Redcliffe Hospital, Redcliffe, Australia.
Int J Ment Health Nurs. 2013 Apr;22(2):135-44. doi: 10.1111/j.1447-0349.2012.00839.x. Epub 2012 Sep 25.
In the present study, we outline the evolution of a process-focused reflective practice group (RPG) model for nurses working in clinical settings. The groups were initiated at Redcliffe and Caboolture hospitals by the consultation liaison psychiatry nurse and author. An associated article provides an evaluation of these RPG. The literature review identifies the key themes and theories on which the model is based, and the article outlines the process and practicalities of facilitating RPG in critical care, midwifery, and oncology specialties over a 3-year period. The model proposes that the effectiveness and sustainability of RPG arises from adequate preparation and engagement with prospective participants. Group rules, based on principles of confidentially, supportiveness, and diversity, were collaboratively developed for each group. Facilitation utilized a group-as-a-whole approach to manage process and stimulate reflection. While the purpose of RPG was a reflection on interpersonal aspects of nursing, contextual workplace issues were frequently raised in groups. Acknowledgement and containment of such issues were necessary to maintain clinical focus. The literature highlights facilitator credibility and style as crucial factors in the overall success of RPG, and it is proposed that reflective practice as a process-focused model for groups succeeds when nurse facilitators are trained in group process and receive concurrent supervision.
在本研究中，我们概述了一种针对临床护士的以过程为重点的反思实践小组（RPG）模式的演变。该小组由咨询联络精神病学护士和作者在雷克里夫和卡布尔彻医院发起。相关文章对这些 RPG 进行了评估。文献综述确定了该模型所依据的关键主题和理论，本文概述了在 3 年内为重症监护、助产和肿瘤学专业的 RPG 提供便利的过程和实用性。该模型提出，RPG 的有效性和可持续性源于对潜在参与者的充分准备和参与。小组规则基于保密性、支持性和多样性原则，由每个小组共同制定。促进采用了一种整体小组的方法来管理过程并激发反思。虽然 RPG 的目的是反思护理工作中的人际方面，但小组中经常会提出与工作场所相关的问题。为了保持临床重点，必须承认和控制这些问题。文献强调了促进者的可信度和风格是 RPG 整体成功的关键因素，并提出当护士促进者接受团体过程培训并同时接受监督时，以过程为重点的团体反思实践模式会取得成功。
