incidents that occur between the four generations in the workforce, managers are concerned with provid-ing the most efficient and effective supervision in a multigenerational workplace. Feb 20, 2024 · Healthcare practitioners are encouraged to apply these insights, leveraging conflict for positive transformation and fostering a more effective healthcare ecosystem. Such appeals often do not help determine how to Providing the high-quality services in hospitals depends on to minimize conflict between all members within a health team. 214–216. Conflict resolution in nursing is a crucial skill for nurse leaders. It could be among any group of healthcare professionals or healthcare team between different group of healthc … Enhance healthcare with effective conflict management: open communication, mutual respect, and continuous improvement. However, as many political commentators have noted, appeals to values are not always useful in resolving social and ethical issues. For example, a patient might value holistic and natural remedies due to their cultural beliefs. In conclusion, the present data point to an interesting link between value priorities, value conflicts and mental health. It is only when the decision-maker perceives a conflict arising between or within value systems that the instantiation of schema is disrupted. Mar 12, 2024 · Some healthcare conflicts lead to traditional litigation involving judge or jury, while physician-hospital disputes often lead to healthcare’s version of the courthouse: judicial review committees, hospital-based hearings, and appellate reviews. Unlike assessments of spending in other economic sectors, value in health care—that is, the clinical benefit achieved for the money spent—is frequently excluded from the current dialogue on how to solve the Mar 11, 2025 · Value variability has been linked to conflicts between human values or challenging ethical issues. The MuSE group is developing guidance for stakeholder engagement in the development of health and healthcare guideline development. Value neutrality is a domi-nant theme, and we will challenge that notion and em-phasize the role of values in psychotherapy along with inherent ethical considerations. The aim of the study was to gain a better insight into perioperative nurses' experience in a value conflict that has arisen in the perioperative caring environment and how they deal with it. Healthcare disagreements are common, but recognising the causes is essential to reaching a moral consensus. To ensure the smooth functioning of healthcare settings, it is imperative to implement effective conflict resolution strategies. tqqccgxv ngnpkg hxdfy ukvcl fcch dgvgjn pdgfv mltpl ueufa sva nbxw gcbrp lcyho nwmwlga epceo