Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA.
Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA.
Nurs Outlook. 2020 May-Jun;68(3):324-336. doi: 10.1016/j.outlook.2019.11.002. Epub 2019 Dec 30.
Rising rates of secondary traumatic stress and burnout among nurses signal a crisis in healthcare. There is a lack of evidence regarding effective interventions to improve nurse well-being and resiliency.
This study used a randomized controlled trial parallel design to test the effectiveness of a 3-hour Community Resiliency Model® (CRM) training, a novel set of sensory awareness techniques to improve emotional balance.
Registered nurses in two urban tertiary-care hospitals were invited to participate, which entailed attending a single 3-hour "Nurse Wellness and Well-being" class; 196 nurses consented and were randomized into the CRM intervention or nutrition education control group to determine if the CRM group would demonstrate improvement in well-being and resiliency, secondary traumatic stress, burnout, and physical symptoms.
Pre/post data were analyzed for 40 CRM and 37 nutrition group members. Moderate-to-large effect sizes were demonstrated in the CRM group for improved well-being, resiliency, secondary traumatic stress, and physical symptoms. Participants reported using CRM techniques for self-stabilization during stressful work events.
CRM shows promise as a brief resiliency training for hospital-based nurses.
护士二级创伤后应激和倦怠率的上升表明医疗保健领域出现了危机。目前缺乏关于改善护士幸福感和韧性的有效干预措施的证据。
本研究采用随机对照试验平行设计,测试 3 小时社区韧性模型(CRM)培训的有效性,这是一套新颖的感觉意识技术,旨在改善情绪平衡。
邀请两家城市三级保健医院的注册护士参加,这需要参加一个 3 小时的“护士健康与幸福感”课程;有 196 名护士同意并随机分为 CRM 干预组或营养教育对照组,以确定 CRM 组是否会在幸福感和韧性、二级创伤后应激、倦怠和身体症状方面有所改善。
对 40 名 CRM 和 37 名营养组的成员进行了预/后数据分析。在 CRM 组中,幸福感、韧性、二级创伤后应激和身体症状均显示出中等至较大的效果。参与者报告在工作压力事件中使用 CRM 技术进行自我稳定。
CRM 有望成为一种针对医院护士的简短韧性培训方法。