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1 Department of Public Health and Caring Sciences, Section for Health Services Research, University of Uppsala, Uppsala, Sweden
2 Eksjö Primary Care Centre, Eksjö, Sweden
CORRESPONDING AUTHOR: Dorte Kjeldmand, GP, PhD, Eksjö Primary Care Center, SE-57581 Eksjö, Sweden, dorte.kjeldmand{at}lj.se, kjeldmand{at}gmail.com
Annals Journal Club selection—see inside back cover or http://www.annfammed.org/AJC/.
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 GPs 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.
Key Words: Balint group physician-patient relationship work environment job satisfaction burnout patient-centered care
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