背景:全球精神卫生护士严重短缺,劳动力流失在很大程度上是由于工作场所的压力源。积极的基于优势的干预措施,以加强护士管理压力和改善心理健康的能力,福祉和韧性也可以支持劳动力的保留。
目的:确定韧性建设计划对心理健康护士应对自我效能感(主要结果)的影响,和心理困扰,幸福,弹性,创伤后成长,情商行为,工作场所归属,和离职意向(次要结果)。
方法:部分成群随机对照试验。
方法:澳大利亚的大型第三大城市心理健康服务。
方法:总共144名注册和注册护士在临床上工作≥0.6全职等效(73/干预,71/控制),122完成3个月的随访。
方法:“促进护士复原力”计划是一项基于证据的工作场所干预措施,由受过培训的主持人在两个研讨会上提供。调查在注册后和随机分组(时间1)之前在线进行,进入干预或控制(无干预)组,在最后的研讨会(时间2)之后,和三个月的随访(时间3)。结果测量的线性混合模型与时间2和3响应拟合。
结果:共有七个干预组,每组7至13名参与者。应对自我效能感在时间2提高(估计干预效果21.2个单位,95%置信区间:13.3至29.0)和时间3(12.1个单位,4.7至19.6),以及福祉(时间2:9.2个单位,5.0至13.4),弹性(时间2:0.24个单位,0.01至0.46)和创伤后成长(时间2:16.1个单位,7.0至25.3)。心理困扰减少(时间2:-3.7个单位,-6.2至-1.31)。全部维持在三个月。情绪智力行为得到改善(时间2:3.5个单位,0.6至6.5),但不能持续。工作场所归属感在时间3处得到改善(0.34个单位,仅限0.02至0.65)。对离职意向无统计学意义。
结论:尽管存在重大的背景挑战,促进护士韧性计划达到了提高护士应对压力和调节情绪的功效以及改善心理健康和福祉的目的。研究结果支持该计划作为跨其他环境和背景的护士的可行和成功的干预措施。
背景:澳大利亚新西兰临床试验注册中心(ACTRN12620001052921)。注册2020年10月15日。首次招聘2021年02月04日。
结论:促进护士心理弹性干预可改善应对自我效能感,幸福,弹性,创伤后成长,情绪智力和心理困扰。
BACKGROUND: There is a critical global shortage of nurses in mental health, with workforce attrition due in large part to workplace stressors. Proactive strengths-based interventions to strengthen nurses\' capacity to manage stress and improve mental health, wellbeing and resilience may also support workforce retention.
OBJECTIVE: To determine the effects of a resilience-building programme on mental health nurses\' coping self-efficacy (primary outcome), and psychological distress, wellbeing, resilience, posttraumatic growth, emotional intelligence behaviours, workplace belonging, and turnover intention (secondary outcomes).
METHODS: Partially clustered randomised controlled trial.
METHODS: Large tertiary metropolitan mental health service in Australia.
METHODS: A total of 144 registered and enrolled nurses working clinically ≥0.6 full-time equivalent (73/intervention, 71/control), with 122 completing 3-month follow-up.
METHODS: The Promoting Resilience in Nurses programme is an evidence-based workplace intervention delivered by trained facilitators across two workshops. Surveys were administered online upon registration and prior to randomisation (Time 1) into Intervention or Control (no intervention) arms, and immediately after the final workshop (Time 2), and at three months follow-up (Time 3). Linear mixed models for outcome measures were fitted to Time 2 and 3 responses.
RESULTS: There were seven intervention groups, with seven to 13 participants per group. Coping self-efficacy improved at Time 2 (estimated intervention effect 21.2 units, 95 % Confidence Intervals: 13.3 to 29.0) and Time 3 (12.1 units, 4.7 to 19.6), as well as wellbeing (Time 2: 9.2 units, 5.0 to 13.4), resilience (Time 2: 0.24 units, 0.01 to 0.46) and posttraumatic growth (Time 2: 16.1 units, 7.0 to 25.3). Psychological distress reduced (Time 2: -3.7 units, -6.2 to -1.31). All were sustained at three months. Emotional intelligence behaviours were improved (Time 2: 3.5 units, 0.6 to 6.5) but not sustained. Workplace belonging improved at Time 3 (0.34 units, 0.02 to 0.65) only. No statistically significant effects for turnover intention.
CONCLUSIONS: Despite major contextual challenges, the Promoting Resilience in Nurses programme achieved the aims of promoting nurses\' efficacy to cope with stress and regulate their emotions and improving mental health and wellbeing. The findings support the programme as a feasible and successful intervention for nurses across other settings and contexts.
BACKGROUND: Australian New Zealand Clinical Trials Registry (ACTRN12620001052921). Registered 15/10/2020. First recruitment 04/02/2021.
CONCLUSIONS: Promoting Resilience in Nurses intervention improved coping self-efficacy, wellbeing, resilience, posttraumatic growth, emotional intelligence and psychological distress.