Bazarko Dawn, Cate Rebecca A, Azocar Francisca, Kreitzer Mary Jo
Center for Nursing Advancement, UnitedHealth Group, Minnetonka, Minnesota, USA.
J Workplace Behav Health. 2013 Apr;28(2):107-133. doi: 10.1080/15555240.2013.779518.
This study implemented an innovative new model of delivering a Mindfulness-Based Stress Reduction (MBSR) program that replaces six of the eight traditional in-person sessions with group telephonic sessions (tMBSR) and measured the program's impact on the health and well-being of nurses employed within a large health care organization. As part of a nonrandomized pre-post intervention study, 36 nurses completed measures of health, stress, burnout, self-compassion, serenity, and empathy at three points in time. Between baseline (Time 1) and the end of the 8-week tMBSR intervention (Time 2), participants showed improvement in general health, t(37) = 2.8, p < .01, decreased stress, t(37) = 6.8, p < .001, decreased work burnout, t(37) = 4.0, p < .001, and improvement in several other areas. Improvements were sustained 4 months later (Time 3), and individuals who continued their MBSR practice after the program demonstrated better outcomes than those that did not. Findings suggest that the tMBSR program can be a low cost, feasible, and scalable intervention that shows positive impact on health and well-being, and could allow MBSR to be delivered to employees who are otherwise unable to access traditional, on-site programs.
本研究实施了一种创新的新模式来提供基于正念减压疗法(MBSR)的项目,该模式用小组电话会议(tMBSR)取代了八个传统面对面会议中的六个,并评估了该项目对一家大型医疗保健机构中护士的健康和幸福感的影响。作为一项非随机干预前后研究的一部分,36名护士在三个时间点完成了健康、压力、职业倦怠、自我同情、平静和同理心的测量。在基线期(时间1)和为期8周的tMBSR干预结束时(时间2)之间,参与者的总体健康状况有所改善,t(37) = 2.8,p < .01,压力减轻,t(37) = 6.8,p < .001,工作倦怠减轻,t(37) = 4.0,p < .001,并且在其他几个方面也有所改善。4个月后(时间3)这些改善得以持续,并且在项目结束后继续进行MBSR练习的个体比未继续练习的个体表现出更好的结果。研究结果表明,tMBSR项目可以是一种低成本、可行且可扩展的干预措施,对健康和幸福感有积极影响,并且可以让MBSR项目惠及那些无法参加传统现场项目的员工。