kslozada
New Member
Posts: 5
I work at a: Healthcare Facility
My job role is: Staff
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Post by kslozada on Aug 10, 2018 14:47:38 GMT -5
We are currently in the middle of our 6th Centering Pregnancy group at our site. In this group, we have a patient who is just downright obnoxious and pessimistic throughout the entire session. She has never missed a session and always arrives early. However, when topics are discussed, she rarely ever allows others to speak and when she does, if what that other person says differs from her point of view, she's quick to let that person know. She's also been one to talk about labor like it is this awful thing that's super terrifying, scaring all of our first time moms, which then causes the rest of the group to shut down. We had another mom mention that she had been doing research on home births and natural labor; original mom told this mom is flat out "crazy". We could all tell that the other mom was just shut down and upset after hearing that. We don't want mommy-shaming in our groups!!
So all that to say, has anyone ever had a situation in which they had to dis-invite a mom from Centering and ask her to go back to individual care? I'm pretty sure the facilitators and myself (the coordinator for our sites) all agree that this might be what is best for the entire group.
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starrrivera
GA - Centering Georgia
Posts: 23 
I work at a: Healthcare Facility
My job role is: Staff
I am interested in Centering because: As a military spouse myself, I can see the HUGE benefit Centering has to our expectant moms who are often many miles from home with no friends or family nearby! I feel like the Centering model is a perfect fit for our environment!
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Post by starrrivera on Aug 17, 2018 9:30:09 GMT -5
While we have never had to officially remove someone from a group for this type of behavior, we HAVE had a few patients where it was necessary to reiterate the group rules and even revamp and add a few....to include things like "No mommy shaming!" Utilize the talking stick and sternly remind her that it is okay to disagree, but she needs to respect everyone's opinions. Maybe she will change her tone? Or maybe she will just remove herself from the group?! Good luck!
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kslozada
New Member
Posts: 5
I work at a: Healthcare Facility
My job role is: Staff
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Post by kslozada on Aug 20, 2018 9:42:22 GMT -5
Thank you for your response! We have actually included "No mommy shaming" as an add-on during session 2 of this very group because of how similar, yet different every patient in this group is from each other. It's helped for the most part. Enforcing the talking stick sounds like a really good idea to try next.
Thanks again!
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smerrell
CHI Staff 
Posts: 243
My job role is: Staff
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Post by smerrell on Aug 20, 2018 13:31:31 GMT -5
This patient example is exactly what we learn to manage in our Advance Facilitation workshops!
I think the talking stick is a great suggestion. Another strategy is to use proximity - sit next to that patient and maybe gently touch her shoulder if she interrupts another patient as a non-verbal way to redirect. It may helpful to have an individual conversation with that patient too, to reinforce those group guidelines and talk about how some of her comments may make others in the group feel - if she comes in early, it may also be time to chat individually and prep her for some of the topics and remind her that we welcome a variety of perspectives and opinions in group.
Good luck, this is certainly a tricky situation to navigate!
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