Pediatric anesthesia & critical care
Pediatric Intensive Care Unit Conflict Management Perspectives Among Physician and Nurse Leaders
Authors' conclusion
In this mixed-methods survey study of PICU physician and nurse leaders, tracking and internal reporting of conflicts and outcomes were associated with more objectively applied interventions.
Study context
- Population
- Pediatric intensive care unit (PICU) physician and nursing directors, US national survey, February to April 202360 complete enough for analysis
- Participants
- 68 participants
- Exposure
- Institutions that tracked behavior contracts vs those that did not
- Outcome
- Hospital policies, general conflict approaches and specific approaches to scenarios (closed- and open-ended survey questions)
Methodological detailsnational, multicentre, prospective, mixed-methods survey
- National
- Multicentre
- Prospective
- Mixed-methods survey
Main finding
As reported in the abstract
Response rate
57%
Reported policies for conflict management (32 of 49)
65%
Tracked conflicts and their outcomes (10 of 43)
23%
Observational data: associations, not effects.
Further findings
Behavior contracts implemented for more objective reasons
P = 0.02
| Outcome | Tracked behavior contracts | Did not track behavior contracts | P value |
|---|---|---|---|
| Ethics consults called for conflict management | 25% | 0 events | P = 0.04 |
- Ethics consults called for conflict management: 3 of 12 vs 0 of 20
- Behavior contracts implemented for more objective reasons: 8 of 11 vs 4 of 16
Original publication
Pediatric Intensive Care Unit Conflict Management Perspectives Among Physician and Nurse Leaders. JAMA Netw Open. Published 1 May 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →