Rebecca L Turpin, Sarah Martin, Rebecca Liljestrand, Heather Wensil Venrick
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引用次数: 0
Abstract
Purpose: To study holistic health of rural registered hospital nurses by exploring quality of life and resilience. Design: Mixed methods survey design. Methods: Two hundred nine registered nurses from 23 rural-designated hospitals were recruited via e-mail using a state nurse database. The survey utilized the Connor-Davidson Resilience Scale, the WHO Quality of Life-BREF Scale, demographic questions, and two open-ended questions for self-reporting resilience strategies and barriers. Demographics and scale ratings were analyzed using SPSS. Content analysis was used to evaluate self-reported resilience strategies and barriers. Findings: Reliability scale ratings were r = 0.886 and r = 0.935, respectively. A resilience mean score of 31.7 of 40 max (moderate) was consistent with prior studies for nurses and larger populations. The quality-of-life mean score (4.38 out of 5) indicating a strong rating of personal health and moderate satisfaction for overall holistic health. The psychological health mean was rated lowest. Qualitative findings identified six themes for resilience strategies and five themes for barriers to participation in resilience activities. These themes align strongly with the philosophical principles of holistic nursing. Conclusion: Resilience-building interventions and consideration for decreasing barriers to health-promoting behaviors are suggested. Fostering resilience can improve quality of life of nurses and support effective, holistic care.
目的：探讨农村注册医院护士的整体健康状况，探讨其生活质量和心理韧性。设计：混合方法调查设计。方法：利用国家护士数据库，通过电子邮件方式从23所农村定点医院招募注册护士209名。该调查利用了康纳-戴维森弹性量表、世卫组织生活质量量表、人口统计问题和两个关于自我报告弹性策略和障碍的开放式问题。人口统计学和量表评分采用SPSS进行分析。内容分析用于评估自我报告的弹性策略和障碍。结果：信度量表评分r = 0.886, r = 0.935。弹性平均得分为31.7 (40 max (moderate))，与之前对护士和更大人群的研究一致。生活质量平均得分（4.38分，满分5分），表明个人健康评分较高，整体健康满意度中等。心理健康平均评分最低。定性研究结果确定了复原力战略的六个主题和参与复原力活动的五个障碍主题。这些主题与整体护理的哲学原则密切相关。结论：建议采取恢复力建设干预措施，并考虑减少健康促进行为的障碍。培养适应能力可以提高护士的生活质量，并支持有效的整体护理。
期刊介绍：
Manuscripts are solicited that deal with the processes of knowledge development and application including research, concept analysis and theory development, practical applications of research and theory, clinical case studies and analysis, practice applications in general, educational approaches and evaluation, and aesthetic expressions of holistic knowledge. While the journal seeks to support work grounded in evidence, the editorial philosophy suggests that there are many diverse sources of “evidence” beyond the realm of what is called “empirical” and that many methods are appropriate for discovering evidence and generating knowledge.
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