Ceravolo Diane, Raines Deborah A
Sisters of Charity Hospital, Buffalo.
J Holist Nurs. 2019 Mar;37(1):47-55. doi: 10.1177/0898010118781620. Epub 2018 Jun 18.
To examine the impact of a mindfulness intervention on nurse managers in an acute care hospital.
A pre/post intervention design with three data collection points: prior to, at the conclusion of, and at 3 months following the intervention.
A survey to measure the impact of a mindfulness workshops on nurse managers' perception of professional quality of life, burnout, and perceived wellness.
There were significant changes in the scores on the compassion satisfaction (T-1 mean 3.9, T-2 mean 4.5, p = .002) and burnout subscales (T-1 mean 3.4, T-2 mean 2.8, p = .016) of the Professional Quality of Life scale, and on personal burnout (T-1 mean 4.2, T-2 mean 3.8, p = .023) and work-related burnout (T-1 mean 4.0, T-2 mean 3.5, p = .029) on the Copenhagen Burnout Inventory scale, following the mindfulness intervention. The 3-month follow-up scores on compassion satisfaction were higher but not statistically significant ( p = .810). Scores on the burnout scales, while lower than the preintervention levels, were higher at the 3-month follow-up than immediately following the intervention.
These findings suggest that mindfulness practices need to be reinforced. Without continuous reinforcement, it may become a self-care practice moved to the bottom of the list of things to be done among the activities of a busy day.
探讨正念干预对一家急症医院护理管理者的影响。
采用干预前/后设计，有三个数据收集点：干预前、干预结束时和干预后3个月。
通过一项调查来衡量正念工作坊对护理管理者职业生活质量认知、倦怠和感知健康状况的影响。
在正念干预后，职业生活质量量表的同情满意度子量表（T-1均值3.9，T-2均值4.5，p = .002）和倦怠子量表（T-1均值3.4，T-2均值2.8，p = .016），以及哥本哈根倦怠量表的个人倦怠（T-1均值4.2，T-2均值3.8，p = .023）和工作相关倦怠（T-1均值4.0，T-2均值3.5，p = .029）得分有显著变化。同情满意度的3个月随访得分更高，但无统计学意义（p = .810）。倦怠量表得分虽低于干预前水平，但在3个月随访时高于干预刚结束时。
这些发现表明正念练习需要强化。如果没有持续强化，它可能会成为忙碌一天活动中被排在待办事项清单最末的自我护理行为。
