Abstract：
BACKGROUND: The cumulative stress toll on nurses increased during the COVID-19 pandemic. An evidence-based practice (EBP) project was conducted to understand what is known about the impacts of cumulative stress within nursing and if there are ways to mitigate stress during a nurse\'s shift.
UNASSIGNED: A project team from three clinical units completed an extensive literature review and identified the need to promote detachment while supporting parasympathetic recovery. Based on this review, leaders from three pediatric clinical units (neonatal intensive care unit, cardiovascular intensive care unit, and acute pulmonary floor) implemented respite rooms.
RESULTS: Follow-up outcomes showed a statistically significant stress reduction. For all shifts combined, the Wilcoxon Signed-Rank Test revealed that perceived stress scores from an 11-point Likert scale (0 = no stress and 10 = maximum perceived stress) were significantly lower in the post-respite room (Md = 3, n = 68) compared to in the pre-respite room (Md = 6, n = 68), Z = -7.059, p < .001, with a large effect size, r = .605. Nurses and other staff frequently utilized respite rooms during shifts.
CONCLUSIONS: Clinical inquiry and evidence-based practice processes can mitigate cumulative stress and support staff wellbeing. Respite rooms within the hospital can promote a healthy work environment among nurses and promote a self-care culture change. Evidence-based strategies to mitigate cumulative stress using respite rooms are a best practice to promote nurse wellbeing and mitigate cumulative stress.
UNASSIGNED: A project team from three clinical units completed an extensive literature review and identified the need to promote detachment while supporting parasympathetic recovery. Based on this review, leaders from three pediatric clinical units (neonatal intensive care unit, cardiovascular intensive care unit, and acute pulmonary floor) implemented respite rooms.
RESULTS: Follow-up outcomes showed a statistically significant stress reduction. For all shifts combined, the Wilcoxon Signed-Rank Test revealed that perceived stress scores from an 11-point Likert scale (0 = no stress and 10 = maximum perceived stress) were significantly lower in the post-respite room (Md = 3, n = 68) compared to in the pre-respite room (Md = 6, n = 68), Z = -7.059, p < .001, with a large effect size, r = .605. Nurses and other staff frequently utilized respite rooms during shifts.
CONCLUSIONS: Clinical inquiry and evidence-based practice processes can mitigate cumulative stress and support staff wellbeing. Respite rooms within the hospital can promote a healthy work environment among nurses and promote a self-care culture change. Evidence-based strategies to mitigate cumulative stress using respite rooms are a best practice to promote nurse wellbeing and mitigate cumulative stress.
摘要：
背景：在COVID-19大流行期间，护士的累积压力增加。进行了一项循证实践（EBP）项目，以了解护理中累积压力的影响以及是否有减轻护士轮班期间压力的方法。
■来自三个临床单位的项目团队完成了广泛的文献综述，并确定了在支持副交感神经恢复的同时促进脱离的必要性。基于这篇综述,来自三个儿科临床单位的领导(新生儿重症监护室，心血管重症监护室,和急性肺底)实施喘息室。
结果：随访结果显示压力显著减轻。对于所有组合的班次，WilcoxonSigned-Rank测试表明，在喘息后的房间（Md=3，n=68）中，从11点李克特量表（0=无压力和10=最大感知压力）的感知压力得分显着降低与在喘息前的房间（Md=6，n=68）相比，Z=-7.059，p<.001，具有较大的效果大小，r=.605。护士和其他工作人员经常在轮班期间使用喘息室。
结论：临床调查和基于证据的实践过程可以减轻累积压力并支持员工的福祉。医院内的临时房间可以促进护士之间的健康工作环境，并促进自我护理文化的变化。使用喘息室减轻累积压力的循证策略是促进护士健康和减轻累积压力的最佳实践。
■来自三个临床单位的项目团队完成了广泛的文献综述，并确定了在支持副交感神经恢复的同时促进脱离的必要性。基于这篇综述,来自三个儿科临床单位的领导(新生儿重症监护室，心血管重症监护室,和急性肺底)实施喘息室。
结果：随访结果显示压力显著减轻。对于所有组合的班次，WilcoxonSigned-Rank测试表明，在喘息后的房间（Md=3，n=68）中，从11点李克特量表（0=无压力和10=最大感知压力）的感知压力得分显着降低与在喘息前的房间（Md=6，n=68）相比，Z=-7.059，p<.001，具有较大的效果大小，r=.605。护士和其他工作人员经常在轮班期间使用喘息室。
结论：临床调查和基于证据的实践过程可以减轻累积压力并支持员工的福祉。医院内的临时房间可以促进护士之间的健康工作环境，并促进自我护理文化的变化。使用喘息室减轻累积压力的循证策略是促进护士健康和减轻累积压力的最佳实践。
