A cognitive-behavioral skills building program improves mental health and enhances healthy lifestyle behaviors in nurses and other hospital employees.

IF 3.4 2区医学 Q1 NURSING

Worldviews on Evidence-Based Nursing Pub Date : 2023-12-01 Epub Date: 2023-10-28 DOI:10.1111/wvn.12686

Jacqueline Hoying, Ayanna Terry, Stephanie Kelly, Bernadette Mazurek Melnyk

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引用次数: 0

Abstract

Background: Mental health outcomes in nurses have historically indicated a greater prevalence of anxiety, depression, and suicide than the general population. It is vital to provide programming for healthcare workers to gain the necessary skills to reduce burnout and improve their mental and physical health.

Aims: The aims of this study were to evaluate mental health outcomes and healthy lifestyle beliefs and behaviors among nurses and other hospital employees who completed MINDBODYSTRONG, a cognitive-behavioral skill building program.

Methods: A pre-experimental, pre- and poststudy design was used to examine mental health and well-being outcomes among 100 hospital personnel who participated in MINDBODYSTRONG, a program designed to improve coping and resiliency and decrease stress, anxiety, and depressive symptoms. Outcomes measured included healthy lifestyle behaviors, healthy lifestyle beliefs, anxiety, depression, stress, and burnout.

Results: One hundred hospital personnel, including 93 nurses, completed the pre- and post-survey. Among all participants, post- MINDBODYSTRONG scores for healthy lifestyle beliefs (p = .00; Cohen's d = 0.52) and healthy lifestyle behaviors (p = .00; Cohen's d = -0.74) increased significantly with medium effects, while depression (p = .00; Cohen's d = -0.51), anxiety (p = .00; Cohen's d = -0.54), stress (p = .00; Cohen's d = -0.33), and burnout (p = .00; Cohen's d = -0.37) decreased significantly with small and medium effects. The program produced even stronger positive effects on mental health outcomes for participants who started the study with higher levels of depression and anxiety.

Linking evidence to practice: Anxiety, depression, stress, and burnout decreased significantly postintervention. Participants also significantly improved their healthy lifestyle beliefs and behaviors with the MINDBODYSTRONG program. MINDBODYSTRONG is an effective program that reduces anxiety, depression, burnout, and stress and improves healthy lifestyle beliefs and behaviors in hospital-based clinicians. It is of utmost importance to provide evidence-based programs to improve mental resiliency and decrease stress, anxiety, burnout, and depressive symptoms, which will ultimately improve the safety and quality of health care.

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认知行为技能培养计划改善了护士和其他医院员工的心理健康，并增强了他们的健康生活方式。

背景：护士的心理健康结果历来表明，焦虑、抑郁和自杀的患病率高于普通人群。为医护人员提供计划，以获得必要的技能，减少倦怠，改善他们的身心健康，这一点至关重要。目的：本研究的目的是评估完成认知行为技能建设项目MINDBODYSTRONG的护士和其他医院员工的心理健康结果以及健康的生活方式信念和行为。方法：采用实验前、研究前和研究后的设计，对100名参加MINDBODYSTRONG的医院工作人员的心理健康和幸福感结果进行检查。MINDBODSYSTRONG是一个旨在提高应对能力和弹性，减少压力、焦虑和抑郁症状的项目。测量的结果包括健康的生活方式行为、健康的生活习惯信念、焦虑、抑郁、压力和倦怠。结果：包括93名护士在内的100名医院工作人员完成了前后调查。在所有参与者中，MINDBODYSTRONG后健康生活方式信念得分（p = .00；Cohen的d = 0.52）和健康的生活方式行为（p = .00；Cohen的d = -0.74）在中等影响下显著增加，而抑郁（p = .00；Cohen的d = -0.51），焦虑（p = .00；Cohen的d = -0.54），应力（p = .00；Cohen的d = -0.33）和倦怠（p = .00；Cohen的d = -0.37）显著降低，具有中小效应。该项目对那些在开始研究时抑郁和焦虑程度较高的参与者的心理健康结果产生了更强的积极影响。将证据与实践联系起来：干预后，焦虑、抑郁、压力和倦怠显著降低。参与者还通过MINDBODYSTRONG项目显著改善了他们的健康生活方式信念和行为。MINDBODYSTRONG是一个有效的项目，可以减少焦虑、抑郁、倦怠和压力，并改善医院临床医生的健康生活方式信念和行为。提供循证计划以提高心理弹性、减少压力、焦虑、倦怠和抑郁症状至关重要，这将最终提高医疗保健的安全性和质量。

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

Worldviews on Evidence-Based Nursing 医学-护理

CiteScore

6.10

自引率

11.60%

发文量

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.