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Oncology clinicians' feelings towards patients presented in supervision: A pre‐post assessment using the feeling word checklist
Psycho-Oncology ( IF 3.6 ) Pub Date : 2024-03-02 , DOI: 10.1002/pon.6318
Friedrich Stiefel 1 , Céline Bourquin 1 , Beate Wild 2 , Dieter Schellberg 2 , Laurent Michaud 1
Affiliation  

ObjectiveClinical supervision of oncology clinicians by psycho‐oncologists is an important means of psychosocial competence transfer and support. Research on this essential liaison activity remains scarce. The aim of this study was to assess the impact of supervision on oncology clinicians' feelings towards patients presented in supervision.MethodsOncology clinicians' (n = 23) feelings towards patients presented in supervision were assessed with the Feeling Word Checklist (FWC). The FWC was filled in by supervisees prior and after their supervision sessions (n = 91), which were conducted by experienced supervisors (n = 6). Pre‐ post‐modification of feelings was evaluated based on a selection of FWC items, which were beforehand considered as likely to change in a beneficial supervision. Items were evaluated on session level using t‐tests for dependent groups. Composite scores were calculated for feelings expected to raise and feelings expected to decrease and analysed on the level of supervisees.ResultsFeelings related to threats, loss of orientation or hostility such as “anxious”, “overwhelmed”, “impotent”, “confused”, “angry”, “depreciated” and “guilty” decreased significantly after supervision, while feelings related to the resume of the relationship (“attentive”, “happy”), a better understanding of the patient (“empathic”), a regain of control (“confident”) and being “useful” significantly increased. Feeling “interested” and “calm” remained unchanged. Significant increase or decrease in the composite scores for supervisees confirmed these results.ConclusionsThis study demonstrates modification of feelings towards patients presented in supervision. This modification corresponds to the normative, formative, and especially restorative function (support of the clinician) of supervision.

中文翻译:

肿瘤临床医生对监督中患者的感受:使用感受词清单进行事前评估

目的心理肿瘤科医生对肿瘤临床医生的临床监督是心理社会能力转移和支持的重要手段。对这一重要联络活动的研究仍然很少。本研究的目的是评估监督对肿瘤临床医生对接受监督的患者的感受的影响。方法肿瘤临床医生(n= 23) 使用情感词检查表 (FWC) 评估对接受监督的患者的情感。FWC 由受督导者在督导会议之前和之后填写(n= 91),由经验丰富的主管进行(n= 6)。根据 FWC 项目的选择来评估前后感受的改变,这些项目事先被认为可能在有益的监督中发生变化。使用以下方法在会话级别评估项目t‐依赖群体的测试。计算预计会增加的感觉和预计会减少的感觉的综合分数,并根据受监督者的水平进行分析。结果与威胁、迷失方向或敌意相关的感觉,如“焦虑”、“不知所措”、“无能”、“困惑”、监督后,“愤怒”、“贬低”和“内疚”显着下降,而与恢复关系相关的感受(“细心”、“快乐”)、更好地理解患者(“同理心”)、重新获得控制力(“自信”)和“有用”显着增加。“感兴趣”和“平静”的感觉没有改变。受督导者综合分数的显着增加或降低证实了这些结果。结论本研究表明对接受督导的患者的感受有所改变。这种修改对应于监督的规范性、形成性、尤其是恢复性功能(临床医生的支持)。
更新日期:2024-03-02
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