Parents’ Reactions to Conflict With Health Care Providers

Abstract

The purpose of this phenomenological study was to examine parents’ reactions to conflict with health care providers and the outcomes of the conflicts. This study builds on previous research that confirmed the occurrence and sources of conflict among these informants. Seventeen parents whose children had a diagnosis of cancer were interviewed in this study. A priori coding was used to identify the specific strategies for dealing with conflict proposed by Rubin and associates. Ginsburg’s approach to narrative analysis was used to examine parent’s stories. Findings were that parents used the strategies of problem solving, yielding, withdrawing, inaction, and contending identified by Rubin and associates in reaction to conflict with health care providers. Following episodes of contending, many parents in the study reframed the conflict and experienced transformations or turning points, resolving to become more effective advocates for their children. A few of these advocates proceeded to become community activists.

Keywords

conflict parents children with cancer health care providers

References

Decision Explorer [Computer software]. (1997). Glasgow, Scotland: Banxia Software.

Folger, J. , Poole, M. , & Stutman, S. (2001). Working through conflict strategies for relationships, groups, and organizations (4th ed.). New York: Longman.

Ginsburg, F. D. (1998). Contested lives: The abortion debate in an American community (2nd ed.). Berkeley: University of California Press.

Grimshaw, A. D. (Ed.). (1990). Conflict talk: Sociolinguistic investigations of argumnts in conversations. Cambridge, UK: Cambridge University Press.

Guba, E. G. , & Lincoln, Y. S. (1989).Fourth generation evaluation. Newbury Park, CA: Sage.

Hagedorn, S. (1995). The politics of caring: The role of activism in primary care. Advances in Nursing Science, 17(4), 1-11.

Hocker, J. L. , & Wilmot, W. W. (1995). Interpersonal conflict (4th ed.). Madison, WI: Brown & Benchmark.

Laue, J. (1987). The emergence and institutionalization of third party roles in conflict. In D. J. Sandole & I. Sandole-Staroste (Eds.), Conflict management and problem solving: From interpersonal to international applications (pp. 17-29). New York: NewYork University Press.

Maxwell, J. A. (1996). Qualitative research design: An interactive approach. Thousand Oaks, CA: Sage.

10.

Miles, M. B. , & Huberman, A. M. (1994). Qualitative data analysis. Thousand Oaks, CA: Sage.

11.

Moore, C. W. (1996). The mediation process: Practical strategies for resolving conflict. San Francisco: Jossey-Bass.

12.

Moore, J. B., & Kordick, M. F. (2003). Conflict between families and health care providers: Experiences of children with cancer and their parents. Manuscript submitted for publication.

13.

NVivo [Computer software]. (1998). Victoria, Australia: Qualitative Solutions and Research.

14.

Riessman, C. K. (1993). Narrative analysis. Newbury Park, CA: Sage.

15.

Rosenman, S. , Korten, A. , & Newman, L. (2000). Efficacy of continuing advocacy in involuntary treatment. Psychiatric Services, 51, 1029-1033.

16.

Rubin, J. Z. , Pruitt, D. G. , & Kim, S. H. (1994). Social conflict: Escalation, stalemate, and settlement (2nd ed.). New York: McGraw-Hill.

17.

Tannen, D. (1993). Framing in discourse. New York: Oxford University Press.

18.

Turner, V. (1974). Dramas, fields, and metaphors: Symbolic action in human society. Ithaca, NY: Cornell University Press.