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‘We needed to talk about it’: The experience of sharing the emotional impact of healthcare work as a panellist in Schwartz Center Rounds in the UK.

McCarthy, Imelda, Taylor, Cath, Leamy, Mary, Reynolds, Ellie and Maben, Jill (2020) ‘We needed to talk about it’: The experience of sharing the emotional impact of healthcare work as a panellist in Schwartz Center Rounds in the UK. Journal of Health Services Research and Policy. pp. 1-8.

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Objective: Schwartz Center Rounds (‘Rounds’) are multidisciplinary forum where healthcare staff come together to reflect upon the emotional impact of their work. A small number of staff (panellists) share experiences through stories to trigger reflection in audience members. Previous research has identified impacts associated with Rounds attendance but little is known about the experience and impact of Rounds from panellists’ perspectives. Drawing on interview data from a national evaluation of Rounds in the UK this study is the first to explore the role of disclosure and reflection through storytelling in Rounds specifically exploring panellists’ motivations, experience and reported impacts associated with panel participation. Methods: Interviews with 39 panellists, from nine case study sites, representing acute, community, mental health NHS trusts and hospices. Data were analysed using thematic analysis. Results: Most panellists spoke positively about their experience of sharing their stories in Rounds. Reported impacts included increased emotional resilience and acceptance of past experiences; reduced negative assumptions about colleagues and increased approachability and trust increasing tolerance and compassion; a space to stop and think and to reframe negative patient experiences facilitating greater empathy, and emotional disclosure becoming more visible and normative helping change culture. The extent of panel preparation and audience characteristics (e.g. size, composition, and response to their stories) influenced panellist’s experiences and outcomes. Conclusions: Rounds highlight the important role of disclosure and reflection through storytelling to support panellists with the emotional aspects of their work, providing a space for support with the emotional demands of healthcare, reducing the need for employees to be stoic. Panel participation also offers an important source of validation in organisations marked by scrutiny.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
McCarthy, Imelda
Leamy, Mary
Reynolds, Ellie
Date : 27 June 2020
Funders : National Institute for Health Research (NIHR)
DOI : 10.1177/1355819620925512
Grant Title : National Institute for Health Research (NIHR)
Copyright Disclaimer : c The Author(s) 2020
Uncontrolled Keywords : Schwartz Rounds; staff well-being; reflection
Depositing User : James Marshall
Date Deposited : 29 May 2020 14:39
Last Modified : 06 Jul 2020 08:32

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