Introduction: Relationships generate disagreements and conflicts. Health organizations are not exempt from them due to the increase of users' demands to get fast and appropriate answers, adapted to vulnerable reality. As a consequence of the ongoing economic crisis, conflicts also arise from the shortage of human and material resources requiring organizational changes, to adapt to it. It is necessary that professionals have mediation skills and strategies (HHMM) to allow them to prevent and manage conflicts properly. In this sense, continuous training becomes an imperative for professionals to acquire these skills. In this sense, understanding of the transfer process and maintenance of acquired skills becomes essential. The process should include the satisfaction of participants, the perception of possibility or difficulty implementing the skills and understanding of professional and organizational conditions that influence its implementation. Objective: To understand the meaning given by health professionals participating in a HHMM training program regarding the transferability and sustainability of the skills acquired in their workplace context. Methodology: Qualitative research, based on the Constructivist Paradigm and the Grounded Theory. For data collection, interviews by e-mail, focus group and face to face interviews were used. The sample was conformed by 21 participants who enrolled in a HHMM training program. The focus group, consisting of 4 informants, was set to collect new data enough to reach the theoretical data saturation. Face to face interviews were used to check the maintenance and duration in time of the data obtained. The analysis of the data was guided by the constant comparisons method. Results and discussion: Four domains raised from data. The central domain, "a pesar de", gives sense to the training program in relation to the transferibility and sustainability, and emerges as a common thread that forges new knowledge; this is typical of these informants in this particular situation, therefore substantive theory is generated. The first domain, refers to the acquisition and satisfaction of skills related to training, while the medium and long term self-empowerment is reinforced. The second domain refers to the belief that HHMM improve interpersonal relationships, therefore improving professionals 'health, equipment's, people and organizations thus meaning better quality of care. The third domain refers to the importance of consistent changes related to implementation that generate a positive experience in all areas of the growing process. The fourth domain, notes the importance of the road initiated regarding interprofessional-relationships that affect the quality of care. It is evidenced that it is useful and essential that skills are acquired, allowing participants to develop strategies and techniques for detecting and preventing problematic interpersonal situations in the workplace. For any organizational change that may arise, the support from managers should be always available. During the transfer and maintenance process a major economic crisis occurred; this meant an important reduction or disappearing of those programmes focusing on conflict management. At this point, data indicates the conviction of the usefulness of HHMM training programme and the personals efforts to continue to maintain the skills acquired despite the reduces support of the organizations. This belief persists over time and economic growth. Conclusions: The meaning attributed to the transferability and sustainability of skills acquired during mediation skills training, refers to the vividly need to prevent and transform problematic situations, thus avoiding its evolution towards difficult approach conflicts. This need for personal and professional development of competencies is experienced as a personal and professional necessity that is maintained despite organizational difficulties.
La formación en habilidades mediadoras en profesionales de la salud. Análisis del proceso de transferencia y sostenibilidad.
Marta López Rodrigo (Autor). 25 d’oct. 2016
Tesi d’estudis: Tesi doctoral
Tesi d’estudis: Tesi doctoral