关键词: Assisted living Mindfulness Stress reduction

Mesh : Humans Mindfulness / methods Stress, Psychological / prevention & control psychology Job Satisfaction Burnout, Professional / prevention & control psychology Nurses / psychology

来  源:   DOI:10.1016/j.gerinurse.2024.06.026

Abstract:
BACKGROUND: Poor quality of care and patient safety, adverse patient outcomes, high rates of burnout and turnover, and increased job dissatisfaction are all linked to uncontrolled stress among nurses. Unmanaged nurse stress can lead to disorganized thinking, decreased ability to focus and concentrate, and can put patients at risk. The purpose of the integrative review was to determine the effects of a mindfulness-based stress reduction (MBSR) program to reduce the perceived stress levels of nurses.
METHODS: Included was a search of databases using key search terms and inclusion and exclusion criteria. Relevant peer-reviewed articles within the last five years were appraised to identify similarities and differences. This paper discusses the implications of unresolved stress on nurses and patients they care for including quality and safety of patient care, cost of nurse turnover rates related to stress, and poor work efficiency.
CONCLUSIONS: Literature results suggest that implementation of a mindfulness-based stress reduction (MBSR) program leads to a reduction in perceived stress levels among nurses resulting in improved patient outcomes, increased job satisfaction, and reduction of organizational costs associated with the hiring and onboarding process.
UNASSIGNED: It is the conclusion of this integrative review that implementation of a MBSR program leads to improvements in stress reduction and indirectly positively impacts patient outcomes. It is recommended that organizations implement a formal eight-week mindfulness-based stress reduction program.
UNASSIGNED: There are no conflicts of interest or financial gains for the recommendations for MBSR implementation resources. These resources are solely provided for additional learning and implementation purposes. There are both free resources and for purchase resources available that guides implementation and operationalization of the MBSR program.
摘要:
背景:护理质量和患者安全性差,不良患者结局,高的倦怠率和周转率,工作不满情绪的增加都与护士不受控制的压力有关。没有管理的护士压力会导致思维混乱,集中注意力和注意力的能力下降,并可能使患者处于危险之中。综合审查的目的是确定基于正念的减压(MBSR)计划的效果,以降低护士的感知压力水平。
方法:包括使用关键搜索词以及纳入和排除标准搜索数据库。对过去五年内的相关同行评审文章进行了评估,以确定异同。本文讨论了未解决的压力对他们所护理的护士和患者的影响,包括患者护理的质量和安全性,与压力相关的护士流失率成本,工作效率低。
结论:文献结果表明,实施基于正念的压力减少(MBSR)计划可以降低护士的感知压力水平,从而改善患者的预后。提高工作满意度,并降低与招聘和入职流程相关的组织成本。
这项综合审查的结论是,实施MBSR计划可改善减轻压力并间接积极影响患者的预后。建议组织实施正式的为期八周的基于正念的减压计划。
关于MBSR实施资源的建议没有利益冲突或财务收益。这些资源仅用于额外的学习和实施目的。有免费资源和可用于购买的资源可以指导MBSR计划的实施和操作。
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