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社区弹性模型®促进护士的健康。

The Community Resiliency Model® to promote nurse well-being.

机构信息

Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA.

Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA.

出版信息

Nurs Outlook. 2020 May-Jun;68(3):324-336. doi: 10.1016/j.outlook.2019.11.002. Epub 2019 Dec 30.

Abstract

BACKGROUND

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.

PURPOSE

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.

METHODS

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.

FINDINGS

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.

DISCUSSION

CRM shows promise as a brief resiliency training for hospital-based nurses.

摘要

背景

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。

目的

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。

方法

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。

发现

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。

讨论

CRM 有望成为一种针对医院护士的简短韧性培训方法。

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