[在高压力护理工作场所促进自我护理和复原力]。

Q3 Nursing
Hsing-Yu Yang
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引用次数: 0

摘要

人员短缺和工作量过大是全世界护士面临的问题。在美国,62%的护士经历过职业倦怠,25岁以下护士的职业倦怠率高达75%(美国护士协会,2024)。在台湾,近年来护理人员短缺导致临床护士工作负荷过重和疲惫不堪,对护理管理和教育提出了严峻的挑战。职业倦怠不仅影响心理健康,还会对临床决策和应对压力的能力产生负面影响(Gao et al., 2023)。自我照顾是指对自己身心健康的关注和照顾。有效的自我保健包括定期实施策略,以防止压力和焦虑,同时提高整体健康和福祉(权,2023)。弹性通常被定义为一种动态适应过程,描述了克服困难和从逆境中成长而不屈服于倦怠或心理社会健康问题的能力。弹性水平较高的护士往往从压力事件中恢复得更快,情绪衰竭的程度也更低(Tzeng et al., 2023)。从保持对自己身心健康的意识和照顾,到在困难和逆境中适应和成长,发展基本的相关知识和技能对护理专业人员至关重要,他们的培训深深植根于利他主义、奉献精神和同理心,尤其适用于高压力和负担过重的工作环境。为临床护理和护理教育开发了各种自我保健和复原力建设干预措施。例子包括正念训练,认知行为训练,基于家庭短信的咨询,以及专注于感恩,同情,接受和宽恕以及冥想的弹性训练。除了传统的面对面培训外,已经开发了基于数字和虚拟现实的弹性计划,以适应轮班工作的护士的需求(Clough等人,2024;Yu et al., 2024)。研究支持正念训练有效地缓解压力,减少疲劳,减少护士之间的工作场所冲突(Lee et al., 2024;Talebiazar et al., 2024)。此外,培养正念有助于提高复原力,提高工作满意度,改善患者护理结果(Talebiazar等人,2025)。对基于正念的干预措施的系统回顾强调,正念是急诊和重症护理护士对抗倦怠、增强同情心和建立复原力的有效策略(Joseph & Jose, 2024)。此外,在轮班时间进行的10分钟基于虚拟现实的冥想干预已被证明可以减轻工作12小时轮班的临床护士的压力(Clough等人,2024)。本期特邀了四位护理和心理学领域的杰出专家,专门从事自我护理和弹性教育与研究。他们详细阐述了主题,包括基于正念的自我同情疗法和策略,以及在实施过程中遇到的常见误解,基于感恩的弹性,以及通过绿色空间倡议减轻压力;在日常护理程序和机构规范层面的实际应用。在这期中,我们旨在帮助护士进一步发展自我意识,实践自我同情,并有效地运用弹性策略。这些努力将有助于减轻工作压力,减少倦怠,并提高整体幸福感。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Promoting Self-Care and Resilience in High-Stress Nursing Workplaces].

Staffing shortages and excessive workloads are issues faced by nurses worldwide. In the United States, 62% of nurses experience burnout, with burnout rates reaching as high as 75% among nurses under the age of 25 (American Nurses Association, 2024). In Taiwan, recent nursing staff shortages have led to excessive workloads and exhaustion among clinical nurses, presenting a critical challenge for nursing administration and education. Occupational burnout not only affects psychological well-being but also negatively influences clinical decision-making and the ability to cope with stress (Gao et al., 2023). Self-care refers to the attention and care given to one's physical and mental health. Effective self-care involves regularly implementing strategies to prevent stress and anxiety while enhancing overall health and well-being (Kwon, 2023). Resilience is generally defined as a dynamic adaptation process describing the ability to overcome difficulties and grow from adversity without succumbing to burnout or psychosocial health issues. Nurses with higher levels of resilience tend to recover more quickly from stressful events and experience lower levels of emotional exhaustion (Tzeng et al., 2023). From maintaining awareness and care for one's physical and mental well-being to adapting and growing through difficulties and adversity, developing essential relevant knowledge and skills is crucial for nursing professionals, whose training is deeply rooted in altruism, dedication, and empathy and especially applicable in high-stress and overburdened workplace environments. Various self-care and resilience-building interventions have been developed for clinical nursing and nursing education. Examples include mindfulness training, cognitive-behavioral training, home text-based counseling, and resilience training focusing on gratitude, compassion, acceptance, and forgiveness as well as meditation. In addition to traditional in-person training, digital and virtual reality-based resilience programs have been developed to accommodate the needs of nurses who work rotating shifts (Clough et al., 2024; Yu et al., 2024). Research supports that mindfulness training effectively alleviates stress, reduces fatigue, and decreases workplace conflicts among nurses (Lee et al., 2024; Talebiazar et al., 2024). Moreover, fostering mindfulness contributes to greater resilience, increased job satisfaction, and improved patient care outcomes (Talebiazar et al., 2025). A systematic review of mindfulness-based interventions highlighted mindfulness as an effective strategy for emergency and critical care nurses to combat burnout, enhance compassion, and build resilience (Joseph & Jose, 2024). Moreover, a 10-minute virtual reality-based meditation intervention performed during shift hours has been shown to alleviate stress among clinical nurses working 12-hour shifts (Clough et al., 2024). For this issue, four distinguished experts in nursing and psychology specializing in self-care and resilience education and research have been invited to contribute articles. They elaborate on topics including mindfulness-based self-compassion therapy and strategies and common misconceptions encountered during the implementation, gratitude-based resilience, and stress reduction via green space initiatives; practical applications at the levels of both daily nursing routines and institutional norms. In this issue, we aim to help nurses further develop their self-awareness, practice self-compassion, and effectively apply resilience strategies. These efforts will help alleviate work-related stress, reduce burnout, and enhance overall well-being.

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来源期刊
Journal of Nursing
Journal of Nursing Medicine-Medicine (all)
CiteScore
0.80
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