man writing notes

Clinical reflection group provides peer support for staff in Glenhurst

If you have ever felt frustrated by situations at work, or gone home at the end of a shift replaying a particular incident with a patient, or simply just wondered if there was a better way of doing things; then you need to consider setting up a "clinical reflection group". Here at Glenhurst Lodge we recently started meeting on a weekly basis; to look at the way we approach our patient care and the emotional impact generated as a result of daily events, or"critical incidents". Open to all staff, the reflection group has become a lively forum to chat and "think out loud".

In my opinion the value of peer support cannot be underestimated and having the opportunity to reflect with others enables "tough cases" to be shared and provides a safe place to vent stress. As human beings we must avoid the natural tendency to beat up on our own egos when things are not running as smoothly as we would like. It is easy to become incapacitated by guilt, self-pity, fears of next time and have trouble letting go.

As a Cognitive Psychotherapist specialising in trauma, I have through the years seen first hand what not talking can do and the benefits of groups such as this. "Defusing", the term given to "talking it out" provides staff teams with an opportunity to ventilate in a safe and supportive atmosphere. This forum also provides a really good learning environment and can become a "drawing board" for ideas and suggestions. All of us, no matter what our role in the staff team can learn from each other. Reflecting like this, gives us the opportunity to do what I call "tilting the mirror", so that we can look at events or situations from a slightly different perspective. After all, none of us knows how the other person is feeling until we ask!

Here at Glenhurst we decided we wanted to keep brief notes or minutes, to remind us of the important (and not so important) issues discussed, also so that we can look at what was discussed if we are unable to attend. In facilitating the group, while still early days, I am pleased at the way the team has taken this idea on board and taken ownership of the group. Plus, the degree of openness and honesty arising from discussion has also been very affirming.

I have long held the belief that reflection and talking honestly, with a willingness to learn from each other, is the best way to avoid a "blame culture". Empowering staff teams this way can prevent "burn out", reduce stress and improve collective working. This way, here at the Glen Care Group we can deliver the very highest standard in clinical excellence, transforming the lives of patients, by looking after each other and becoming reflective practitioners.

by Steve Clifford - Cognitive Psychotherapist for Glen Care Group

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