supporting pharmacy practice The articles in this series are independently researched and compiled by PSA commissioned authors and peer reviewed. Strategic conflict management – Stopping the conflict spiral Continuing Professional Development By Nikki Di Costa Learning objectives After reading this article you should be able to: • Understand basic concepts of conflict and identify sources of conflict in the workplace. • Describe the five main strategies in managing conflict. • Develop skills in identifying appropriate conflict management strategies to suit various situations. • Apply techniques and strategies in managing conflict to bring about positive quality outcomes. Competency standards (2010) addressed: 2.2.1, 2.2.2, 2.4.1, 2.4.2, 2.4.3 Accreditation number: CAP110101b Case study – Connie’s conflict spiral Vol. 30 – January #01 Connie’s day is again spiralling out of control. She has spent all her time ‘fighting fires’ trying to resolve arising conflicts: placating pharmacy staff going on about who will serve at the front counter, getting angry at a staff member who asked at the last minute for a week off, having staff wanting her to listen and resolve their trivial workplace politics, disagreements with senior staff members on potential new product ranges and finally a heated conversation with her business partner about a lease negotiation with the shopping centre management. Nikki Di Costa is a pharmacist and lecturer at the School of Pharmacy, Curtin University of Technology. She also has a Masters in Business and Administration. Her interests lie in pharmacy management, and organisational behaviour in a healthcare and workplace setting. 42 studies have found that managers estimate spending 25% of their time resolving workplace conflicts.1 Other studies suggest that more than 33% of employees find that conflicts with colleagues reduce their commitment to their employer and 22% find such conflicts reduce their productivity.1 Conflict in the workplace It’s just another day as a pharmacy manager really! Conflict is defined as a ‘process that begins when one party perceives that another party has negatively affected something that the first party cares about.’2 It is ever present in our work lives and can be very destructive, threatening business partnerships, team relationships and interpersonal connections.3 It may trigger inappropriate behaviours, lower morale and hinder productivity.4 Whether you are working as a manager/supervisor, a senior pharmacist or a dispensing pharmacist, I am sure you can sympathise with Connie. In fact, Whilst we cannot avoid it or erase it from our lives, we do have a choice in how we experience conflict.3,5 Managed well, conflict can be positive and, in fact, is essential in achieving Submit your answers online at www.psa.org.au and receive automatic feedback Sources of conflict Personal conflict Personal or internal conflict occurs as a result of negative self talk or an inner self critic.6 Negative self talk can involve faulty thinking, exaggeration, negative internal thoughts or can be triggered by withholds.6 Withholds are negative feelings one has towards people or situations that inhibit free expression.6 Often personal conflict is trigger by other external conflicts.6 Personal attributes Personality traits and personal values can be a source of interpersonal conflict. Personality traits can often prove annoying and frustrating.4 An employee who is super agreeable can be frustrating to others who view them as indecisive and lacking conviction. Alternatively, often one doesn’t like in others what they don’t like in themselves.4 The clash between people with similar personalities is well documented. Conflict management strategies Identifying the true source of a conflict is imperative as it allows the conflict to be mapped out. What is the root cause? Who is involved? What are the needs and wants of each party and what is fueling the conflict? Answering these questions allows the application of appropriate conflict management strategies.3,7 Whilst there is no rigid ruling about how to best deal with conflict, common themes include avoiding it, giving into it, engaging in it or compromising.3 Whilst not always demonstrated, best practice is to use conflict to collaborate and learn more about what is not working, and subsequently amend and improve workplace systems and policies to prevent future conflict.3 These five conflict management strategies can be demonstrated graphically (see Figure 1) as various mixes of assertiveness/ unassertiveness and cooperative/ uncooperative behaviour.7,8 One’s level of assertiveness when engaged in a conflict is defined by their desire to satisfy their concerns/needs, whilst one’s level of cooperation is defined by their desire to satisfy the concerns/ needs of others.7,8 In real life people tend to predominantly use one or two of the above five strategies over the others.9 However, skilled managers are able to dissect conflict situations and subsequently choose to use an appropriate conflict management strategy.9 In investigating your predominant conflict management style and your ability to apply relevant strategies, the Thomas-Kilmann Conflict Mode Questionnaire is a great resource. The questionnaire and detailed interpretations can be found at: www.shropshirevts.com/docs/ thomaskilmanconflictinstrumentq.pdf10 Applying conflict management strategies In facilitating the development and subsequent application of skills in these five conflict management strategies, each strategy and situations appropriate in which to use them will be explained. Continuing Professional Development Workplace conflict can stem from internal perceptions, personal