一个非常有效的正念干预倦怠预防和弹性建设护士。

IF 3.1 Q2 HEALTH CARE SCIENCES & SERVICES
AIMS Public Health Pub Date : 2025-01-14 eCollection Date: 2025-01-01 DOI:10.3934/publichealth.2025007
Maryanna Klatt, Jacqueline Caputo, Julia Tripodo, Nimisha Panabakam, Slate Bretz, Yulia Mulugeta, Beth Steinberg
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引用次数: 0

摘要

目的:卫生保健工作者,尤其是护理专业人员,面临着高水平的反复压力,导致倦怠症状和其他负面的心理健康后果。这表明需要更多的个人和组织卫生系统支持,包括实施有效的、基于证据的干预措施,以减少这一人群的职业倦怠。组织支持的基于正念的干预可以用来建立个人弹性,缓冲职业压力的有害影响,提高职业幸福感。我们的目的是评估循证正念干预对护理专业人员感知压力、倦怠、恢复力和工作投入的影响。方法:本研究采用非随机单臂,前后设计。医护人员(n = 631),包括注册护士和高级执业护士(n = 128)、医生(n = 105)、社会工作者(n = 21)、药剂师(n = 8)、牧师(n = 30)、医生和职业治疗师(n = 39)、病人护理助理(n = 13)、其他临床工作人员(n = 26)、非临床工作人员(n = 229)和其他32人参加了“运动中的正念”,这是一项为期8周的循证工作场所正念干预。评估倦怠的有效自我报告测量(Maslach倦怠量表),感知压力(感知压力量表),恢复力(康纳戴维森恢复力量表)和工作投入(乌得勒支工作投入评分)在项目前后进行。总倦怠由马斯拉克倦怠量表中情绪耗竭、去人格化和个人成就的子量表得分决定:情绪耗竭bbb27或去人格化>3或个人成就。注册护士和高级执业护士在职业倦怠(p < 0.00001)、感知压力(p < 0.00001)、恢复力(p < 0.00001)和工作投入(p < 0.00001)方面显著降低。值得注意的是,不再被认定为倦怠的护理专业人员的数量比其他参与者高出10%。结论:我们的研究结果表明,护理专业人员可以从组织支持的正念干预(如运动中的正念)中受益匪浅,与其他卫生系统员工相比,他们可能受益最大。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A highly effective mindfulness intervention for burnout prevention and resiliency building in nurses.

Objectives: Healthcare workers, most notably nursing professionals, face high levels of recurrent stress that lead to symptoms of burnout and other negative mental health outcomes. This indicates the need for greater individual and organizational health system support, including implementation of effective, evidence-based interventions for burnout reduction in this population. Organizationally supported mindfulness-based interventions can be used to build individual resilience, buffering the detrimental effects of occupational stress and enhance professional well-being. Our aim was to evaluate the effect of an evidence-based mindfulness intervention on perceived stress, burnout, resilience, and work engagement in nursing professionals.

Methods: A non-randomized single arm, pre/post design was used for this study. Healthcare workers (n = 631), including Registered Nurses and Advanced Practice Nurses (n = 128), physicians (n = 105), social workers (n = 21), pharmacists (n = 8), chaplains (n = 30), physician and occupational therapists (n = 39), patient care assistants (n = 13), other clinical staff (n = 26), non-clinical staff (n = 229), and 32 others participated in Mindfulness in Motion, an 8-week evidence-based worksite mindfulness intervention. Validated self-report measures assessing burnout (Maslach Burnout Inventory), perceived stress (Perceived Stress Scale), resilience (Connor Davidson Resiliency Scale), and work engagement (Utrecht Work Engagement Score) were given pre and post program. Total burnout was determined by scores on the subscales of emotional exhaustion, depersonalization, and personal accomplishment of the Maslach Burnout Inventory: Emotional exhaustion >27 or depersonalization >13 or personal accomplishment <31.

Results: Significant reductions in burnout (p < 0.00001), perceived stress (p < 0.00001), with significant increases in resilience (p < 0.00001), and work engagement (p < 0.00001) were observed among Registered and Advanced Practice Nurses comparing pre-post measures. Notably, the number of nursing professionals who no longer qualified as burned out was 10% higher than the other participants.

Conclusion: Our results suggest that nursing professionals could greatly benefit from organizationally supported mindfulness-based interventions such as Mindfulness in Motion and may benefit them most compared to other health system employees.

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来源期刊
AIMS Public Health
AIMS Public Health HEALTH CARE SCIENCES & SERVICES-
CiteScore
4.80
自引率
0.00%
发文量
31
审稿时长
4 weeks
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