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[反思小组作为提高医护人员满意度和培养其自省能力的一种工具]

[The reflection group as a tool for improving satisfaction and developing the introspective ability of health professionals].

作者信息

Arillo Crespo Ana, Zabalegui Ardaiz María José, Ayarra Elia Maite, Fuertes Goñi Carmen, Loayssa Lara José Ramón, Pascual Pascual Pablo

机构信息

Centro de Salud de Chantrea, Pamplona, España.

出版信息

Aten Primaria. 2009 Dec;41(12):688-94. doi: 10.1016/j.aprim.2009.04.004. Epub 2009 Jul 24.

Abstract

OBJECTIVE

To describe the development of a reflection group of primary care professionals in Navarra, from October 2007 to June 2008, using case presentations.

DESIGN

Descriptive, retrospective study.

SETTING

Primary care.

PARTICIPANTS

One psychiatrist, one nurse and eleven family doctors.

METHOD

Eight sessions of two and a half hours were carried out; informal evaluations after each session; systematic taking of notes by three members of the group, with subsequent pooling of resources; evaluation of the group in the last session.

RESULTS

This was a participatory, self-reflective and practical group. A total of 52 cases were presented, which were grouped into six areas: difficult interviews, professional errors, female abuse, ethical dilemmas and Health care team relationships. The participants talked about the emotions of the clinic, obtaining tools and protocols for subsequent situations similar to the cases presented, as was expressed in the evaluation.

CONCLUSIONS

A wide range of cases were presented, with a series of emotions having been produced in the participants who from a pooling of resources and reflection emerged a self-perception of improved satisfaction and introspective ability. The variety of cases showed the complexity of the work of the health professional.

摘要

目的

描述2007年10月至2008年6月期间纳瓦拉初级保健专业人员反思小组利用病例汇报开展的情况。

设计

描述性回顾性研究。

地点

初级保健机构。

参与者

一名精神科医生、一名护士和十一名家庭医生。

方法

开展了八次时长为两个半小时的会议;每次会议后进行非正式评估;小组三名成员进行系统记录,随后汇总资源;在最后一次会议上对小组进行评估。

结果

这是一个参与性、自我反思性且注重实践的小组。共汇报了52个病例,分为六个领域:困难访谈、专业失误、女性受虐、伦理困境以及医疗团队关系。参与者们谈到了诊疗过程中的情绪,获得了应对后续类似病例情况的工具和方案,评估中也表达了这一点。

结论

汇报了广泛的病例,参与者产生了一系列情绪,通过资源汇总和反思,他们对满意度和内省能力的自我认知有所提升。病例的多样性显示了卫生专业人员工作的复杂性。

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