attributes, work role issues or system and organisational issues. inconsistent, missing or too forceful are major causes of conflict.4 Differing goals between management and employees, along with inadequate resources and fiscal pressures, increase stress and result in conflict.2,4 Logistics, organisational change and restructuring are other organisational issues that contribute to conflict.2 Figure 1. Conflict management strategies High team and workplace effectiveness.5 Despite the misconception that conflict is inherently negative and an indicator of dysfunction it can be a great source of creativity, excitement and strength within a team.1,4 Conflict helps to surface and subsequently address problems and helps people learn how to recognise and benefit from interpersonal differences.4 Competing Collaborating win–lose win–win Work role issues that contribute to conflict include work overload or underload, conflicting demands in the workplace, responsibility without control, situations where employees feel like they are always the loser in workplace negotiations, and dead end jobs.2,4 Assertiveness Work role issues Often workplace structures and operational systems are a source of conflict. Poor communication and workplaces where leadership is Low lose–lose Avoiding Accommodating lose–lose lose–win Co-operation High Source: Adapted from Eunson B. 2007 Conflict Management. Milton, QLD: John Wiley & Sons. 43 Vol. 30 – January #01 System and organisational issues Compromising supporting pharmacy practice Continuing Professional Development The articles in this series are independently researched and compiled by PSA commissioned authors and peer reviewed. Avoiding conflict Collaborating Avoiding conflict involves withdrawing from and refusing to address the conflict or pretending it doesn’t exist.4,7–9 Avoiding, as a strategy of managing conflict, involves a low level of both assertiveness and cooperation, creates a lose–lose situation7,8 and tends to worsen the conflict over time.4 Avoiding conflict is ineffective should quality improvements be a priority, although it can be useful in some circumstances.5 Avoiding conflict may be useful in issues that are trivial or unimportant, where potential disruption outweighs the benefits of resolution or where people need to cool down first.7,8 Collaborating involves a high level of both assertiveness and cooperation and creates win–win situations.7,8 It involves working with others to find a solution which satisfies both parties.4,7–9 It is useful when the goal is to cultivate ownership and commitment,4 where an integrative solution must be found because both sets of concerns are too important to compromise or when different perspectives should be merged.7,8 Competing to resolve conflict Competing to resolve conflict involves a high level of assertiveness and a low level of cooperation and creates a win–lose situation.7,8 It involves using power, authority and demands to win over positions and may be useful when quick decisive action is vital or unpopular decisions on important issues are necessary.4,8,7 Accommodating Accommodating in conflicts involves a low level of assertiveness and a high level of cooperation and creates a lose–win situation.7,8 It involves neglecting one’s own concerns to satisfy others.4,7–9 It should be used sparingly and infrequently as it tends to worsen conflicts over time and often triggers internal conflict.4,9 Accommodating during conflict may be useful in situations where one is wrong, one wishes to learn, one needs to show reasonableness or in the event that consequences are more important to one party than they are to the other.7,8 Vol. 30 – January #01 Compromising Compromising to resolve conflicts involves a medium level of both assertiveness and cooperation and creates a lose–lose situation.7,8 It involves making concessions to find mutually acceptable solutions.4,7–9 Compromising may be useful where goals are important but not worth potential disruption, opponents with equal power are committed to mutually exclusive goals or where time pressures are a factor.7,8 44 Stopping the spiral – Matching strategies to situations In deciding which strategy to use one must consider the following variables: • time pressures • issue importance • relationship importance • relative power (how much power one has in comparison to that of the other party).9 Whilst collaborating is the most effective of the five strategies, many situations call for one of the other four conflict management strategies.9 If time is available and the issue is important, collaboration is always the best approach. For Connie, collaborating with her business partner and centre management over lease agreements will be essential. Connie realises that whilst collaborating will take time and effort, the relationships and issues involved are too important to jeopardise.7–9 Whilst collaborating would be ideal in all of Connie’s conflicts, some of her situations are either urgent or too trivial to justify the time it takes to collaborate. Where time is precious and if one has enough power, a competing approach may be useful.9 For Connie this approach will prove appropriate and sufficient in dealing with her staff arguing over who will serve at the front counter. The patient has collected his medication and needs to be served – by whom doesn’t matter – it just needs to happen now! Whilst one needs to consider that a forceful approach may compromise relations with the other party,9 as long as Connie is polite her staff should understand her position and her commands. When dealing with moderately important issues, compromising may be useful should one want to avoid potential