Balint groups as a means to increase job satisfaction and prevent burnout among general practitioners
Balint groups as a means to increase job satisfaction and prevent burnout among general practitioners
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DOI：
10.1370/afm.813
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发表时间：
2008-03-01
影响因子：
4.4
通讯作者：
Holmstroem, Inger
中科院分区：
文献类型：
--
作者：
Kjeldmand, Dorte;Holmstroem, Inger
目的：全科医生（gp）在医疗保健中占据中心地位，往往有苛刻的工作环境。这支队伍表现出疲惫的迹象，许多人考虑辞职或计划提前退休。因此，如何提高全科医生的工作满意度是当务之急。一种方法可能是巴林集团的参与。本研究旨在探讨全科医生参与巴林小组的经验及其对其工作生活的影响。方法进行描述性定性研究。对9名参加巴林小组3至15年的全科医生进行了访谈。本文采用现象学分析方法来描述巴林特群体参与现象。结果全科医生认为他们的Balint小组参与影响了他们的工作生活。分析揭示了几个相互关联的主题：能力、职业身份和安全感，它们通过平行的过程增加，创造了耐力和满足感的基础，从而使全科医生重新发现作为医生的乐趣。结论：本研究的全科医生在几个方面描述了他们参与巴林特小组对他们作为医生的工作生活是有益和必不可少的。这似乎提高了他们面对病人的能力，使他们能够忍受工作，并在与病人的关系中找到快乐和挑战。因此，巴林小组可能会帮助全科医生应对高要求的工作生活，防止职业倦怠。然而，这些群体可能并不适合所有的全科医生，应该提供额外的方法来减轻压力和提高工作满意度。
PURPOSE General practitioners (GPs) occupy a central position in health care and often have demanding working situations. This corps shows signs of exhaustion, and many consider quitting their job or plan to retire early. It is therefore urgent to find ways of improving GP's satisfaction with their work. One approach might be Balint group participation. The aim of this study was to explore GPs' experience of participating in Balint groups and its influence on their work life.METHODS We conducted a descriptive, qualitative study. Nine GPs who had participated in Balint groups for 3 to 15 years were interviewed. A phenomenologic analysis was carried out to describe the phenomenon of Balint group participation.RESULTS The GPs perceived that their Balint group participation influenced their work life. Analyses revealed several interrelating themes: competence, professional identity, and a sense of security, which increased through parallel processes, creating a base of endurance and satisfaction, thus enabling the GPs to rediscover the joy of being a physician.CONCLUSIONS The GPs in this study described their Balint group participation as beneficial and essential to their work life as physicians in several ways. It seemed to increase their competence in patient encounters and enabled them to endure in their job and find joy and challenge in their relationships with patients. Balint groups might thus help GPs handle a demanding work life and prevent burnout. These groups might not suit all GPs, however, and additional ways to reduce stress and increase job satisfaction should be offered.