Department of Nursing, Mayo Clinic, Rochester, MN, USA.
College of Nursing, University of Wisconsin-Milwaukee, Milwaukee, WI, USA.
Nurse Educ Pract. 2021 Jan;50:102959. doi: 10.1016/j.nepr.2020.102959. Epub 2020 Dec 30.
The high stress associated with the nursing profession can negatively affect the health of nurses and the quality of patient care that they provide. This quasi-experimental study aimed to 1) assess the feasibility of integrating a Stress Management and Resiliency Training (SMART) program within a nine-month pilot nurse residency program and 2) assess the effects of the program on participants' stress, anxiety, mindfulness, and resilience relative to a comparison group. A pre- and post-intervention survey design was used, with measurements taken at baseline and at 1, 3, 9, and 12 months after baseline. We enrolled 51 registered nurses (intervention group, n = 23; comparison group, n = 28) at a Midwestern US academic medical center. Nurses in the intervention group had a participation rate of 93%-100% with SMART program events. Despite the relatively limited adherence to the protocol by intervention group participants, significant improvements were noted for stress (P < .001), mindfulness (P < .001), and resilience (P < .001) in the intervention group compared with the comparison group. The SMART program can potentially be successfully integrated into a nurse residency program and positively impact nurse stress, mindfulness, and resilience. Further research is needed to determine the proper dose of the intervention and methods to enhance adherence.
护理职业带来的高压力会对护士的健康和他们提供的患者护理质量产生负面影响。这项准实验研究旨在：1）评估在为期九个月的试点护士住院医师培训计划中整合压力管理和适应力培训（SMART）计划的可行性；2）评估该计划对参与者的压力、焦虑、正念和适应力相对于对照组的影响。采用了预-后干预调查设计，在基线以及基线后 1、3、9 和 12 个月进行测量。我们在美国中西部一家学术医疗中心招募了 51 名注册护士（干预组 n=23；对照组 n=28）。干预组的护士对 SMART 计划活动的参与率为 93%-100%。尽管干预组参与者对方案的依从性相对有限，但与对照组相比，干预组的压力（P<.001）、正念（P<.001）和适应力（P<.001）显著改善。SMART 计划有可能成功地融入护士住院医师培训计划，并对护士的压力、正念和适应力产生积极影响。需要进一步研究以确定干预的适当剂量和提高依从性的方法。
