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巴林特小组:提高卫生专业人员幸福感认知的有效工具。

Balint groups: an effective tool for improving health professionals' perceived well-being.

作者信息

Kannai Ruth, Krontal Shai, Freud Tamar, Biderman Aya

机构信息

Siaal Research Center for Family Medicine and Primary Care, Department of Family Medicine, The Haim Doron Division of Community Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, POB 653, Beer-Sheva, 8410501, Israel.

Clalit Health Services, Jerusalem district, Jerusalem, Israel.

出版信息

Isr J Health Policy Res. 2024 Aug 1;13(1):31. doi: 10.1186/s13584-024-00618-8.

Abstract

BACKGROUND

Physician burnout is a common problem that negatively impacts their well-being and patient care. Balint groups (BGs) deal with doctor-patient relationships. Previous studies that have demonstrated the positive effects of BGs are descriptive and based on small sample sizes. This study aims to evaluate the perceptions of health professionals who participated in BGs, determine the impact of BGs on their personal and professional well-being, and identify the factors related to these positive outcomes.

METHODS

On January and February 2023 the authors have distributed a questionnaire to 142 healthcare providers in a conference and internet networks. Most respondents were family physicians.

RESULTS

Participation in BGs is seen to have a positive impact on healthcare professionals' perceived well-being and professional development. Respondents who had participated in the BG reported a reduction in burnout, increased empathy, and enhanced professional identity and relationships with patients and colleagues. The study also highlighted the importance of duration of participation in BG, with attendance longer than 5 years linked to significantly more positive outcomes compared to less than 1 year. In a logistic regression analysis two factors were significantly associated with self-reported well-being: attending BGs for more than five years and perceiving BGs as a means of relieving burnout.

CONCLUSIONS

The findings suggest that medical organizations should encourage the regular availability of BGs to support physicians' well-being.

摘要

背景

医生职业倦怠是一个普遍问题,会对他们的幸福感和患者护理产生负面影响。巴林特小组(BGs)关注医患关系。先前证明BGs有积极作用的研究是描述性的,且样本量较小。本研究旨在评估参与BGs的卫生专业人员的看法,确定BGs对其个人和职业幸福感的影响,并找出与这些积极结果相关的因素。

方法

2023年1月和2月,作者在一次会议和互联网网络上向142名医疗服务提供者分发了一份问卷。大多数受访者是家庭医生。

结果

参与BGs被认为对医疗专业人员的幸福感和职业发展有积极影响。参与BGs的受访者报告称职业倦怠有所减轻,同理心增强,职业认同感提高,与患者和同事的关系得到改善。该研究还强调了参与BGs的时长的重要性,与参与时间不足1年相比,参与时间超过5年与更多积极结果显著相关。在逻辑回归分析中,有两个因素与自我报告的幸福感显著相关:参与BGs超过五年以及将BGs视为缓解职业倦怠的一种方式。

结论

研究结果表明,医疗组织应鼓励定期开展BGs活动以支持医生的幸福感。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d70a/11293207/06cac9c675e4/13584_2024_618_Fig1_HTML.jpg

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