Department of Radiation Therapy, University of Otago, Wellington, New Zealand.
University of Otago, Wellington, New Zealand.
J Med Radiat Sci. 2020 Sep;67(3):225-232. doi: 10.1002/jmrs.398. Epub 2020 May 20.
Research indicates that radiation therapists (RTs) are at risk of burnout and that there is a lack of evidence on effective coping strategies for managing work-related stressors within this workforce. Peer group supervision (PGS) is a useful tool in assisting staff to manage stress in the clinical setting, improve reflective practice and provide support. The aim of this research was to investigate New Zealand (NZ) RTs' perceptions of participating in PGS.
In-service training on PGS was offered to all RT centres in NZ, and five of the nine centres agreed to partake in PGS. Participants anonymously completed the same online questionnaire, six months apart. The questionnaire consisted of the Clinical Supervision Evaluation Questionnaire (CSEQ), an open-ended question and demographics. The CSEQ asks participants to indicate their agreement with 14 statements related to Purpose, Process and Impact of PGS.
Overall, 71 and 48 participants completed the first and second surveys, respectively. In contrast to previous studies, this study found that confidence in practice, team support and group safety were valued by participants. This was supported by the qualitative data that revealed four themes: supportive groups, time out to reflect, organisational barriers and group process issues. RTs with one to five years' experience were more likely to structure their meetings, understand the purpose of the meetings and had clearer expectations of the group process.
PGS may address burnout for RTs with one to five years' experience. This group of RTs feel patient-related matters can be discussed openly during PGS, and PGS appears to be helping to improve their practice and reduce stress. More experienced RTs appear to be using the groups as a 'professional support group', rather than 'peer supervision', as a strategy for managing organisational stressors associated with burnout.
研究表明，放射治疗师（RT）有倦怠的风险，而且在这个工作群体中，缺乏应对工作相关压力源的有效应对策略的证据。同行小组监督（PGS）是一种在临床环境中协助员工管理压力、提高反思实践和提供支持的有用工具。本研究的目的是调查新西兰（NZ）RT 对参与 PGS 的看法。
向 NZ 的所有 RT 中心提供 PGS 的在职培训，其中 9 个中心中有 5 个同意参与 PGS。参与者在六个月的时间里匿名填写了相同的在线问卷。问卷由临床监督评估问卷（CSEQ）、一个开放式问题和人口统计数据组成。CSEQ 要求参与者对与 PGS 的目的、过程和影响相关的 14 个陈述表示同意。
总体而言，71 名和 48 名参与者分别完成了第一次和第二次调查。与之前的研究相比，这项研究发现，实践信心、团队支持和群体安全受到参与者的重视。这一点得到了定性数据的支持，定性数据揭示了四个主题：支持性群体、反思时间、组织障碍和群体过程问题。有 1 至 5 年经验的 RT 更有可能组织他们的会议，理解会议的目的，并对小组过程有更清晰的期望。
PGS 可能会解决有 1 至 5 年经验的 RT 的倦怠问题。这组 RT 认为患者相关问题可以在 PGS 中公开讨论，并且 PGS 似乎有助于改善他们的实践并减轻压力。经验更丰富的 RT 似乎将小组作为应对与倦怠相关的组织压力源的一种“专业支持小组”，而不是“同行监督”策略。
