心理健康护理环境中护士职业倦怠和情绪状态的准实验研究

J. Scerri, A. Sammut, Margaret Mangion, Michael Galea, P. Grech, Sarah Cilia Vincenti, L. Camilleri
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摘要

护士职业倦怠是一种普遍存在的现象,它会影响护士的生活质量、工作效能和组织承诺。因此,需要采取干预措施,提高护士的福祉,并针对在复杂和动态环境中工作的专业人员的需求和关注。本研究的目的是检验护士提供精神疾病患者护理的强化干预的有效性。对120名护士进行准实验研究。68名护士接受干预,52名护士作为对照组。干预包括下列会议:(i)批判性和创造性思维;(2)正念;(三)法律问题;(iv)文件和(v)表现艺术。被试分别在测试前和测试后完成了马斯拉克职业倦怠量表和das -21。单日干预连续重复4次。数据分析采用Pearson卡方检验、Wilcoxon符号检验、Mann-Whitney U检验、Spearman秩序相关性和一般线性模型。干预后,倦怠、人格解体、压力和焦虑显著减少。压力、个人成就(倦怠)、性别和年龄是倦怠领域人格解体的预测因子。除了认知和表达艺术课程外,结合批判性和创造性思维以及法律问题的干预措施在减少护士的倦怠,焦虑和压力方面是有效的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Targeting Burnout and Emotional State in Nurses within a Mental Health Care Setting: A Quasi-Experimental Study
Nurse burnout is a widespread phenomenon that may impact their quality of life, work efficacy and organisational commitment. Hence, the need for interventions that enhance nurse well-being, and which target the needs and concerns of professionals working in a complex and dynamic context. The aim of this study is to examine the effectiveness of an intensive intervention for nurses providing care to persons with mental illnesses. A quasi-experimental study was conducted with 120 nurses. Sixty-eight nurses received the intervention, and fifty- two nurses were in the control group. The intervention incorporated sessions on: (i) critical and creative thinking; (ii) mindfulness; (iii) legal issues; (iv) documentation and (v) expressive arts. Participants completed the Maslach Burnout Inventory and the DASS-21 at pre- and post- test. The single day intervention was repeated for 4 consecutive times. Data were analysed using the Pearson’s chi square test, Wilcoxon sign test, Mann–Whitney U test, Spearman’s rank order correlation and a general linear model. Significant decreases in burnout-depersonalisation, stress and anxiety were identified post intervention. Stress, personal accomplishment (burnout), gender and age-group were predictors of the burnout domain- depersonalisation. Interventions incorporating critical and creative thinking and legal issues in addition to cognitive and expressive art sessions, are efficacious in reducing burnout, anxiety, and stress in nurses.
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