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Consensus of Chinese Experts on the Work and Demonstration of Online Balint Groups
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摘要: 巴林特小组旨在帮助医务工作者得到情感支持及不同角度的反馈，启发反思，缓解职业耗竭。新型冠状病毒肺炎疫情期间，医务人员难以进行传统形式的现场巴林特小组工作。参考近年来国际经验，中国各地巴林特组长尝试采用网络方式开展在线巴林特小组工作。为进一步规范网络在线工作方式，中国医师协会精神科医师分会医患关系工作委员会通过两轮讨论，对在线巴林特小组的工作原则和形式取得了一致意见，并对在线巴林特小组工作流程、使用网络平台进行示范和观摩学习、注意事项以及未来发展方向等达成了共识。Abstract: Balint group helps health professionals to get emotional support and different perspectives of feedback, inspire reflection, and alleviate job burnout. During the outbreak of COVID-19, it was difficult for medical staff to carry out the traditional form of in person Balint group. Referring to the work of international pilot online Balint group, leaders of Balint group all over China have accumulated some experience and encountered new problems by using the internet to carry out discussion. In order to assist and standardize the work of online Balint group and enrich the ways of expanding Balint work, the Working Committee on Doctor-patient Relationship, Chinese Psychiatrist Association, Chinese Medical Doctor Association organized experts to have two rounds of discussion, and developed the consensus on: principles and forms of online Balint group, the way of using web platforms for demonstration and learning, matters needing attention, the future development, and so on.
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Key words:
- online Balint group /
- Chinese expert consensus /
- coronavirus disease 2019
利益冲突 无史丽丽、刘海洪对本文同等贡献 -
表 1 在线巴林特小组工作流程
流程 时间(min) 内容 成员介绍 3~5 如为新成立的小组，组长和组员先自我介绍，以便相互熟悉；非新成立的小组，此步骤可省略 活动守则 1~2 组长宣布活动守则：
(1)隐私保护原则，包括隐去案例的辨识信息、限于小组内讨论不得扩散、参加视频会议仅限于个人、不宜在嘈杂的公众场合或有其他未经允许的人一起参加
(2)保护原则，不提意见，不指责攻击
(3)尊重原则，关注案例，防止手机及环境干扰
(4)有序发言征询案例 1~5 组长询问组员提供案例作为本次讨论内容的意愿，并举手示意；如有多位组员要求，可由组长决定或民主表决 报告案例 5~10 案例报告者自由陈述案例内容，描述其与患者的关系 事实澄清 5~10 组员向案例报告者提出事实性问题 案例报告者撤出 1 组长请案例报告者关闭语音，倾听组员的讨论 小组讨论 20~30 组员自由表达对案例的观点、感受、想像、假设和思考 返回后反馈 5 组长邀请案例报告者打开语音，返回小组；案例报告者自愿反馈倾听小组成员讨论后自己的印象、体验和观点 小组结束 1 组长感谢案例报告者提供案例和全体组员的参与 
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