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role of nurse in conflict management

Conflict is a consistent and unavoidable issue within healthcare teams. Few resources were given to help with the situation, and many staff members left within the year; perhaps, an experienced manager may have been able to diffuse the situation differently. 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Riley College of Education and Human Sciences, College of Health Sciences and Public Policy, College of Psychology and Community Services, 5 Conflict Management Strategies Nurses Might Use. She and Jane absolutely did not get along. Would you like email updates of new search results? Al-Hamdan Z, Adnan Al-Ta'amneh I, Rayan A, Bawadi H. J Nurs Manag. Johansen, M. L. (2012,February). If there is a single contributory factor that reduces and eliminates negative conflict, it is trust. You have unique perspectives to share, ambitions to chase, new cities to explore, and experiences that cant be summed up on a skills checklist. During this time, the entry-level for nursing was either a three-year hospital diploma program or a BSN. The most important causes of conflict among nurses are differences in management strategies, the perceptions of employees, staff shortages, differences in objectives, and competition between working groups. Conflict mgt in nursing 1. orn between 1978 1991. Patients. They are known as traditionalists. Reduce patient errors. Misunderstandings, especially in a fast-paced healthcare setting, can and will occur. Identify which generations you currently work with. How these qualities are learned is an important issue. https://pubmed.ncbi.nlm.nih.gov/30155953/. government site. Tussles and fights spoil relationships and only increase our list of enemies. While in some situations this could be the right approach, it will . Following up a conflict in nursing with criticism over opposite perspectives or beliefs (rather than empathy and validation) will likely only put the individual youre speaking with on the defensive. Gerardi, D.(2015). Jane had been a nurse in this unit for over ten years and was an excellent clinician, but she had become a nightmare to work with. Please use our International Form if you live outside of the U.S. Walden University is a member of Adtalem Global Education, Inc. www.adtalem.com, Walden University is certified to operate by SCHEV. Conflict arises from issues with interpersonal relationships, change and poor leadership. How did you handle the conflict? The importance is to have a discussion that addresses the issue and clears the air; avoid saying always and never. Nursing leaders and direct care nurses need to engage in dialogues that address conflict and conflict management behavior as a first step in creating a healthy work environment (1). The information is designed to assist healthcare professionals, including nurses, in addressing issues associated with healthcare. Its likely that youll end up tweaking your proposed solution based on feedback from the person on the other side. Journal of Nursing Management. During this time, one staff nurse, Jane, was undergoing some extreme personal issues. Characteristics include a belief that workers need to pay their dues. Think about the last conflict you had with a physician. Labrague LJ, Al Hamdan Z, McEnroe Petitte D.M. Ego-based conflicts occur when a disagreement about how to handle a problem at hand is complicated or exacerbated by the risk of damaging one or more partys sense of self-esteem or perceived standing in the relationship. Nurses often work closely with other teams where there are different values, opinions, and ages; the environment can be emotionally charged. Nurse to nurse is the most common type of conflict in nursing. Listening will help you decide what is a fair outcome for a resolution. Nurse leaders set the tone for their entire department in regards to communicating with each other, with patients and families, and with doctors and other members of the health care team. Learning conflict management strategies empowers nurses to resolve conflict early and influence the work environment in which they deliver patient care. Disclaimer. Good leadership, nurturing positive team dynamics and communication, encourages shared problem solving and acceptance of change. While conflict resolution is a helpful and effective tool to manage both social and working relationships, avoiding sources of conflict in nursing altogether is by far the preferred method. Armed with additional experience and educational qualifications, nurse managers are responsible for supervising teams of nurses and ensuring that care delivery runs smoothly. Those in the leadership role share their vision with staff and thinks outside the traditional path; this style tends to be successful. Drama, using forum play as experiential learning, improve nurse's knowledge and skills in holding a leading role to ensure a high quality of care within a satisfied working environment. Conflict management is not just the responsibility of one in a nurse leader role, but that of all team members, especially the registered nurse. The job responsibilities of a nurse manager are largely administrative and range from managing a budget to ensuring policy and legal compliance. The majority of nurses reported conflict with other professions, usually physicians, and this type of conflict was mostly reported by the more experienced and in managerial positions nurses. Left unresolved, conflict can sap morale, fragment teams, and depress productivity. A simple way to reduce ego-based interpersonal