Kontos Pia, Miller Karen-Lee, Colantonio Angela, Cott Cheryl
Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Eval Rev. 2014 Feb;38(1):29-67. doi: 10.1177/0193841X14531260. Epub 2014 Apr 17.
Therapeutic emotion work is performed by health care providers as they manage their own feelings as well as those of colleagues and patients as part of efforts to improve the physical and psychosocial health outcomes of patients. It has yet to be examined within the context of traumatic brain injury rehabilitation.
To evaluate the impact of a research-based theater intervention on emotion work practices of neurorehabilitation staff.
Data were collected at baseline and at 3 and 12 months postintervention in the inpatient neurorehabilitation units of two rehabilitation hospitals in central urban Canada.
Participants (N = 33) were recruited from nursing, psychology, allied health, recreational therapy, and chaplaincy.
Naturalistic observations (N = 204.5 hr) of a range of structured and unstructured activities in public and private areas, and semistructured interviews (N = 87) were conducted.
Preintervention analysis indicated emotion work practices were characterized by stringent self-management of empathy, suppression of client grief, adeptness with client anger, and discomfort with reactions of family and spouses. Postintervention analysis indicated significant staff changes in a relationality orientation, specifically improvements in outreach to homosexual and heterosexual family care partners, and support for sexual orientation and intimacy expression. No improvements were demonstrated in grief support.
Emotion work has yet to be the focus of initiatives to improve neurorehabilitative care. Our findings suggest the dramatic arts are well positioned to improve therapeutic emotion work and effect cultures of best practice. Recommendations are made for interprofessional educational initiatives to improve responses to client grief and potential intimate partner violence.
治疗性情感工作由医疗保健提供者开展，作为他们管理自身以及同事和患者情感的一部分，以此努力改善患者的身体和心理社会健康状况。在创伤性脑损伤康复的背景下，这一工作尚未得到研究。
评估一项基于研究的戏剧干预对神经康复工作人员情感工作实践的影响。
在加拿大中部城市两家康复医院的住院神经康复单元，于基线期以及干预后3个月和12个月收集数据。
参与者（N = 33）来自护理、心理学、联合健康、娱乐治疗和牧师关怀等领域。
对公共和私人区域一系列结构化和非结构化活动进行自然观察（N = 204.5小时），并进行半结构化访谈（N = 87）。
干预前分析表明，情感工作实践的特点是对同理心进行严格的自我管理、抑制患者悲伤、善于应对患者愤怒以及对患者家属和配偶的反应感到不适。干预后分析表明，工作人员在关系导向方面有显著变化，具体表现为对同性恋和异性恋家庭护理伙伴的外联工作有所改善，以及对性取向和亲密表达的支持。在悲伤支持方面未显示出改善。
情感工作尚未成为改善神经康复护理举措的重点。我们的研究结果表明，戏剧艺术在改善治疗性情感工作和营造最佳实践文化方面具有良好的条件。针对跨专业教育举措提出了建议，以改善对患者悲伤和潜在亲密伴侣暴力的应对。
