Case Studies Conflict: Provider/Organization
Consider how you might react in each of the following case studies exploring provider/organizational conflict, then click where noted to consider one approach.
Credentialling | Scope of Practice | Productivity
The nurse midwife (or PA or NP) is denied privileges to see patients in the hospital. There is no standard policy for this at this hospital. The midwife challenges the medical staff's authority to deny her the ability to care for her patients. Doctors and nurses have lined up on both sides of this issue, and it is causing generalized conflict in various departments.
How would you approach this conflict?
Brainstorm your approach then click here for one approach.In this scenario the pediatric specialist (NP, PA, MD) has been asked to provide a level of care that he/she is not educated or credentialed to do provide (e.g., seeing adults). The specialist employer's motto is one of patient convenience and, if you've been scheduled, doesn't want the patient to be further inconvenienced having to visit another practitioner. You want to stay but are concerned that you may not be qualified to provide the necessary care.
How would you approach this conflict?
Brainstorm your approach then click here for one approach.Finally, there is the well known scenario about time frames -- the organization wants providers to see a patient every 15 minutes but do a complete job of caring for the patient and documenting to support high level reimbursement. The provider's position is that they cannot do a good job pushing patients through that quickly and are dissatisfied and frustrated with their work situation. There is continued griping, and the providers have complained to patients about this problem.
How would you approach this conflict?
Brainstorm your approach then click here for one approach.Select Sources for additional readings in conflict resolution and for the resources forming the basis for this module.