Exploring Experiences of Conflict within Medical Teams in an Emergency Department: A Focus Group Approach during the COVID-19 Pandemic

Author:

Fann Wen-Chih1,Hsu Chih-Mimng23,Hsiao Cheng-Ting14,Lee Bih-O56ORCID

Affiliation:

1. Department of Emergency Medicine, Chang Gung Memorial Hospital, Chiayi 613, Taiwan

2. Medical Education Department, Chang Gung Memorial Hospital, Chiayi 613, Taiwan

3. Department of Business Administration, College of Management, National Chung Cheng University, Minhsiung, Chiayi 621301, Taiwan

4. School of Medicine, College of Medicine, Chang Gung University, Taoyuan 33302, Taiwan

5. School of Nursing, College of Nursing, Kaohsiung Medical University, Kaohsiung 80708, Taiwan

6. Center for Innovative Research on Aging Society (CIRAS), National Chung Cheng University, Chiayi 621301, Taiwan

Abstract

The factors related to conflicts in emergency departments (EDs) have been studied for decades. The post-pandemic digital era may transform the medical landscape in EDs, potentially changing the patterns of conflict between healthcare professionals. This study used focus group interviews to explore conflicts in EDs. Four groups, each with 4–6 participants, took part in this study. Semi-structured interviews were conducted using six research questions. Summative content analysis was used to analyze the data. The participant’s average age was 37.82 years, and the average number of working years was 12.12. The following five themes emerged: multiple patterns of internal conflict; external conflicts arising from cross-departmental coordination; conflicts due to unclear job boundaries; adapting to conflicts in diverse ways; and seeking hospital arbitration. The results of this study suggest extending interdisciplinary collaborative practice from emergency departments to all coordinating departments. An inclusive environment for equality between professions and open communication should be promoted by hospitals.

Funder

Chang Gung Memorial Hospital

Publisher

MDPI AG

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