Reply Mazen:

Conflict is a common part of working in healthcare system, and the more you have responsibilities (in life and work) the more expected to have conflicts with other professions, colleagues, and organizations, as APRNs is a complicated profession, they should expect to encounter conflicts even more than other nurses and professions, so they need to be prepared and educated on how to face it and respond to it in a professional way Joel (2017). A scenario of common conflict is between a primary care physician (PCP) and an advanced practice registered nurse (APRN) working in the same unit in a hospital. The conflict is around the APRN’s level of autonomy in the patient care process. The physician thinks that the APRN is practicing beyond her scope of practice, while the APRN feels that she is being unfairly limited in her ability of providing care, and she should be able to provide care to the full extent of her educations and skills, the physician confronts the APRN and keep trying to limit her practice, this conflict is an example of power and control conflict. The different levels of authority and decision-making power between the PCP and APRN leads to frequent disagreements about the care plan, and who should make decisions.

Strategy for APRN to deal professionally with this conflict may include, First APRN pause to identify, review, and clarify one’s own goals Joel (2017). APRN should prepare herself with some stock responses for such conflicts and sit a clear goal and what is her preferred outcomes, then she may ask the physician to have face to face meeting, both sides should engage in open and honest communication about their concerns and targets. Second negotiate a mutually agreeable Joel (2017), the two sides should work together to find a solution, that can start with finding common areas of agreement and discuss the scope of service for each side clearly and create a plan of action that considers the needs and perspectives of both the PCP and the APRN. By working together, they can find a solution that make both sides to feel heard and respected while still providing the best possible care for patients.


Joel, L. A. (2017). Advanced practice nursing: Essentials for role development, chapter 20.