Nielsen Helena Galina, Davidsen Annette Sofie
a The Research Unit for General Practice and Section of General Practice, Centre for Health and Community , University of Copenhagen , Copenhagen , Denmark.
Educ Prim Care. 2017 Sep;28(5):258-264. doi: 10.1080/14739879.2017.1300510. Epub 2017 Mar 19.
In Denmark group supervision for general practitioners is an established part of continuing professional development. Several different approaches are used, including Balint Groups and Bendix Groups. The aim of this paper is to describe the benefits and challenges of a peer group supervision model with the role of supervisor taken by group members in turn. The setting was a group of general practitioners using a patient-centred consultation model and video-recordings of consultations.
As part of a larger study the first author studied this long-established group by observing three group sessions over a period of six months. She conducted two individual, semi-structured interviews with each general practitioner who presented consultations at the observed sessions, and held a group interview with the entire group at the end of the observation period. The interviews were recorded digitally and transcribed verbatim. The data were analysed using systematic text condensation.
Participation seemed to improve communication skills and the ability to take a more patient-centred approach. It increased job satisfaction and prevented burnout. A non-judgemental environment, respect and acknowledgement of all participants were important for developing confidence and for supporting personal and professional development.
在丹麦，全科医生的小组督导是持续专业发展的既定组成部分。采用了几种不同的方法，包括巴林特小组和本迪克斯小组。本文的目的是描述一种同伴小组督导模式的益处和挑战，该模式中督导角色由小组成员轮流担任。研究背景是一组采用以患者为中心的咨询模式并进行咨询视频记录的全科医生。
作为一项更大规模研究的一部分，第一作者通过在六个月内观察三次小组会议，对这个长期存在的小组进行了研究。她对在观察到的会议上展示咨询过程的每位全科医生进行了两次单独的半结构化访谈，并在观察期结束时与整个小组进行了一次小组访谈。访谈进行了数字录音并逐字转录。使用系统文本浓缩法对数据进行了分析。
参与似乎提高了沟通技巧以及采取更以患者为中心方法的能力。它增加了工作满意度并预防了职业倦怠。一个无评判的环境、对所有参与者的尊重和认可对于培养信心以及支持个人和职业发展很重要。
