Evaluating a peer-support mind-body medicine intervention for healthcare leaders.

IF 3.4 2区 医学 Q1 NURSING
Lesly Kelly, Chyela Rowe, Aproteem Choudhury, Sandy Woo-Cater, Lindiwe Greenwood
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Abstract

Background: Mind-body medicine (MBM) is an evidence-based intervention associated with trauma and stressful events. The MBM intervention alleviates symptoms of work-related stress and builds resilience by utilizing self-care techniques facilitated in small group settings. Healthcare leaders who experienced traumatic stress through the COVID-19 pandemic may benefit from interventions aimed at their needs.

Aim: We evaluated the effects of a peer support MBM intervention on perceived stress, resilience, well-being, and empathy for nurse leaders and compassionate care leaders.

Methods: A pre-post intervention was conducted via 7 virtual and 2 on-site groups, recruiting from a large multihospital health system in the United States. Participants engaged in an 8-week program facilitated by a certified faculty group leader from The Center for Mind-Body Medicine and engaged in resilience skills building activities along with facilitated sharing. Validated instruments were used to measure outcomes at pre, post, 1 month, and 6 month follow-up intervals. Surveys included open-ended questions for qualitative feedback related to facilitators, barriers, and group experiences.

Results: Seventy-three leaders completed the MBM program, and 22 completed the four research surveys; all qualitative responses were included for feedback. Perceived stress decreased after the intervention (p < .008) and was maintained for 6 months post intervention (p < .005). Resilience increased after the intervention (p < .034) and for 1 month (p < .049) but decreased after 6 months. Qualitative responses showed that time and workload factors were the most significant barrier to participation, while the benefits included protected time with peers, learning well-being skills, and having a safe place to process emotions.

Linking evidence to action: Healthcare leaders face unique challenges, including workplace trauma and crises. Interventions that support their stress response, resilience, and overall well-being should take into consideration the nature of their work, the balance of time demands, and the need for peer support to overcome barriers to sustainable interventions.

评估针对医疗保健领导的同伴支持身心医学干预。
背景:身心医学(MBM)是一种与创伤和压力事件相关的循证干预措施。心身医学干预措施可减轻工作压力症状,并通过在小组环境中使用自我保健技巧来增强抗压能力。在 COVID-19 大流行中经历了创伤压力的医疗保健领导者可能会从针对其需求的干预中受益。目的:我们评估了同伴支持式 MBM 干预对护士领导者和同情护理领导者的感知压力、复原力、幸福感和同理心的影响:方法:我们通过 7 个虚拟小组和 2 个现场小组,从美国一家大型多医院医疗系统招募人员,开展了一项事前事后干预活动。参与者参加了为期 8 周的课程,该课程由身心医学中心的认证教师小组领导者主持,参与者参与了复原力技能建设活动,并进行了分享。经过验证的工具被用于测量前期、后期、1 个月和 6 个月随访的结果。调查包括开放式问题,以获得有关促进因素、障碍和小组经验的定性反馈:73 名领导者完成了 MBM 计划,22 人完成了四项研究调查;所有定性反馈都包括在内。干预后,感知到的压力有所下降(p 将证据与行动联系起来:医疗保健领导面临着独特的挑战,包括工作场所的创伤和危机。支持他们的压力反应、复原力和整体健康的干预措施应考虑到他们的工作性质、时间需求的平衡以及同伴支持的需要,以克服可持续干预措施的障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.10
自引率
11.60%
发文量
72
审稿时长
>12 weeks
期刊介绍: The leading nursing society that has brought you the Journal of Nursing Scholarship is pleased to bring you Worldviews on Evidence-Based Nursing. Now publishing 6 issues per year, this peer-reviewed journal and top information resource from The Honor Society of Nursing, Sigma Theta Tau International, uniquely bridges knowledge and application, taking a global approach in its presentation of research, policy and practice, education and management, and its link to action in real world settings. Worldviews on Evidence-Based Nursing is written especially for: Clinicians Researchers Nurse leaders Managers Administrators Educators Policymakers Worldviews on Evidence­-Based Nursing is a primary source of information for using evidence-based nursing practice to improve patient care by featuring: Knowledge synthesis articles with best practice applications and recommendations for linking evidence to action in real world practice, administra-tive, education and policy settings Original articles and features that present large-scale studies, which challenge and develop the knowledge base about evidence-based practice in nursing and healthcare Special features and columns with information geared to readers’ diverse roles: clinical practice, education, research, policy and administration/leadership Commentaries about current evidence-based practice issues and developments A forum that encourages readers to engage in an ongoing dialogue on critical issues and questions in evidence-based nursing Reviews of the latest publications and resources on evidence-based nursing and healthcare News about professional organizations, conferences and other activities around the world related to evidence-based nursing Links to other global evidence-based nursing resources and organizations.
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