Citation
J Haem Pract 2016; 3(2):1 - 3. doi: 10.17225/jhp00079

Authors: Kam A McIntosh

Kam A McIntosh
Patient/Nurse Educator, British Columbia Provincial Bleeding Disorders Program – Adult Division, Burrard Building, Room 491 St. Paul’s Hospital, 1081 Burrard Street, Vancouver, BC, Canada V6Z 1Y6. E-mail: kmcintosh@providencehealth.bc.ca

Abstract

This case describes a young man with severe haemophilia B who uses the “avoiding” mode of behaviour, leading to isolation and reduced ambulation. Health care providers promoting health change behaviour were able to empower the patient to direct his care toward his desired outcomes. As his self-awareness increases, he begins to use another mode of behaviour: compromising. Thomas-Kilmann’s conflict management framework is a novel approach to bringing two sides together in a working partnership. This challenging case shows the balance between a patient’s self-care and symbiotic interaction with HCPs to achieve successful health outcomes.

Acknowledgements

The author wishes to thank Dr Shannon Jackson and Dr Linda Sun for their assistance

Sample

Personality

References

  1. Merriam-Webster Dictionary. Conflict. Available from: http://www.merriam-webster.com/dictionary/conflict (accessed 15 April 2016).
  2. Ogunyemi D, Tangchitnob E, Mahler Y, et al. Conflict styles in a cohort of graduate medical education administrators, residents, and board-certified physicians. J Grad Med Educ 2011;Jun;3(2):176-81. doi:10.4300/JGME-D-10-00184.1.
  3. Kilmann RH, Thomas KW. Developing a forced-choice measure of conflict
  4. management behavior: the MODE instrument. Educ Psychol Meas 1977;37(2):309–25.
  5. Losa Iglesias ME, Becerro de Bengoa Vallejo R. Conflict resolution styles in the nursing profession. Contemp Nurse 2012;43:73-80.
  6. Kilmann R. Conflict management and change management case study with the TKI tool [video]. 2014. Available from: http://youtu.be/Tnf1OKoGSys (accessed 21 April 2016).
  7. Whitworth BS. (2008), Is there a relationship between personality type and preferred conflict-handling styles? An exploratory study of registered nurses in southern Mississippi. J Nurs Manag 2008;16:921-32. doi:10.1111/j.1365-2834.2008.00918.x.
  8. Towler J. Managing conflicts effectively: workplace conflict management and how to do it well. Available from: http://creativeorgdesign.com/article.htm?id=112&title=Managing_Conflicts_Effectively (accessed 9 April 2016).
  9. Rodriguez-Merchan EC, Jimenez-Yuste V, Aznar JA, et al. Joint protection in haemophilia. Haemophilia 2011;17 Suppl 2:1–23. doi:10.1111/j.1365-2516.2011.02615.x.
  10. Skinner MW. WFH: closing the global gap -- achieving optimal care. Haemophilia 2012;18 Suppl 4:1-12. doi:10.1111/j.1365-2516.2012.02822.x.
  11. Gue D, Squire S, McIntosh K, et al. Joining the patient on the path to customized prophylaxis one hemophilia team explores the tools of engagement. J Multidiscip Healthc 2015;8:527-34.
  12. Guerin TT. Relationships matter: the role for social-emotional learning in an interprofessional global health education. J Law Med Ethics 2014;42 Suppl 2:38-44. doi:10.1111/jlme.12186.
  13. CPP Inc. Four tips for managing conflict [video]. 2014. Available from: https://www.youtube.com/watch?v=QJiJ95mHftE (accessed 16 April 2016).
  14. Zweibel EB, Goldstein R, Manwaring JA, Marks MB. What sticks: how medical residents and academic health care faculty transfer conflict resolution training from the workshop to the workplace. Conflict Resolution Quarterly 2008:25:321-50. doi:10.1002/crq.211.
  15. Trippe B, Baumoel D. Beyond the Thomas-Kilmann model: into extreme conflict. Negotiation Journal 2015;31:89-103. doi:10.1111/nejo.12084.
  16. Riasi A. The relationship between principals’ reward power and their conflict management styles based on Thomas-Kilmann conflict mode instrument. Management Science Letters 2015;5(6):611-8. doi:10.5267/j.msl.2015.4.004.
  17. Ephrom L. (Omineca Transition House support worker). Working together successfully – managing differences [personal communication]. 11 October

The Journal of Haemophilia Practice is published by Haemnet.

Haemnet is a registered charity that brings together and gives a voice to haemophilia nurses, physiotherapists and allied health care professionals, providing forums for collaborative research, educational activities and support.