Kulka Joanne M, De Gagne Jennie Chang, Mullen Cydney K, Robeano Karen
Creat Nurs. 2018 Nov;24(4):243-250. doi: 10.1891/1078-4535.24.4.243.
The transition from student to professional nurse is an important milestone in the development of newly graduated nurses. Mindfulness-based stress reduction (MBSR) has been shown to reduce symptoms of stress in those engaged in regular practice (Bazarko, Cate, Azocar, & Kreitzer, 2013; Kabat-Zinn, 1990).
The quality improvement project used a one-group pre-test/posttest design to measure newly graduated registered nurses' awareness of mindfulness and perceived stress.
Mindfulness awareness improved from pre-intervention ( = 3.66, = .81) to post-innovation ( = 4.03, = .69) although this was not statistically significant, ([67] = 1.93, = .057). There was a statistically significant decrease in perceived stress from pre-innovation ( = 19.47, = 7.16) to post-innovation ( = 15.71, = 6.90), ([66] = 2.16, = .034). Qualitative themes of increased patient safety, communication, and teamwork were identified.
MBSR has the potential to increase mindfulness and decrease perceived stress in newly graduated registered nurses, encouraging improved patient safety, communication, and teamwork.
从学生护士转变为专业护士是新毕业护士职业发展中的一个重要里程碑。基于正念减压疗法（MBSR）已被证明能减轻长期练习者的压力症状（巴扎尔科、凯特、阿佐卡尔和克雷策，2013年；卡巴金，1990年）。
该质量改进项目采用单组前测/后测设计，以测量新毕业注册护士的正念意识和感知压力。
正念意识从干预前（均值 = 3.66，标准差 = 0.81）提高到创新后（均值 = 4.03，标准差 = 0.69），尽管这在统计学上不显著（t[67] = 1.93，p = 0.057）。从创新前（均值 = 19.47，标准差 = 7.16）到创新后（均值 = 15.71，标准差 = 6.90），感知压力有统计学意义的下降（t[66] = 2.16，p = 0.034）。确定了患者安全、沟通和团队合作增强等质性主题。
MBSR有潜力提高新毕业注册护士的正念水平并减轻其感知压力，促进患者安全、沟通和团队合作的改善。