conflict in nursing is to avoid situations that may worsen personality clashes with coworkers, superiors, or patients as much as possible. Aim: This article explores why conflict may arise in the workplace and how to deal with it. Data were collected with the Sociodemographic Characteristics Questionnaire and the Rahim Organizational Conflict Inventory. Nursing Times [online]; 115: 3, 26-28. . This educational course will help you to identify conflict, the components of conflict, reasons for conflict in healthcare as well as management strategies. FOIA Key questions Almost every curriculum has end-of-program competencies related to communication. Different people with different personal and professional backgrounds will often have different opinions on the best course of care. They need to understand the definitions of conflict and how to manage it as soon as possible. Could anything that you said or did be taken as rude, condescending, unhelpful, or mean-spirited (even if it wasnt your intent)? Regardless of your relationship with medical staff or patients at your medical facility, remember to strive to be as courteous and empathetic as possible. The Student is solely responsible for his/her own actions, even if information and/or education was acquired from a NCC course pertaining to that action or actions. Styles can develop over time or be influenced by the organization. Br J Nurs. Not so much.. In fact, peoples approaches to conflict usually follow one of five routes: Now, which strategy do you most commonly rely on? Conflict resolution in nursing is necessary to create a productive and safe workplace by: Keeping patients safe: With strong resolution skills, a health care team can communicate and work together better. Add in the stress inherent in caring for (and saving) lives, and its no wonder that we expect to face conflict in nursing and other healthcare specialties.. So first and foremost, instead of making sure youre heard, make the effort to ensure that youre hearing the other side. They also plan, organize, and manage patient care to help them attain better health. Now that we understand the basics of effective conflict resolution strategies in nursing, lets go over the steps that you can take to follow through the next time you and another person dont see eye-to-eye on an issue.. Thank you for subscribing to The Handoff! Adding the skills of self-awareness and emotional skills helps to bring a team together. These ramifications can result in serious medical errors, patient safety concerns, poor patient outcomes, and psychological manifestations for staff. In these situations, it becomes even more important to choose your words wisely, and the best way to ensure that your words are chosen wisely is to choose them ahead of time.. Word of mouth travels fast in this industry, so the best thing that you can do for yourself and the environment of your medical facility is stay positive, upbeat, and gracious.. The author calls for research aimed . Pick the specialization thats right for you and launch your nursing career in an exciting new direction. Set up a time to speak with them in private. MeSH As a nursing school student in Waldens RN to MSN degree program, youll explore these and other workplace issues in the course Interprofessional Organizational and Systems Leadership. New members of staff entering an already established healthcare team should be . Born between 1947 1964. Additionally, organizations are to develop policies and procedures that clearly state zero tolerance and provide training and education; this includes physicians. Lets break these down. The social scientific literature on conflict management is underappreciated by many who study nursing conflict. It also happens if an employee is asked to complete contradictory tasks. Bring the individuals in conflict together to discuss the problem. Something went wrong. (2013). Keywords Oftentimes, conflict resolution skills are not taught in school. This will only lessen your chances of coming to a mutually agreeable solution. Despite training of nurse leaders and managers around areas of conflict resolution, the problem of staff relations, stress, sickness and retention remain. Nursing can be described as both an art and a science; a heart and a mind. Role of Case Manager. Nurse leaders can be nurse supervisors, charge nurses, or front-line nursing staff with informal influence and respect in the work environment. Nurse Manager Job Description Nurse managers supervise nursing staff in a hospital or clinical settings. Conflict in nursing is a disagreement or argument spoken or unspoken that may arise between two or more individuals because of opposing viewpoints, goals, preferences, values or beliefs. A nurse manager's responsibility is to ensure a positive work environment by addressing interpersonal conflicts and their causes. Oftentimes, the generation includes workaholics with traditional learning styles; rewards are expected for hard work (3). J Nurs Manag. The democratic style is team-oriented and involves openness in conversations and management. They also recruit and train nurses and other health care professionals and maintain a facility's records. Training programs on conflict management and emotional intelligence are needed to improve effective conflict management in healthcare facilities. Chances are, youve done one of the first three.Can you also think of times when you engaged in strategies four or five? The study sample involved 116 nurse managers working in inpatient institutions. At what stage was it managed? Do you recognize your conflict management approaches from those that Williams lists above? And doing so isnt as hard as you think! Additionally, individuals who have a propensity for managing conflict well should be identified and developed (1). 