This article describes a case study illustrating organizational and system contingencies for introducing and maintaining a "support group "for oncology nursing staff in a large general hospital culture. Miller's criteria for long-run survivability of innovation in a work system are applied to a group structured like that described by Balint for training physicians in interpersonal relations.
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References
1.
BALINT, M. , E. BALINT, R. GOSLING, and P. HILDEBRAND (1966) A Study of Doctors. London: Tavistock.
2.
BENNIS, W. and H. SHEPARD (1956) "A theory of group development."Human Relations9: 415-457.
3.
BERTALANFFY, L. von (1950) "The theory of open systems in physics and science."Science3: 23-29.
4.
BION, W. T. (1961) Experiences in Groups. New York: Basic Books.
5.
CLARK, J. V. (1970) "Task group therapy I: goals and the client system."Human Relations23: 263-277.
6.
CORDER, M. P. and R. L. ANDERS (1974) "Death and dying: oncology discussion group."J. of Psychiatric Nursing and Mental Health Sciences12: 10-14.
7.
EVERETT, M. G. (1975) "How health professionals help each other."Amer. J. of Nursing8:1355-1355.
8.
GOSLING, R. and P. TURQUET (1967) "The training of general practitioners," in R. Gosling, D. Miller, P. Turquet, and D. L. Woodhouse (eds.) The Use of Small Groups in Training. London: Tavistock.
9.
GROOM, J. (1980) "Impact of an intensive care support group on absenteeism, job satisfaction and death attitudes." Unpublished manuscript, Department of Psychology, Eastern Washington University at Cheney.
10.
GUSTAFSON, J. , F. COLEMAN, A. KIPPERMAN, H. WHITMAN, and R. A. HANKINS (1978) "A cancer patient's group: the problem of containment."J. of Personality and Social Systems1: 6-18.
11.
HOLLING, C. S. and M. A. GOLDBERG (1971) "Ecology and planning."J. of the Amer. Institute of Planners37: 221-230.
12.
JAQUES, E. (1955) "Social systems as a defense against persecutory and depressive anxiety," in M. Klein, P. Heimann, and R.E. Maney-Kyrle (eds.) New Directions in Psychoanalysis. London: Tavistock.
13.
MENZIES, I. E. P. (1967) The Functioning Social Systems as a Defense Against Anxiety: A Report on the Study of Nursing Service of a General Hospital. London: Tavistock.
14.
MILLER, E.J. (1975) "Socio-technical systems in weaving, 1953-1970: a follow-up study."Human Relations28: 349-386.
15.
RICE, A. K. (1969) "Individual, group, and intergroup processes."Human Relations22: 565-584.
16.
RIOCH, M. , W. COULTER, and D. WEINBERGER (1976) Dialogues for Therapists. San Francisco: Jossey-Bass.
17.
SHUBIN, S. (1979) Rx for your stress. Nursing9: 53-55.
18.
STILLMAN, S. M. and B. L. STRASSEE (1980) "Helping critical care nurses with workrelated stress."J. of Nursing Administration10: 28-31.
19.
TUCKMAN, B. (1965) "Developmental sequence in small groups."Psych. Bull.63: 384-399.
20.
TURQUET P. (1974) "Leadership: The individual and the group," in G. Gibbard, J. J. Hartman, and R. D. Man (eds.) Analysis of Groups. San Francisco: Jossey-Bass.
21.
VACHON, M. L. S. , W. A. L. LYALL, and S. J. J. FREEMAN (1978) "Measurement and management of stress in health professionals working with advanced cancer patients."Death Education1: 365-375.
22.
WOODWARD, J. (1958) Management and Technology. London: Her Majesty's Stationery Office.
23.
YANCIK, R. (1980) Journal communication, National Cancer Institute, Bethesda, MD.