disruption and where mutually exclusive goals exist.7,8 Connie may compromise with her senior staff member over ordering a new vitamin range. She will agree to introduce the new range if the senior staff member will work extra time over the next month to help promote the benefits of the product to patients. Whilst this strategy leaves neither party totally satisfied as they have compromised their position,9 it is appropriate in this situation. Where a relationship is important and an issue needs to be resolved quickly, accommodating may be useful.9 Connie’s most loyal staff member would like to take next week off as her elderly mother has fallen gravely ill. Connie needs to show she is reasonable,7,8 and whilst feeling like her position has been compromised (which may lead to further conflict9), she will overcome this. Avoidance is generally an ineffective strategy as it may worsen conflict.9 In Connie’s case though, it is a useful strategy short term in dealing with trivial workplace politics. One staff member is complaining today about another’s bad mood. Connie realises that these vindictive complaints will resolve themselves and giving them attention will give them ‘a voice’. She is best to ignore this one. Practical application – A step-by-step guide Armed with new knowledge, a stepby-step process in developing superior conflict management skills may be as follows: • Assess your predominant conflict management strategy using the Thomas-Kilmann Conflict Mode Questionnaire. This will develop an awareness of your preferred or ‘default’ style. • Reflect on conflicts you have experienced. What has been done well? What could have been improved? Are there common themes or circumstances that trigger conflict situations? Submit your answers online at www.psa.org.au and receive automatic feedback • Assess each past conflict and decide whether the conflict management strategy used was appropriate. Which strategy would be best to use? • Set some goals surrounding areas in which improvements could be made. References 1. Guttman HM. Conflict management as a core competency for HR professionals. People and Strategy. 2009; 21(1):32–9. 2. Robbins SP, Millett B, Cacioppe R, et al. Organisational Behaviour. 3rd ed. Sydney: Prentice Hall; 2001. 3. Cloke K, Goldsmith J. Conflict resolution that reaps great rewards. Journal for Quality and Participation. 2000; 23(3):27–30. 4. McNamara C. Basics of Conflict Management. Free Management Library. [Online. Updated 2010]. At: http://managementhelp.org/intrpsnl/basics.htm 5. Tjosvold D. The conflict-positive organisation: it depends on us. Journal of Organizational Behavior. 2008; 29:19–28. 6. Braiker HB. The power of self talk. Psychology Today. 1989; 23(12):23–27. Questions 1. As a strategy of conflict management, compromising: a) may be appropriate where time pressures are present. b) involves a medium level of assertion and a high level of cooperation. c) creates a ’win–lose’ situation. d) should be used in conjunction with other strategies. 2. Sources of conflict management may include: a) b) c) d) internal perceptions. personality traits. not having enough to do. all of the above. 7. Carlopio J, Andrewartha G, Armstrong H. Developing Management Skills: A Comprehensive Guide for Leaders. Sydney: Pearson Education Australia; 2005. 8. Eunson B. Conflict Management. Milton QLD: John Wiley; 2007. 9. Williams S. Conflict Management – Style and Strategy. Dayton Ohio: Wright State University; 2010. At: www. wright.edu/~scott.williams/LeaderLetter/conflict. htm#Conflict%20Management%20Strategies 10. The Thomas-Kilmann Conflict Mode Questionnaire. 2010. At: www.shropshirevts.com/docs/ thomaskilmanconflictinstrumentq.pdf 11.Flanagan N, Finger J. The Management Bible. Toowong QLD: Plum Press; 2003. A score of 3 out of 4 attracts 0.75 CPD credits. 3. In relation to conflict, which one of the following is not true? a) Conflict is a process that begins when one party perceives that another party has positively affected something that the first party cares about. b) Is present in our everyday lives and is always destructive. c) It may trigger inappropriate behaviours and lower morale, however it doesn’t impact productivity. d) All of the above. 4. As a strategy of conflict management, which one of the following is not true about collaborating? a) It is the most effective of the five strategies, however takes time and effort. b) It involves a strong desire to satisfy both parties’ needs. c) It is useful where an integrative solution must be found as one party’s concerns are too important to compromise. d) It involves creating a solution which satisfies both parties. Continuing Professional Development In addition to engaging in appropriate conflict management strategies, it is imperative to keep in mind communication basics. Supportive communication, assertive communication and active listening are important to consider.2,7,11 These and other skills in communication have been discussed in earlier issues of Australian Pharmacist (see A Case of ‘Fawlty’ Communication, January 2010, and Hurdles with Health Professionals – Communicating and Negotiating in a Health Care Setting, February 2010). Revisiting these issues will provide a complementary skill set to assist in implementing conflict management strategies. Finally, it should be remembered that developing skills in conflict management, like any management skill, takes time, commitment and practice. However, when studies show us that managers are spending 25% of their time managing conflict,1 the relevance and importance of developing such skills is unquestionable. Vol. 30 – January #01 45
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