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针对急诊科工作人员的曼陀罗冥想计划:一项定性研究。

Mantra meditation programme for emergency department staff: a qualitative study.

作者信息

Lynch Julie, Prihodova Lucia, Dunne Pádraic J, O'Leary Caoimhe, Breen Rachel, Carroll Áine, Walsh Cathal, McMahon Geraldine, White Barry

机构信息

Research Department, Royal College of Physicians of Ireland, Dublin, Ireland.

Trinity Translational Medicine Institute, St James' Hospital Campus, Trinity College Dublin, Dublin, Ireland.

出版信息

BMJ Open. 2018 Sep 24;8(9):e020685. doi: 10.1136/bmjopen-2017-020685.

Abstract

OBJECTIVES

Rates of burnout and stress in healthcare practitioners are steadily increasing. Emergency department (ED) staff are particularly susceptible to such poor outcomes. Mantra meditation (MM) may contribute to increased well-being. The primary aim of this study was to obtain indepth qualitative feedback on ED staff's experience of a MM programme. A secondary objective was to harness staff's perception of the ED working environment.

DESIGN

Qualitative study.

SETTING

ED in St James' Hospital, Dublin, Ireland.

PARTICIPANTS

Doctors, nurses, allied health professionals and administrative staff (n=10, eight women, mean age 35.6 years) working in the ED who attended a MM programme.

METHODS

Semistructured interviews were conducted by a trained independent researcher. Interviews were transcribed and thematically analysed.

RESULTS

Five main themes and six subthemes were identified: work pressure and perceived stress; perceived benefits of meditation (with subthemes of increased attention/awareness, improved emotion regulation and new coping mechanisms, relaxation and sleep quality); conflicting attitudes to practice; barriers to meditation practice (with subthemes of schedule, length of practice and individual differences); and facilitators to practice.

CONCLUSION

ED staff in this study described the demands of their work and voiced a need for a workplace well-being programme. Our findings suggest that MM might represent a viable tool to develop attention and awareness, improve emotion regulation and improve their capacity to cope with stress, which may impact their workplace well-being, wider health service, patient safety and quality of care. Support from the organisation is considered to be integral to embedding of a workplace well-being programme, such as the practice of meditation into their daily lives.

摘要

目的

医疗从业者的职业倦怠和压力发生率正在稳步上升。急诊科工作人员尤其容易出现此类不良后果。曼陀罗冥想(MM)可能有助于提升幸福感。本研究的主要目的是深入获取急诊科工作人员对MM项目体验的定性反馈。次要目的是了解工作人员对急诊科工作环境的看法。

设计

定性研究。

地点

爱尔兰都柏林圣詹姆斯医院急诊科。

参与者

参加MM项目的急诊科医生、护士、专职医疗人员及行政人员(n = 10,8名女性,平均年龄35.6岁)。

方法

由一名经过培训的独立研究人员进行半结构化访谈。访谈内容进行转录并进行主题分析。

结果

确定了五个主要主题和六个子主题:工作压力与感知到的压力;冥想的感知益处(子主题包括注意力/意识增强、情绪调节改善、新的应对机制、放松和睡眠质量提高);对实践的矛盾态度;冥想实践障碍(子主题包括日程安排、实践时长和个体差异);以及实践促进因素。

结论

本研究中的急诊科工作人员描述了工作需求,并表示需要一个工作场所幸福感项目。我们的研究结果表明,MM可能是一种可行的工具,可用于培养注意力和意识、改善情绪调节以及提高应对压力的能力,这可能会影响他们的工作场所幸福感、更广泛的医疗服务、患者安全和护理质量。组织的支持被认为是将工作场所幸福感项目(如将冥想实践融入日常生活)落地实施的不可或缺的因素。

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