Background ‘Shift reflection’ is a novel, structured method of group reflective practice at the end of a shift. It involves a facilitator asking open questions about the shift, then using a mapping process to draw and make connections between the experiences of staff.
Aim To undertake a pilot study of shift reflection in an acute mental health unit and to gather feedback from staff and service users on its effect on staff well-being, teamwork and ward culture.
Method A mixed-methods design was used. Staff members provided feedback using the Professional Quality of Life (ProQOL) scale, completed pre-pilot (n=10) and post-pilot (n=14), a staff feedback questionnaire (n=14) and a focus group (n=7). Data from the questionnaires were examined using descriptive statistics and effect sizes, while the focus group data were analysed using thematic analysis.
Findings The preliminary findings suggest that shift reflection was effective in supporting staff and that it improved team cohesion and morale. The ProQOL scale results indicated a small increase in compassion satisfaction, a medium reduction in secondary traumatic stress and a large reduction in burnout scores post-pilot. Five themes emerged from the focus group: value of shift reflection; team benefits; supportive role of facilitation; implementation challenges; and future directions.
Conclusion While several challenges in implementing shift reflection were identified, the findings of this pilot study provide a foundation for developing and testing its effectiveness in future research.
Mental Health Practice. 24, 1, 25-32. doi: 10.7748/mhp.2020.e1452Correspondence
This article has been subject to external double-blind peer review and has been checked for plagiarism using automated softwareConflict of interest
To reuse this article or for information about reprints and permissions, please contact firstname.lastname@example.orgWrite for us
For information about writing for RCNi journals, contact email@example.com
For author guidelines, go to rcni.com/writeforusRCNi Learning
For related learning modules, go to rcnilearning.com
Alternatively, you can purchase access to this article for the next seven days. Buy now