# Situation: The adult medical-surgical ward of a 150-bed provincial hospital has 28 clients on the day shift. The charge nurse works with three staff nurses and two nursing attendants. The nursing attendants are unlicensed workers trained through a health care services program and the hospital's orientation. Two staff nurses argue about who should receive the next admissions. After talking, they agree that one will take admissions until noon and the other after noon, although each says the arrangement is not fully what they wanted. Which conflict-handling mode did they use?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=630352  
> language: ko  
> subject: Nursing Practice IV — Care of Clients with Problems in Nutrition and Gastrointestinal, Metabolism and Endocrine, Perception and Coordination

## 문제

Situation: The adult medical-surgical ward of a 150-bed provincial hospital has 28 clients on the day shift. The charge nurse works with three staff nurses and two nursing attendants. The nursing attendants are unlicensed workers trained through a health care services program and the hospital's orientation.

Two staff nurses argue about who should receive the next admissions. After talking, they agree that one will take admissions until noon and the other after noon, although each says the arrangement is not fully what they wanted. Which conflict-handling mode did they use?

## 보기

1. Smoothing
2. Compromising **✔ 정답**
3. Collaborating
4. Accommodating

**정답: 2**

## 해설

In compromising, each party gives up part of what it wants to reach a quick, partial solution, so neither is fully satisfied. Collaborating would produce a new solution that fully meets both parties' interests (win–win).

## 심화 해설

Core answer

The nurses used compromising. Each gave up part of what they originally wanted—one agreed to take admissions only until noon, the other only after noon—so neither walked away fully satisfied. That partial, “split the difference” solution is the hallmark of compromise.

Why not the other modes?

Collaborating would require the two nurses to work through the underlying concerns—fairness, workload, patient acuity, or personal preference—and create a new solution that fully satisfies both. A true win–win might look like redistributing all admissions by acuity, pairing each admission with a nursing attendant, or adjusting the entire assignment board so both nurses feel the total workload is equitable. That did not happen here.

Smoothing minimizes the disagreement and emphasizes harmony without actually resolving the distribution problem. Accommodating means one nurse unilaterally gives in and lets the other take the admissions. Neither occurred; both nurses negotiated and both conceded something.

Clinical context: why this matters on the ward

On a 28-client medical-surgical unit with three staff nurses and two unlicensed nursing attendants, admission flow directly affects patient safety. A charge nurse who recognizes compromising can assess whether the quick fix is adequate or whether the underlying staffing tension will resurface at the next admission. Compromise is efficient in time-pressured environments, but it often leaves residual dissatisfaction because the root issue—perceived unfairness in workload distribution—remains unaddressed.

Key point! Compromise is a partial-win, partial-lose outcome reached quickly. Collaboration is a full-win, full-win outcome that requires more time and deeper problem-solving.

How conflict-handling modes are classified

| Mode | Each party's outcome | Time/effort required | Typical cue in a scenario |
| --- | --- | --- | --- |
| Compromising | Partial satisfaction for both | Moderate, quick | “We each gave up something” or “split the shift” |
| Collaborating | Full satisfaction for both | High, time-intensive | New solution created that neither had proposed initially |
| Smoothing | Conflict is downplayed, not truly resolved | Low | “Let's just get along” or focusing on common ground only |
| Accommodating | One party yields completely | Low | One nurse says, “Fine, you take them all” |
| Competing/forcing | One wins, the other loses | Low to moderate | Asserting authority or refusing to negotiate |

Evidence from the literature

The traditional management framework referenced in the nursing conflict literature identifies five distinct conflict-handling modes, with compromising defined as a middle-ground approach where each party sacrifices something to reach a mutually acceptable, though incomplete, resolution . Studies of nurse administrators and educators show that conflict-handling style is not simply a personality trait; it shifts depending on the perceived source and level of conflict, which means nurses may choose compromise in one situation and collaboration in another . In interprofessional and educational settings, awareness of one's preferred mode is emphasized because unproductive conflict management can adversely affect team satisfaction and, in clinical contexts, patient care .

Watch out! Do not confuse compromise with collaboration just because both nurses “talked it out.” The decisive clue in the scenario is the phrase that each nurse says the arrangement is “not fully what they wanted.” That signals partial satisfaction, which defines compromise. Collaboration would end with both nurses fully satisfied by a newly generated solution.

## 임상 시나리오

Admission Conflict on a Busy WardRecognizing Compromise vs. True Collaboration
When two nurses split admissions by time (one until noon, the other after), each gives up part of what they wanted. This is compromising: a quick, partial solution where neither party is fully satisfied.

On a 28-client medical-surgical unit, admission flow directly affects patient safety. A charge nurse should assess whether the quick fix is adequate or if underlying tension over workload equity will resurface at the next admission.

CautionCompromise is efficient under time pressure but often leaves residual dissatisfaction. If the staffing conflict recurs, move toward collaborating by addressing acuity, fairness, and total assignment equity.

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## 핵심 개념

- **Compromising** — Each party gives up part of what it wants to reach a quick, partial solution; neither is fully satisfied.
- **Collaborating** — Working through underlying concerns to create a new solution that fully satisfies both parties (win-win).
- **Smoothing** — Minimizing the disagreement and emphasizing harmony without actually resolving the problem.
- **Accommodating** — One party unilaterally gives in and lets the other have their way.

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