School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Melbourne, Victoria, Australia.
NorthWestern Mental Health, Melbourne Health, Melbourne, Victoria, Australia.
Int J Ment Health Nurs. 2018 Oct;27(5):1470-1480. doi: 10.1111/inm.12447. Epub 2018 Feb 27.
Mental health settings are recognized as complex, unpredictable environments, and challenging interpersonal situations are common for nurses in acute adult mental health services. Occupational stressors include verbal aggression and physical assault and are correlated with poor physical and mental health outcomes for nurses. There is a clear need for proactive approaches that address the negative impacts of stressors on the mental health nursing workforce. Resilience interventions are a preventive approach to strengthening skills for addressing workplace stress, improving health and well-being, and preventing adverse outcomes associated with occupational stressors. The aim of this study was to evaluate the feasibility of a workplace resilience education programme for nurses in high-acuity adult mental health settings. The outcomes were measured using a single-group pretest post-test design with follow-up at 3 months postintervention. The feasibility and acceptability of the programme were identified with descriptors of mental health, well-being, resilience, facilitator fidelity checklists, and participant satisfaction questionnaires. The programme was found to be feasible for nurses working in high-acuity inpatient settings. There were significant changes to mental health, well-being, and workplace resilience. The programme was delivered with fidelity by facilitators and accepted with high levels of satisfaction by participants. The study findings indicated that nurses can benefit from resilience education that equips them with cognitive, emotion regulation, and relational skills, in conjunction with available external supports and resources, to address workplace challenges. There is a need for comprehensive organizational approaches that include individual, work unit, and organizational-level strategies to support staff well-being.
心理健康环境被认为是复杂、不可预测的环境，急性成人心理健康服务中的护士经常面临具有挑战性的人际情况。职业压力源包括言语攻击和身体攻击，与护士的身心健康结果不佳相关。显然需要采取积极主动的方法来解决压力源对精神科护理人员的负面影响。适应力干预是一种预防措施，可以增强应对工作场所压力的技能，改善健康和幸福感，并预防与职业压力源相关的不良后果。本研究旨在评估针对高风险成人心理健康环境中的护士的工作场所适应力教育计划的可行性。使用单组预测试后测试设计进行评估，并在干预后 3 个月进行随访。通过心理健康、幸福感、适应力描述符、促进者保真度检查表和参与者满意度问卷来确定该计划的可行性和可接受性。该计划对于在高风险住院环境中工作的护士来说是可行的。心理健康、幸福感和工作场所适应力都发生了显著变化。该计划由促进者按照保真度进行了交付，并得到了参与者的高度满意度。研究结果表明，护士可以从适应力教育中受益，该教育为他们提供认知、情绪调节和关系技能，以及可用的外部支持和资源，以应对工作场所的挑战。需要采取全面的组织方法，包括个人、工作单位和组织层面的策略，以支持员工的幸福感。