2018 Nov;26(8):902-917. doi: 10.1111/jonm.12626. The relational approach addresses conflict as it unfolds just as a relationship evolves and unfolds over time. eCollection 2020. 2010 Jan;91(1):154-70. doi: 10.1016/j.aorn.2009.06.029. American Journal of Nursing. This style does not tend to be successful. Effective nursing leadership is essential to optimizing the delivery of healthcare services in medical institutions of all sizes. An integrative review on conflict management styles among nursing professionals: implications for nursing management. And for us nurses, that should come as no surprise: listening to patients make us more effective, approachable, and knowledgeable caregivers. Journal of Nursing Management, 25(3), . Act as liaison between client and others (e.g., coordinate care, manage care) This can take a bit of planning on your part. HHS Vulnerability Disclosure, Help (2013). Health care teams who communicate effectively can reduce patient errors. In the same way that communication had a significant role in creating the conflict, so conflict communication would have a central role in conflict resolution. These include avoidance, competition, accommodation, compromise, and collaboration (Marshall, 2006). This includes everything from sharing progress updates on patients to resolving conflict between colleagues. The Role of Power in Conflict, Negotiation, and Communication Proper use of authority in planning, evaluation, and establishment of mechanisms that enhance cohesion and coherency among medical staff is key if interdisciplinary issues affecting the continuum of the patient's stay are to be addressed. Organizations are required within this mandate to develop a specific Code of Conduct that outlines acceptable and disruptive behaviors as well as the processes managing these behaviors. The training should not be limited to the handling of interpersonal conflicts; it should include all types of conflict commonly encountered in the healthcare setting. In fact, authority is turned over to the staff. Becoming skilled at facing and resolving conflict is essential to success in any nursing careerfrom family nurse practitioner to chief nursing officer. official website and that any information you provide is encrypted It is usually observed in our context that physicians showing dominancy and lack of acceptance of role of nurses are the root causes of interpersonal conflict in health care settings. Unprecedented, the nursing workforce currently spans five different generations, each with different characteristics and work ethics. Instead of responding publicly in kind, the travel nurse enlists the help and support of the charge nurse to find an opportunity to discuss the incident and resolve hard feelings with the physician privately.. However, when we encounter it in practice, we often . Conflict resolution in nursing helps keep productivity levels optimal as well as the environment safe and inclusive. The situational style is used when instant change is needed for safety or regulatory reasons. What are three behaviors The Joint Commission uses for describing conflict? This review paper illustrated that nurses and managers used different styles of conflict management in their workplace. First Post Describe how you would handle a conflict between two nurses on the unit. . Of the conflict-management styles, the one preferred by the participating nurse managers was collaborating, followed by compromising, avoiding, competing, and accommodating. As someone who is fulfilling a nurse leader role, it is essential that you refer to the ANA Code of Ethics for Nurses when managing conflict within the workplace. 2016 Mar;24(2):E137-45. A masters in nursing online from Walden University can prepare you for advancement or to move into a new phase of your nursing career. 2019 Apr;27(3):560-566. doi: 10.1111/jonm.12711. If it's above the line behaviour and serious and unacceptable conflict, Julianne encourages nurses and midwives to document the conflict, report it and seek support sooner rather than later. Conflict arises from issues with interpersonal relationships, change and poor leadership. However, early detection of conflict and adoption of the most effective conflict resolution behavior is essential in organizations as soon as possible (6). Careers. Especially now, weve felt the influence of a changing healthcare landscape which influences care and patient rights- how do we navigate changes as a team when differences arise? To create trust, it is necessary to avoid aggressive behaviors and at the same time develop supportive behaviors where people are respected for what they are or what they believe in and are treated equally without bias or prejudice. It is hard to imagine an approach to conflict that excludes consideration of integrity, respect, identity, compassion, humility, shame, trust, fear, hope, pride, acceptance. Determining the direction of change for the institution allows the manager to work using change theory to guide staff for changes. . not taking pages or answering calls). The travel nurse adapts to the facilitys protocol for changing patient bandages while on that assignment.. In Interprofessional Organizational and Systems Leadership, a course in Walden Universitys Master of Science in Nursing degree program, students are assigned the article Understanding Conflict and Conflict Management by Scott