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dc.contributor.authorLyons, O
dc.contributor.authorForbat, L
dc.contributor.authorMenson, E
dc.contributor.authorChisholm, JC
dc.contributor.authorPryde, K
dc.contributor.authorConlin, S
dc.contributor.authorFelton, V
dc.contributor.authorIngle, S
dc.contributor.authorMcKenzie, C
dc.contributor.authorRamachandran, R
dc.contributor.authorSayer, C
dc.contributor.authorSnowball, C
dc.contributor.authorStrachan-Gadsby, E
dc.contributor.authorTisovszky, N
dc.contributor.authorBarclay, S
dc.date.accessioned2021-11-30T10:48:28Z
dc.date.available2021-11-30T10:48:28Z
dc.identifier.citationBMJ Paediatrics Open, 2021, 5 (1), pp. e001088 - e001088
dc.identifier.urihttps://repository.icr.ac.uk/handle/internal/4906
dc.identifier.eissn2399-9772
dc.identifier.doi10.1136/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&lt;0.001) (from 73 min to 55 min) and the estimated cost of this staff time decreased by 20% (p&lt;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.extente001088 - e001088
dc.languageeng
dc.language.isoeng
dc.publisherBMJ
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0
dc.titleTransforming training into practice with the conflict management framework: a mixed methods study
dc.typeJournal Article
dcterms.dateAccepted2021-11-03
rioxxterms.versionVoR
rioxxterms.versionofrecord10.1136/bmjpo-2021-001088
rioxxterms.licenseref.urihttps://creativecommons.org/licenses/by-nc/4.0
rioxxterms.typeJournal Article/Review
dc.relation.isPartOfBMJ Paediatrics Openen_US
pubs.issue1
pubs.notesNo 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-statusPublished
pubs.volume5en_US
pubs.embargo.termsNo embargo
icr.researchteamSarcoma Clinical Trials in children and young people
dc.contributor.icrauthorChisholm, Juliaen_US


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