title: BUILDING CAPACITY IN REFLECTIVE PRACTICE: A TIERED MODEL OF STATEWIDE SUPPORTS FOR LOCAL HOME-VISITING PROGRAMS.
abstract: This preliminary study examines an initiative to further develop capacity in reflective practice among public health home visitors and their supervisors. A Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Expansion Grant to the Minnesota Department of Health funded the development of a tiered structure to support reflective practice within county public health agencies throughout the state. Study data revealed a general consensus among individuals at all levels of the county programs that state supports were adequate to implement reflective practice. Although there were no significant changes in home-visitor and supervisor scores on a standardized measure linked to reflective functioning and reflective practice, a majority of home visitors and supervisors perceived that their knowledge and skills in reflective practice had increased during the evaluation period. A standardized measure of employee burnout did not reveal significant changes in either "depersonalization" (indicating burnout) or "personal accomplishment" (a mitigating factor in burnout) subscales; however, home visitor "emotional exhaustion" subscale scores did increase over the evaluation period. In contrast to the subscale results, home visitors reported a sense of accomplishment in their reflective work and that they value "releasing" emotions in a safe environment during reflective supervision.
authors: University of Minnesota.
authors: Christopher L
authors: CL
authors: Watson
authors: University of Minnesota.
authors: Ann E
authors: AE
authors: Bailey
authors: University of Minnesota.
authors: Karen J
authors: KJ
authors: Storm
mesh_terms: D000328:Adult; D002055:Burnout, Professional; D002983:Clinical Competence / Q000191:economics / Q000592:standards; D003142:Communication; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000191:economics / Q000592:standards; D006792:House Calls; D006801:Humans; D007407:Interviews as Topic; D000068101:Maternal-Child Health Services / Q000191:economics / Q000592:standards; D008605:Mental Health Services / Q000191:economics / Q000592:standards; D008875:Middle Aged; D064866:Mindfulness; D008962:Models, Theoretical; D036301:Qualitative Research; D011795:Surveys and Questionnaires; D013850:Thinking
keywords: Burnout; Hausbesuche; agotamiento; aumento de la capacidad del sistema estatal; burnout; home visiting; landesweiter Aufbau von Systemkapazitäten; pratique de réflexion; práctica con reflexión; reflective practice; reflective supervision; reflexive Praxis; reflexive Supervision; statewide system capacity building; supervision de réflexion; supervisión reflexiva; surcapacité au niveau de l’état aux Etats-Unis; surmenage; visitas a casa; visites à domicile; 倦怠; 全州性系統的能力建設; 内省的スーパービジョン; 内省的臨床; 反思方法; 反思監督; 家庭訪問; 家訪; 州全体のシステムの能力構築; 燃え尽き