MINDSTRONG认知行为技能建设倡议，以提高十大大学护理学生的健康：经验教训

Q3 Nursing

Journal of Radiology Nursing Pub Date : 2025-03-01 DOI:10.1016/j.jradnu.2024.11.004

Kelly A. Wolgast DNP, RN, FACHE, FAAN, COL (R), U.S. Army, Christina M. Lightner PhD, WHNP-BC, RN, CNE, Diane Berish PhD, Abigail Zlockie MS, Laurie Badzek LLM, JD, RN, FNAP, FAAN

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引用次数: 0

摘要

护理专业的学生经历更高的焦虑、抑郁、压力和倦怠率。提供MINDSTRONG，一个基于证据的认知行为技能建设项目，可以增强护理学生的弹性，减少焦虑、抑郁、压力和倦怠的感觉。方法采用虚拟授课和现场授课两种方式实施课程。参与者完成了在线人口统计信息、项目结束评估和四种有效工具，包括患者健康问卷-8 （PHQ-8）、广泛性焦虑障碍量表-7 （GAD-7）、感知压力量表-4 （PSS-4）和单项倦怠量表。结果调查对象为本科护生431名。学生们在基线上报告了大量的抑郁、焦虑、压力和倦怠。总体而言，平均压力（PSS-4）和倦怠（单项倦怠）得分较基线有统计学上的显著提高。抑郁（PHQ-8）和焦虑（GAD-7）得分前后差异无统计学意义。在完成MINDSTRONG项目后，报告基线水平最高的学生在倦怠、抑郁和焦虑方面显著减少，并且在训练后的压力增加也比开始时总体得分较低的学生少。这项质量改进计划支持将健康内容整合和加强到课程和其他与大学相关的学生支持、推广和教职员工专业发展计划中的持续努力。

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MINDSTRONG Cognitive Behavioral Skills Building Initiative to Enhance Wellness in Nursing Students at a Big 10 University: Lessons Learned

Introduction

Nursing students experience higher rates of anxiety, depression, stress, and burnout. Providing MINDSTRONG, an evidence-based cognitive behavioral skills-building program, to nursing students may enhance resiliency and decrease feelings of anxiety, depression, stress, and burnout.

Methods

Implemented program using virtual and in-person delivery methods. Participants completed online demographic information, end-of-program evaluation, and four validated tools including the Patient Health Questionnaire–8 (PHQ-8), Generalized Anxiety Disorder–7 (GAD-7), Perceived Stress Scale–4 (PSS-4), and a Single-Item Burnout Measure.

Results

Participants included 431 undergraduate nursing students. Students reported substantial levels of depression, anxiety, stress, and burnout at baseline. Overall, average stress (PSS-4) and burnout (Single-Item Burnout) scores showed a statistically significant increase from baseline.

Depression (PHQ-8) and anxiety (GAD-7) scores showed no statistically significant change pre-to post. Students who reported the highest levels at baseline had a significant reduction in burnout, depression, and anxiety after completing the MINDSTRONG program and had less of an increase in stress post-training than students who started with lower scores overall.

Conclusions

This quality improvement initiative supports ongoing efforts to integrate and strengthen wellness content into the curriculum and other college-related student support, outreach, and faculty/staff professional development initiatives.

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来源期刊

Journal of Radiology Nursing Nursing-Advanced and Specialized Nursing

CiteScore

0.80

自引率

0.00%

发文量

审稿时长

57 days

期刊介绍： The Journal of Radiology Nursing promotes the highest quality patient care in the diagnostic and therapeutic imaging environments. The content is intended to show radiology nurses how to practice with compassion, competence, and commitment, not only to patients but also to the profession of nursing as a whole. The journal goals mirror those of the Association for Radiologic & Imaging Nursing: to provide, promote, maintain , and continuously improve patient care through education, standards, professional growth, and collaboration with other health care provides.