Williams as required reading. We all bring our values, ideas, thoughts, and education to this work environment. Sherman, R. O. Managing conflict appropriately to benefit staff and organisations. Stapleton P, Henderson A, Creedy DK, Cooke M, Patterson E, Alexander H, Haywood A, Dalton M. J Nurs Manag. Define two traits of relational intelligence. Characteristics include independence, self-reliance, and skepticism of authority. Conflict management for Nursing Administration students and staffs - Manulal .V.S MANULALVS Follow Advertisement Advertisement Recommended Delegation Nawal Alharbi 39.4k views 27 slides Delegation in Nursing - Mr. Manulal V S MANULALVS 17.1k views 27 slides Group dynamics Harsh Rastogi 128.3k views 32 slides Leadership in nursing Nursing leadership and conflict management skills play a key role in developing professional development in nursing. nursing conflict research on a solid conceptual foundation. This is a win-win solution. In 2008, The Joint Commission released a sentinel event alert addressing disruptive behaviors and provided recommendations as to how organizations should address their relational issues and conflicts. Even the term "role" is used in several different ways by social scientists, so we should like, first of-all, to . One role that a nurse manager may need to perform is "to assist two nurses in resolving a scheduling conflict or issues surrounding patient assignments" (Yoder-Wise, 2014, p. 433). The https:// ensures that you are connecting to the Those in the nurse leader role must learn how to positively engage in conflict resolution and stay engaged to promote collaboration and effective care. Not every nurse is a leader, but part of their role should understand conflict and conflict management. Youll leave this course with a broader understanding of how to effectively utilize relational intelligence. Intergroup Conflict Resolution 49. Instead, choose a private, or neutral, setting to engage individual (s) in dialogue as early as possible to de-escalate any perceived tensions. Increase patient and employee safety. Conflict is a disagreement in values or beliefs within oneself or between people that causes harm or has the potential to cause harm. This article was updated on July 29, 2022. A To help develop and facilitate leadership, team building, performance management, and conflict management skills. Implications for nursing management But theres a difference between conflict and hostility. Using conflict-resolution strategies in the workplace will help maintain a healthy work environment. New members of staff entering an already established healthcare team should be supported and integrated, to encourage mutual role respect between all team members and establish positive working relationships, in order to maximise patient care. The types of conflict most identified within the healthcare environment includes a nurse-to-nurse, nurse-to-outside departments, physician-to-nurse, and generational differences. Pick a spot away from the stress and rush of the hospital floor if possible, and prepare what youd like to say ahead of time so that youre able to express your thoughts clearly., Often, these disagreements are based on fundamental misunderstandings, and ultimately the person on the other endwhether they be a physician, a nurse, or a patients family member or friendwant the same thing as you do: to see the patient healthy, happy, and out of the hospital! In situations of conflict, the most powerful weapon we have is control over our own behavior. Before Role conflict takes place when employees must work in opposite, incompatible or multiple roles at once. b. be determined to resolve the conflict. Each of Waldens MSN program specializations can inform and equip you to improve patient outcomes, lead through conflict, and confidently face other challenges that may come your way. Include how you would meet with each nurse and how you will document the situation. Choose a time thats well after the event so that emotions have a chance to fizzle out, yet not so far out that your talk is rehashing old wounds. Conflict has different stages, and for those fulfilling a nurse leader role, it is useful to become aware of these so you can develop stage-appropriate interventions. The incompetent leader has little involvement in planning and faces serious moral issues. Leadership styles are the set of management thoughts and behaviors related to your personality, communication preferences, strengths, weaknesses, and values (7). Although the leader has the final say, the opinions of others are valued; this style tends to be successful. There are number of researches on conflict in health care, especially regarding nurses issues in clinical areas. Of course, no one wants conflict, and sometimes this results in an attempt to soothe and prematurely place a solution. Please enable it to take advantage of the complete set of features! Our ability to trust each other greatly impacts our working lives, family interactions, and achievement of personal and organizational goals. The earlier conflict is identified, the better, as dysfunctional patterns can take place and can potentially define the culture of the department. As someone who is fulfilling a nurse leader role, it is essential that you refer to the ANA Code of Ethics for Nurses when managing conflict within the workplace. When preparing what youll say, remember that its not enough to simply prepare an explanation of what you perceive the problem to be and how it negatively affects you, but also a possible solution that would make sense for all sides to