PhD, RN, Assistant Professor, Department of Nursing, Fooyin University, Kaohsiung, Taiwan, ROC.
PhD, RN, Associate Professor, Department of Nursing, I-Shou University, Kaohsiung, Taiwan, ROC.
J Nurs Res. 2021 Mar 19;29(3):e149. doi: 10.1097/JNR.0000000000000426.
The complexity of the healthcare environment and intense workloads may negatively impact the health and professional quality of life (ProQOL) of nurses. Prior research has identified a significant association in nurses between ProQOL and health. Developing an intervention to improve the ProQOL and health of nurses may benefit the quality of nursing care.
The aim of this study was to explore the effects of a compassion fatigue Resiliency, mindfulness Respiration, and Relatives and friends' support (i.e., 3Rs) educational program on ProQOL, physical health, and mental health in nurses.
A cluster experimental design was used in this study to recruit registered nurses at two regional teaching hospitals in southern Taiwan as participants. The experimental group (n = 67) attended the 4-week (2-hours-per-week) 3R educational program. The control group (n = 57) received no intervention. The outcome variables, including compassion satisfaction, burnout, secondary traumatic stress, physical health, and mental health, were measured at baseline, at the end of the intervention (immediate effect), at 4 weeks postintervention (short-term effect), and at 12 weeks postintervention (medium-term effect). The study was conducted from May 2017 to December 2017.
Increases in compassion satisfaction and mental health and decreases in secondary traumatic stress were significantly greater in the experimental group than in the control group between baseline and all three posttest time points. Moreover, burnout decreased and physical health improved more significantly in the experimental group than in the control group between the baseline and end of intervention time points (p < .001).
CONCLUSIONS/IMPLICATIONS FOR PRACTICE: The 3R educational program intervention, integrating compassion fatigue resiliency, mindfulness respiration, and support from relatives and friends, had immediate and positive effects on ProQOL as well as physical and mental health. Moreover, the intervention was shown to have short-term and medium-term positive effects on compassion satisfaction, secondary traumatic stress, and mental health. Nursing managers may apply programs that integrate compassion fatigue resiliency, mindfulness respiration, and relatives and friends' support to improve ProQOL and health in nurses.
医疗环境的复杂性和高强度的工作量可能会对护士的健康和专业生活质量（ProQOL）产生负面影响。先前的研究已经确定，护士的 ProQOL 和健康之间存在显著关联。开发一种干预措施来提高护士的 ProQOL 和健康状况可能有助于提高护理质量。
本研究旨在探讨同理心疲劳韧性、正念呼吸和亲属朋友支持（即 3R）教育计划对护士的 ProQOL、身体健康和心理健康的影响。
本研究采用群组实验设计，招募了台湾南部两家地区教学医院的注册护士作为参与者。实验组（n=67）参加了为期 4 周（每周 2 小时）的 3R 教育计划。对照组（n=57）未接受干预。在基线、干预结束时（即时效果）、干预后 4 周（短期效果）和干预后 12 周（中期效果）测量结局变量，包括同理心满足、倦怠、二次创伤应激、身体健康和心理健康。研究于 2017 年 5 月至 2017 年 12 月进行。
实验组在基线至所有三个后测时间点的同理心满足感和心理健康均显著增加，二次创伤应激显著降低，而对照组则无显著变化。此外，实验组的倦怠程度在干预结束时较基线时显著降低（p<.001），身体健康状况也有所改善。
结论/对实践的启示：3R 教育计划干预措施整合了同理心疲劳韧性、正念呼吸和亲属朋友的支持，对 ProQOL 以及身体健康和心理健康产生了即时和积极的影响。此外，该干预措施在短期和中期对同理心满足感、二次创伤应激和心理健康也产生了积极影响。护理管理人员可以应用整合同理心疲劳韧性、正念呼吸和亲属朋友支持的方案来提高护士的 ProQOL 和健康状况。
