Interpersonal learning in groups: an investigation.

Interpersonal learning in groups: an investigation.
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小组中的人际学习:一项调查。

DOI:
10.1046/j.1365-2648.1994.20061162.x
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发表时间:
1994
影响因子:
3.8
通讯作者:
J. Fabricius
J. Fabricius
中科院分区:
医学3区
文献类型:
--
作者:
V. Franks;M. Watts;J. Fabricius

文献摘要

被引文献

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通过提供更多的沟通技巧培训,在很大程度上解决了患者对医疗保健沟通的不满。对技能培训为何可能无效的研究发现了各种因素,其中包括组织阻力、个人对焦虑的防御以及个人反思和支持的需要。在一所护理教育学院,小组讨论和反思已经成为学生在第一次和第二次临床经验中的惯例。这些小组每周开会一次,由一名护士教师主持。讨论是非结构化的,集中在护士与他或她的病人的人际关系。本项目研究了一个这样的群体,并试图研究使用小组反思性讨论的护士对他们的病人作为一种手段,改善人际沟通。这项研究进行了为期6个月的9名学生护士会议每周一次,在他们的前两集的临床经验。运用凯利的个人建构理论,由小组成员建构两个储存格。一个网格检查了自我认知的过程和变化,另一个网格检查了对某些患者的认知的过程和变化。这些网格由学生在小组开始和结束时完成。每次小组会议后都要做笔记,记录印象和过程;每周在监督下讨论一次。使用扎根理论方法对这些说明进行了分析。结果表明,在与自我的关系,这表明增加焦虑和不愿自我反思的建设模式的一些变化。(250字处删节)
The dissatisfaction of patients with communication in health care has largely been addressed by providing more communication skills training. Research into why skills training might be ineffective has identified various factors, which include organizational resistance, personal defences against anxiety and a need for personal reflection and support. In one college of nurse education small group discussion and reflection had become established practice for students in their first and second clinical experience. The groups met once weekly and were facilitated by a nurse teacher. Discussion was unstructured and focused on the nurse's interpersonal relationship with his or her patients. This project examined one such group and sought to examine the use of small group reflective discussion by nurses about their patients as a means of improving interpersonal communication. The research was conducted over a period of 6 months with nine student nurses meeting once weekly during their first two episodes of clinical experience. Kelly's personal construct theory was used and two repertory grids were constructed by the group. One grid examined processes and change in intrapersonal construing, and the other grid examined processes and change in construing about certain patients. These grids were completed by the students at the beginning and at the termination of the groups. Notes were taken after each group meeting, which recorded impressions and processes; these were discussed once weekly with supervision. The notes were analysed using a grounded theory methodology. The results show some changes in patterns of constructing in relation to self which indicate an increase in anxiety and reluctance to self-reflect.(ABSTRACT TRUNCATED AT 250 WORDS)