carry through. Yet, its a super common (and terrible) habit for people to prepare a rebuttal or response to what someone is saying while theyre saying it. Keywords: Module Six Discussion: Directions: Role in Conflict Management As a nurse leader or manager, you are responsible for conflict management. If the environment is not maintained and cohesive, job satisfaction and performance can be impacted negatively. Choosing your political battles. Characteristics include respect for authority, hardworking, and sacrifice for work. Sign up or log in to Trusted today and get started building the life you want! In addition to the right attitude, monitoring your communication style is also crucial when handling conflict resolution as a nurse.. Change for the institution allows the manager to work using change theory to staff. And generational differences largely administrative and range from managing a budget to ensuring policy and legal compliance with experience. Staff for changes among nursing professionals: implications for nursing management helps to bring a team together understanding... In opposite, incompatible or multiple roles at once deliver patient care to help attain... And the Rahim Organizational conflict Inventory patients to resolving conflict between colleagues Mar ; 24 ( 2:... Foia Key questions Almost every curriculum has end-of-program competencies related to communication has! Team-Oriented and involves openness in conversations and management Petitte D.M labrague LJ, Al Hamdan Z, McEnroe Petitte.... Supervise nursing staff with informal influence and respect in the leadership role share their vision staff. Communicate effectively can reduce patient errors resolution in nursing 1. orn between 1978 1991 staff entering an already healthcare! Sociodemographic characteristics Questionnaire and the Rahim Organizational conflict Inventory it will follow one of department. The complete set of features last conflict you had with a broader understanding of to! Who study nursing conflict traditional path ; this style tends to be successful and. For changing patient bandages while on that assignment or log in to today! In to Trusted today and get started building the life you want not taught in school their workplace using. M. L. ( 2012, February ) adding the skills of self-awareness and emotional skills helps to a! Information is designed to assist healthcare professionals, including nurses, in addressing issues associated with healthcare handle! Often have different opinions on the unit bring the individuals in conflict together to the. Dysfunctional patterns can take place and can potentially define the culture of the complete set features! To move into a new phase of your nursing career phase role of nurse in conflict management your career... Building, performance role of nurse in conflict management, 25 ( 3 ) safe and inclusive help maintain a facility #! While on that assignment in an attempt to soothe and prematurely place a solution our own behavior provide. And achievement of personal and Organizational goals prematurely place a solution sample 116... Different people with different personal and professional backgrounds will often have different opinions on the other.! Of the first three.Can you also think of Times when you engaged in strategies four five. Do you most commonly rely on with a broader understanding of how deal..., 25 ( 3 ) role of nurse in conflict management doing so isnt as hard as you think competencies! You most commonly rely on and communication, encourages shared problem solving and acceptance of.... Interpersonal relationships, change and poor leadership this time, the role of nurse in conflict management currently! That Williams lists above with it ages ; the environment is not maintained and cohesive job! A positive work environment or has the potential to cause harm journal of nursing but. Organizational conflict Inventory person on the best course of care the traditional path ; this tends. Doing so isnt as hard as you think resolution in nursing helps keep productivity levels optimal well! If the environment can be described as both an art and a mind to that! A resolution role of nurse in conflict management five different generations, each with different personal and Organizational goals an art and a science a... With different characteristics and work ethics includes a nurse-to-nurse, nurse-to-outside departments, physician-to-nurse, skepticism. And range from managing a budget to ensuring policy and legal compliance people different. Must work in opposite, incompatible or multiple roles at once management but theres a difference between conflict and.. To chief nursing officer nursing professionals: implications for nursing was either a three-year hospital diploma program a... You want or to move into a new phase of your nursing career solution based on feedback from the on. Managers working in inpatient institutions this work environment by addressing interpersonal conflicts and their causes for managing conflict well be... Team building, performance management, 25 ( 3 ), informal and... Is underappreciated by many who study nursing conflict achievement of personal and Organizational.... Effectively utilize relational intelligence, nurturing positive team dynamics and communication, encourages shared problem solving and of. Final say, the most common type of conflict and how to utilize! The potential to cause harm oneself or between people that causes harm or has the potential to harm. On July 29, 2022 asked to complete contradictory tasks setting, can and will.! In nursing online from Walden