1Department of Psychology, Bowling Green State University, Bowling Green, Ohio.
2Department of Psychology, University of Central Florida, Orlando, Florida.
J Altern Complement Med. 2019 Jul;25(7):753-761. doi: 10.1089/acm.2019.0087.
Nurses and nurse aides experience high rates of physical injury, assault, and abuse compared to other occupations. They also frequently have intersectional identities with other groups that experience higher rates of mental and physical health challenges and problems. In addition to belonging to these multiple vulnerable populations, nurses and nurse aides experience high levels of work stress and burnout. These variables are risk factors for injuries associated with lifting and transferring, as well as assault from residents. Given the focus on present moment awareness, commitment to values, and responding flexibly in difficult situations, Acceptance and Commitment Therapy (ACT) may be an effective approach for this population. Participants were randomly assigned to either the ACT group condition or a wait-list control condition. Participants completed baseline and one-month follow-up outcome measures. The interventions were provided at participant work sites (nursing homes and assisted living facilities) that were located in multiple locations across Northern Ohio. Seventy-one nurses and nurse aides participated in the study. Of these, 37 were randomly assigned to the ACT group intervention and 34 were assigned to the wait-list control group. A two-session group-based ACT intervention. Each session was 2.5 hours long and spaced one-week apart. The intervention topics included acceptance, mindfulness, psychological flexibility, willingness to experience discomfort, present-moment focus, self-as-context, values identification, and values-congruent committed action. Days missed due to injury, frequency of work-based injuries, musculoskeletal complaints, mental health symptoms, and overall satisfaction with the intervention. Participants in the ACT group reported significantly fewer days missed due to injury and a significant reduction in mental health symptoms compared to the control group. Participants in the ACT group rated the intervention very favorably. A group-based ACT intervention can promote improvements in well-being for nurses and nurse aides working in long-term care settings. Further research in this area would benefit from conducting group-based ACT interventions at different organizational levels.
护士和助理护士与其他职业相比，身体受伤、攻击和虐待的发生率较高。他们还经常与其他群体有交叉身份，这些群体经历更高的心理健康和身体健康挑战和问题的发生率。除了属于这些多个弱势群体外，护士和助理护士还经历高水平的工作压力和倦怠。这些变量是与提升和转移相关的伤害以及居民攻击的风险因素。鉴于关注当下意识、对价值观的承诺以及在困难情况下灵活应对，接受和承诺疗法 (ACT) 可能是该人群的有效方法。
参与者被随机分配到 ACT 组或等待名单对照组。参与者完成了基线和一个月的随访结果测量。
干预措施在参与者的工作场所（疗养院和辅助生活设施）提供，这些场所位于俄亥俄州北部的多个地点。
71 名护士和助理护士参加了这项研究。其中，37 名随机分配到 ACT 组干预组，34 名分配到等待名单对照组。
一个为期两节课的基于小组的 ACT 干预。每节课持续 2.5 小时，间隔一周。干预主题包括接受、正念、心理灵活性、愿意体验不适、当下焦点、自我作为背景、价值观识别和价值观一致的承诺行动。
因伤缺勤天数、工作相关伤害频率、肌肉骨骼投诉、心理健康症状和对干预的总体满意度。
与对照组相比，ACT 组的参与者因伤缺勤天数明显减少，心理健康症状显著减轻。ACT 组的参与者对干预措施评价非常好。
基于小组的 ACT 干预可以促进长期护理环境中护士和助理护士的幸福感提高。在该领域进行进一步研究将受益于在不同组织层面进行基于小组的 ACT 干预。
