Resolution Strategies for the Dynamics of Doctor-Nurse Conflicts Affecting Patient Well-being in Selected Public Hospitals in Kogi State, Nigeria
Abstract
Interprofessional conflict between doctors and nurses remains a persistent challenge in healthcare systems globally, especially in resource-constrained settings like Nigeria. In Kogi State, systemic issues such as poor infrastructure, inadequate staffing, and role ambiguity have intensified doctor–nurse tensions, with adverse consequences for patient well-being. This study thereforeinvestigated the dynamics and resolution strategies for doctor-nurse conflicts and their impact on patient outcomes in selected public hospitals in Kogi State, Nigeria. The study objectives were to assess the dynamics of doctor–nurse relationships and identified resolution strategies towards improving patients’ well-being. By utilizing Social Conflict Theory and Adopting a mixed-methods approach, the study employed descriptive cross-sectional survey design and gathered data from 398 healthcare professionals (103 doctors and 295 nurses), 35 patients, and 3 Chief Medical Directors across the selected public hospitals using questionnaires and in-depth interviews.Hypothesis testing using Multiple Linear Regression revealed a significant relationship between conflict resolution strategies and improved patient well-being (R² = .618, F = 164.23, p < .001). Key findings highlighted that professional hierarchy, poor communication, and overlapping roles were major propellers of the dynamics of doctor-nurse conflict, while role clarification, joint decision-making, regular conflict resolution training, and continuous professional development were the major effective resolution strategies revealed.The study concluded that unresolved doctor–nurse conflicts compromise patient care, while targeted interventions can foster collaboration and enhance healthcare delivery. It recommended among others, policy-driven reforms emphasizing leadership training, inter professional education, and institutionalized communication frameworks to mitigate conflicts and promote a culture of mutual respect, ultimately safeguarding patient outcomes in Kogi State’s public hospitals.
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