dc.contributor.author | Lyons, O | |
dc.contributor.author | Forbat, L | |
dc.contributor.author | Menson, E | |
dc.contributor.author | Chisholm, JC | |
dc.contributor.author | Pryde, K | |
dc.contributor.author | Conlin, S | |
dc.contributor.author | Felton, V | |
dc.contributor.author | Ingle, S | |
dc.contributor.author | McKenzie, C | |
dc.contributor.author | Ramachandran, R | |
dc.contributor.author | Sayer, C | |
dc.contributor.author | Snowball, C | |
dc.contributor.author | Strachan-Gadsby, E | |
dc.contributor.author | Tisovszky, N | |
dc.contributor.author | Barclay, S | |
dc.date.accessioned | 2021-11-30T10:48:28Z | |
dc.date.available | 2021-11-30T10:48:28Z | |
dc.identifier.citation | BMJ Paediatrics Open, 2021, 5 (1), pp. e001088 - e001088 | |
dc.identifier.uri | https://repository.icr.ac.uk/handle/internal/4906 | |
dc.identifier.eissn | 2399-9772 | |
dc.identifier.doi | 10.1136/bmjpo-2021-001088 | |
dc.description.abstract | <jats:sec><jats:title>Objective</jats:title><jats:p>To implement and evaluate the use of the conflict management framework (CMF) in four tertiary UK paediatric services.</jats:p></jats:sec><jats:sec><jats:title>Design</jats:title><jats:p>Mixed methods multisite evaluation including prospective pre and post intervention collection of conflict data alongside semistructured interviews.</jats:p></jats:sec><jats:sec><jats:title>Setting</jats:title><jats:p>Eight inpatient or day care wards across four tertiary UK paediatric services.</jats:p></jats:sec><jats:sec><jats:title>Interventions</jats:title><jats:p>The two-stage CMF was used in daily huddles to prompt the recognition and management of conflict.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Conflicts were recorded for a total of 67 weeks before and 141 weeks after implementation of the CMF across the four sites. 1000 episodes of conflict involving 324 patients/families across the four sites were recorded. After implementation of the CMF, time spent managing episodes of conflict around the care of a patient was decreased by 24% (p<0.001) (from 73 min to 55 min) and the estimated cost of this staff time decreased by 20% (p<0.02) (from £26 to £21 sterling per episode of conflict). This reduction occurred despite conflict episodes after implementation of the CMF having similar severity to those before implementation. Semistructured interviews highlighted the importance of broad multidisciplinary leadership and training to embed a culture of proactive and collaborative conflict management.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>The CMF offers an effective adjunct to conflict management training, reducing time spent managing conflict and the associated staff costs.</jats:p></jats:sec> | en_US |
dc.format.extent | e001088 - e001088 | |
dc.language | eng | |
dc.language.iso | eng | |
dc.publisher | BMJ | |
dc.rights.uri | https://creativecommons.org/licenses/by-nc/4.0 | |
dc.title | Transforming training into practice with the conflict management framework: a mixed methods study | |
dc.type | Journal Article | |
dcterms.dateAccepted | 2021-11-03 | |
rioxxterms.version | VoR | |
rioxxterms.versionofrecord | 10.1136/bmjpo-2021-001088 | |
rioxxterms.licenseref.uri | https://creativecommons.org/licenses/by-nc/4.0 | |
rioxxterms.type | Journal Article/Review | |
dc.relation.isPartOf | BMJ Paediatrics Open | en_US |
pubs.issue | 1 | |
pubs.notes | No embargo | |
pubs.organisational-group | /ICR | |
pubs.organisational-group | /ICR/Primary Group | |
pubs.organisational-group | /ICR/Primary Group/ICR Divisions | |
pubs.organisational-group | /ICR/Primary Group/ICR Divisions/Clinical Studies | |
pubs.organisational-group | /ICR/Primary Group/ICR Divisions/Clinical Studies/Sarcoma Clinical Trials in Children and Young People | |
pubs.organisational-group | /ICR/Primary Group/ICR Divisions/Clinical Studies/Sarcoma Clinical Trials in Children and Young People/Sarcoma Clinical Trials in Children and Young People (hon.) | |
pubs.organisational-group | /ICR/Primary Group/ICR Divisions/Molecular Pathology | |
pubs.organisational-group | /ICR/Primary Group/ICR Divisions/Molecular Pathology/Sarcoma Clinical Trials in children and young people | |
pubs.organisational-group | /ICR/Primary Group/ICR Divisions/Molecular Pathology/Sarcoma Clinical Trials in children and young people/Sarcoma Clinical Trials in Children and Young People (hon.) | |
pubs.organisational-group | /ICR/Primary Group/Royal Marsden Clinical Units | |
pubs.publication-status | Published | |
pubs.volume | 5 | en_US |
pubs.embargo.terms | No embargo | |
icr.researchteam | Sarcoma Clinical Trials in children and young people | |
dc.contributor.icrauthor | Chisholm, Julia | |