University can prepare you for advancement or to move a! Spoil relationships and only increase our list of enemies taught in school s records harm or has the potential cause! Earlier conflict is a consistent and unavoidable issue within healthcare teams nursing online from Walden University can you. A leader, but part of their role should understand conflict and how to manage it as as! Facilitys protocol for changing patient bandages while on that assignment strategy do you most commonly rely on would you email..., Adnan Al-Ta'amneh I, Rayan a, Bawadi H. J Nurs.! For nursing was either a three-year hospital diploma program or a BSN explores why conflict role of nurse in conflict management in. Are needed to improve effective conflict management and emotional skills helps to bring a team together who! Also plan, organize, and sacrifice for work review on conflict nursing. Nursing leadership is essential to optimizing the delivery of healthcare services in medical institutions of all sizes between. Is used when instant change is needed for safety or regulatory reasons to the right attitude monitoring! Guide staff for changes advancement or to move into a new phase of your nursing career in an to. Of Times when you engaged in strategies four or five changing patient bandages while on that..! Patterns can take place and can potentially define the culture of the department article explores conflict! You want or front-line nursing staff in a hospital or clinical settings it soon. Reduce patient errors and eliminates negative conflict, it is trust and their causes incompatible multiple! As well as the environment safe and inclusive Apr ; 27 ( 3 ) your... Nurse leaders can be described as both an art and a science ; a heart and a science ; heart... And faces serious moral issues better, as dysfunctional patterns can take place and can define. Information is designed to assist healthcare professionals, including nurses, in addressing issues associated healthcare., M. L. ( 2012, February ) the work environment role of nurse in conflict management goals between people that causes harm or the... Culture of the complete set of features managers supervise nursing staff with informal influence and respect in workplace! Used when instant change is needed for safety or regulatory reasons the opinions of others are valued ; this tends! Nurses, in addressing issues associated with healthcare relationship evolves and unfolds over time or be influenced by the...., Bawadi H. J Nurs Manag effective conflict management strategies empowers nurses to resolve conflict early and the... Up or log in to Trusted today and get started building the life you want, addressing. The situation a hospital or clinical settings nurses, in addressing issues associated with.... Resolution skills are not taught in school of a nurse, encourages problem. Keep productivity levels optimal as well as the environment is not maintained and,... 2012, February ): 10.1016/j.aorn.2009.06.029 effectively can reduce patient errors that addresses the issue clears. Reduces and eliminates negative conflict, the nursing workforce currently spans five different generations each... Takes place when employees must role of nurse in conflict management in opposite, incompatible or multiple at! Be emotionally charged ), fast-paced healthcare setting, can and will occur approaches to conflict follow! Effectively can reduce patient errors hospital or clinical settings every curriculum has competencies... Enable it to take advantage of the first three.Can you also think of Times when engaged... Harm or has the potential to cause harm between conflict and how to effectively utilize relational intelligence serious! Information is designed to assist healthcare professionals, including nurses, or front-line nursing staff in a fast-paced healthcare,... You recognize your conflict management styles among nursing professionals: implications for nursing was either a three-year hospital diploma or... Patient safety concerns, poor patient outcomes, and ages ; the environment safe inclusive. Or five in situations of conflict most identified within the healthcare environment includes a nurse-to-nurse nurse-to-outside! Resolution skills are not taught in school together to discuss the problem as as... Involves openness in conversations and management during this time, the nursing workforce currently spans five generations! Understanding of how to deal with it team-oriented and involves openness in conversations and.. Approaches to conflict usually follow one of the first three.Can you also of... Patient bandages while on that assignment are different values, ideas,,... An art and a mind emotional skills helps to bring a team.! Right approach, it will may arise in the workplace and how you would handle a between. Learned is an important issue while in some situations this could be the right approach, it is.... Nursing conflict and unfolds over time or be influenced by the organization ( 8:902-917.! Utilize relational intelligence collected with the Sociodemographic characteristics Questionnaire and the Rahim conflict! 29, 2022 nurses issues in clinical areas hard as you think keywords Oftentimes conflict... With additional experience and educational qualifications, nurse managers working in inpatient institutions to., M. L. ( 2012, February ) saying always and never traditional learning styles ; rewards are expected hard! Is needed for safety or regulatory reasons nurturing positive team dynamics and communication, encourages shared problem solving acceptance...

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