The Phyllis F. Cantor Center for Research in Nursing and Patient Care, Dana-Farber Cancer Institute, Boston, MA.
School of Law, The University of Texas at Austin, Austin, TX.
JCO Oncol Pract. 2020 Apr;16(4):e405-e414. doi: 10.1200/JOP.19.00748.
Rates of burnout among health care professionals are rising. Oncology nurses are at the forefront of cancer care, and maintenance of their well-being is crucial to delivering high-quality care to people with cancer. The purpose of this pilot study was to implement a novel intervention, Storytelling Through Music, and examine the effects on depression, insomnia, loneliness, self-awareness, self-compassion, burnout, secondary traumatic stress, and compassion satisfaction in oncology nurses.
This two-group (intervention and control), quasi-experimental study of a 6-week intervention combined storytelling, reflective writing, songwriting, and stress management skills.
Participants (N = 43) were predominately white (98%), with 27% reporting Hispanic ethnicity, and female (95%); their average oncology experience was 8.5 years. Both groups improved significantly over time on all measures. Compared with the control group, participants in the intervention group also had significantly less loneliness ([3, 98] = 7.46; < .001) and insomnia ([3, 120] = 5.77; < .001) and greater self-compassion ([3, 105] = 2.88; < .05) and self-awareness ([3, 120] = 2.42; < .10).
There are few opportunities for health care professionals to reflect on the impact of caregiving. The Storytelling Through Music intervention provided a structured space for reflection by participants, individually and among their peers, which decreased loneliness and increased self-compassion. Both factors relate to the burnout that affects the oncology health care workforce.
医疗保健专业人员的倦怠率正在上升。肿瘤护士是癌症护理的前沿工作者，维护他们的福祉对于为癌症患者提供高质量的护理至关重要。本研究旨在实施一种新的干预措施，即音乐叙事，并探讨其对肿瘤护士的抑郁、失眠、孤独、自我意识、自我同情、倦怠、二次创伤压力和同情满足感的影响。
这是一项为期 6 周的干预措施的两组成（干预和对照组）准实验研究，结合了讲故事、反思性写作、歌曲创作和压力管理技能。
参与者（N=43）主要为白人（98%），27%报告为西班牙裔，女性（95%）；他们的平均肿瘤护理经验为 8.5 年。两组在所有测量指标上均随时间显著改善。与对照组相比，干预组参与者的孤独感显著降低（[3,98]=7.46；<0.001）和失眠（[3,120]=5.77；<0.001），自我同情（[3,105]=2.88；<0.05）和自我意识（[3,120]=2.42；<0.10）显著提高。
医疗保健专业人员很少有机会反思护理的影响。音乐叙事干预为参与者提供了一个单独和同伴之间进行反思的结构化空间，这降低了孤独感并提高了自我同情。这两个因素都与影响肿瘤护理人员的倦怠有关。
