title: Conflicts and conflict regulation in hospices: nurses' perspectives. Results of a qualitative study in three German hospices.
abstract: The present article considers conflicts and conflict regulation in hospices. The authors carried out a qualitative study in three hospices in North Rhine-Westphalia, Germany, to explore how conflicts arise and how conflict regulation proceeds. Hospice nurses should act according to a set of ethical codes, to mission statements of the institution and to professional standards of care. In practice the subjective interpretations of codes and/or models concerning questions of care are causes of conflicts among nurses, with doctors, patients and family members. The management has two choices to react to these conflicts. It can either tolerate the conflicts, as long as they do not disturb the daily routine. Or it can increase the degree of organisation by integrating the different viewpoints into its own program and/or by restructuring its organisational units.
authors.affiliation: Lehrstuhl für Moraltheologie, Katholisch-Theologische Fakultät, Ruhr-Universität Bochum, Universitätsstraße 150, 44801, Bochum, Germany, andreas.walker@rub.de.
authors.forename: Andreas
authors.initials: A
authors.lastname: Walker
authors.forename: Christof
authors.initials: C
authors.lastname: Breitsameter
mesh_terms: D003220:Conflict, Psychological; D034462:Dissent and Disputes; D005190:Family / Q000523:psychology; D005858:Germany; D017051:Hospice Care / Q000458:organization & administration / Q000592:standards; D006738:Hospices / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D017008:Negotiating / Q000379:methods; D009723:Nurse-Patient Relations; D010166:Palliative Care / Q000379:methods / Q000592:standards; D036301:Qualitative Research; D000078329:Workforce