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Conflict arises when parties disagree on substantive issues or experience emotional antagonisms. This often leads to varying levels of conflict, from intrapersonal to interorganization, and can be positive or negative in impact. In health care, conflicts can involve patients, administration, and ethical considerations. Effective negotiation should focus on interests rather than positions, utilizing techniques such as active listening, perception management, and emotional recognition. The approach must emphasize mutual gain and consider the basic human needs of all parties involved to achieve constructive outcomes.
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Conflict • Conflict occurs when • parties disagree over • substantive issues or when • emotional antagonisms • create friction Schermerhorn; Ch. 18
Conflict • Conflict occurs when • parties disagree over • substantive issuesor when • emotional antagonisms • create friction Schermerhorn; Ch. 18
Substantive issues • Goals • Values • Allocation of Resources • Methods • Ethics Schermerhorn; Ch. 18
Substantive issues • Consider issues in health care • * patient care • * administration Schermerhorn; Ch. 18
Emotional antagonisms • Anger • Mistrust • Dislike • Fear • Resentment Schermerhorn; Ch. 18
Emotional antagonisms • Pride • Invest emotion in a position • win/lose • save face • support friends • leverage by personality Schermerhorn; Ch. 18
Emotional antagonisms • Examples in health care • political hierarchy Schermerhorn; Ch. 18
Levels of Conflict • Intrapersonal • Interpersonal • Intergroup • Interorganization Schermerhorn; Ch. 18
Types • Horizontal • Vertical • Role Schermerhorn; Ch. 18
Positive / Constructive Negative / Destructive Schermerhorn; Ch. 18
Conflict Moderate is constructive Impact on Performance + - Low High Intensity Schermerhorn; Ch. 18
Stages • Conflict antecedents
Stages • Perceived conflict
Stages • Felt conflict
Stages • Manifest conflict • = openly expressed in behavior
Environment of Conflict • Participants • Timing / Work cycles / Schedules • Day of the week • Hour of the day • Preexisting stress levels
What is the best way for people to deal with their differences? Create Options • ‘Getting to Yes’ Fisher R, Ury W: Getting to Yes, 1991
Where do we find ’differences’? __________________ __________________ __________________ Fisher R, Ury W: Getting to Yes, 1991
“The Problem” Don’t bargain over positions Examples provided CustomerShopkeeper Fisher R, Ury W: Getting to Yes, 1991
“The Method” Separate the people from the problem Every Negotiator has two kinds of interests: • The Substance • The Relationship Separate the relationship from the substance TenantLandlady Fisher R, Ury W: Getting to Yes, 1991
“The Method” • Perception • Discuss perceptions • Look for opportunities to act inconsistently with their perceptions • Engage in ‘Face-saving’ • Make sure your proposals are consistent with their values. Fisher R, Ury W: Getting to Yes, 1991
“The Method” • Emotion • Recognize emotions (all sides) • Consider emotions legitimate and acknowledge • Allow emotions to be displayed • Don’t react to the emotions • Use symbolic gestures Fisher R, Ury W: Getting to Yes, 1991
“The Method” • Communication • Use active listening • Acknowledge what is said but do not use paraphrasing to restate their perception • Restate their position positively • Speak about yourself not them • Speak for a purpose • Engage in ‘Face-saving’ • Make sure your proposals are consistent with their values. Fisher R, Ury W: Getting to Yes, 1991
“The Method” Focus on the Interests, Not Positions • Ask ‘Why?’ and ‘Why Not?’ • Consider the impact on my interests: • Will I lose or gain political support? • Will colleagues criticize or praise me? • Impact on the group’s interests: • What will be the short-term consequences? Long term? • What will be the economic consequences? • What will be the effect on outside supporters and public opinion? • Will the precedent be good or bad? • Will making this decision prevent doing something better? • Is the action consistent with our principles? Ethical? • Can I do it later if I want? Fisher R, Ury W: Getting to Yes, 1991
“The Method” Focus on the Interests, Not Positions • The most powerful interests are basic human needs. __________________ __________________ __________________ __________________ __________________ Fisher R, Ury W: Getting to Yes, 1991
“The Method” Focus on the Interests, Not Positions • The most powerful interests are basic human needs. • Security • Economic Well Being • A Sense of Belonging • Recognition • Control Over One’s Life Fisher R, Ury W: Getting to Yes, 1991
“The Method” Invent Options for Mutual Gain • Not inventing is the norm • Judgement hinders evaluation • People often approach this by narrowing the options not broadening them. • Develop a solution that also appeals to the self-interest of the other party • Process: • Separate inventing from deciding • Add a brainstorming session • Involve a facilitator • Use the ‘Circle Chart’ Fisher R, Ury W: Getting to Yes, 1991
What might be done What is wrong Step III. Approaches Step II. Analysis • Diagnose the problem • Sort symptoms into categories • Suggest causes • Observe what is lacking • Note barriers • What are the possible strategies or prescriptions? • What are some theoretical cures? • Generate broad ideas about what might be done. In Theory Step I. Problem Step IV. Action Ideas • What’s wrong? • What are current symptoms? • What are disliked facts contrasted with a preferred solution? • What might be done? • What specific steps might be taken to deal with the problem? In the real world Fisher R, Ury W: Getting to Yes, 1991
“The Method” Insist on Using Objective Criteria • Developing Objective Criteria • Fair Standards • Fair Procedures Fisher R, Ury W: Getting to Yes, 1991
The Big What Ifs What if they are more powerful? Develop your BATNA Best Alternative to a Negotiated Agreement Fisher R, Ury W: Getting to Yes, 1991
The Big What Ifs What if they won’t pay? Fisher R, Ury W: Getting to Yes, 1991
The Big What Ifs What if they use dirty tricks? Fisher R, Ury W: Getting to Yes, 1991