[The reflection group as a tool for improving satisfaction and developing the introspective ability of health professionals]

Abstract

Objective: To describe the development of a reflection group of primary care professionals in Navarra, from October 2007 to June 2008, using case presentations.

Design: Descriptive, retrospective study.

Setting: Primary care.

Participants: One psychiatrist, one nurse and eleven family doctors.

Method: Eight sessions of two and a half hours were carried out; informal evaluations after each session; systematic taking of notes by three members of the group, with subsequent pooling of resources; evaluation of the group in the last session.

Results: This was a participatory, self-reflective and practical group. A total of 52 cases were presented, which were grouped into six areas: difficult interviews, professional errors, female abuse, ethical dilemmas and Health care team relationships. The participants talked about the emotions of the clinic, obtaining tools and protocols for subsequent situations similar to the cases presented, as was expressed in the evaluation.

Conclusions: A wide range of cases were presented, with a series of emotions having been produced in the participants who from a pooling of resources and reflection emerged a self-perception of improved satisfaction and introspective ability. The variety of cases showed the complexity of the work of the health professional.