基于接受和承诺的护理干预对工作场所排斥、组织沉默和护士心理压力的影响

Rania El gendy, D. El-boudy, Shereen Hashem, Nehal Emaraa
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摘要

背景:心理困扰、工作场所排斥和组织沉默是组织中的重要问题,对个人和整个组织都会产生负面影响。本研究旨在探讨基于接纳与承诺的护理干预对工作场所排斥、组织沉默和护士心理压力的影响。研究对象和方法:采用准实验设计方法。研究地点:研究在埃及梅努菲亚省 Shebin El-kom 区梅努菲亚大学医院的急诊科、重症监护室、内科、血液透析室和精神心理健康室进行。研究人员有目的性地抽取了 100 名护士,并将其分为研究组和对照组。数据收集使用了四种工具 (1):结构化访谈问卷:评估护士的社会人口特征;(2)工作场所排斥量表;(3)组织沉默问卷;(4)21 项(DASS-21)量表,用于测量抑郁、焦虑和压力(心理困扰)。研究结果表明,与对照组相比,接受与承诺护理干预后,研究组的工作场所排斥、组织沉默和心理压力水平在统计学上明显降低。结论:基于接纳与承诺的护理干预对降低护士的心理压力水平、减少工作场所排斥和组织沉默有积极作用。建议 :所有护士,尤其是从事精神科护理工作的护士,都应参加接纳与承诺培训项目,以增强其抗压能力,并使其能够以积极的心态面对困难。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Efficiency of Acceptance and Commitment Based Nursing Intervention on Work place Ostracism, Organizational Silence and Psychological Distress among Nurses
Background: Psychological distress, workplace ostracism and organizational silence are significant problems in organizations, with negative consequences for both individuals and the organization as a whole. The aim of the study was to examine efficiency of Acceptance and Commitment based nursing intervention in work place ostracism, organizational silence and psychological distress among nurses. Subjects and Method: A quasi-experimental design approach was adopted. Setting : The study was carried out at departments of Emergency Unit, Critical Care Units, Medical Unit, Haemodialysis Unit, and Psychiatric Mental Health Units. of Menoufia University Hospital, Shebin El-kom District, Menoufia Governorate, Egypt. A purposive sample of 100 nurses was selected and divided into two equal groups; study group and control group. Four tools were utilized for data collection (1): A structured interviewing questionnaire: to assess socio-demographic characteristics of the nurses, (2) Workplace Ostracism Scale, (3) Organizational silence questionnaire, (4) -21 Items (DASS-21) scale to measure , Depression, Anxiety and Stress (psychological distress ) . The results : revealed that there was a significant statistically reduction in the level of work place ostracism, organizational silence and psychological distress in the study group after application of Acceptance and Commitment based nursing intervention than control group. Conclusion : It was concluded that the acceptance and commitment based nursing intervention has a positive effect on reducing psychological distress level, reducing work place ostracism and reducing organizational silence among nurses. Recommendations : Acceptance and Commitment training programs should be implemented for all nurses, particularly those in psychiatric nursing to increase their resilience, and enable them to confront difficult situations with a positive mindset.
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