Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States.
Frank Porter Graham Child Development Institute, University of North Carolina, Chapel Hill, North Carolina, United States.
J Am Geriatr Soc. 2021 Jul;69(7):1896-1905. doi: 10.1111/jgs.17155. Epub 2021 Apr 10.
BACKGROUND/OBJECTIVES: Certified nursing assistants (CNAs) who work in nursing homes (NHs) face significant work and personal stress. Self-compassion training has been shown to decrease stress postintervention in previous studies among healthcare providers and those in helping professions. This study examines the feasibility, acceptability, and preliminary outcomes of self-compassion training to address CNA stress and well-being.
Pre-post intervention.
Three mid-size, nonprofit NHs in North Carolina.
Thirty CNAs, with a mean age of 49, 96% of whom were female, and 83% black/African American.
In one NH, participants received an 8-week, 2.5-h/session (20 h total) group intervention. At the time of recruitment for NHs 2 and 3, a briefer format (6-week, 1-h/session; 6 h total) became available and was preferred by CNAs, thus both NHs 2 and 3 participants received a 6-h group intervention. All interventions occurred in meeting rooms within participating NHs during shift changes.
Intervention attendance, retention, and acceptability; self-compassion, stress, burnout, depression, and attitudes toward residents with dementia, and job satisfaction pre-, post-, 3-month post-, and 6-month postintervention were assessed.
Attendance and program satisfaction were high, and attrition was low for both training formats. Self-compassion was significantly improved at all time periods (p < 0.001), and stress and depression improved significantly through 3 months (p < 0.05), but not 6 months. No statistically significant change in job satisfaction was noted.
Self-compassion interventions are feasible and acceptable for CNAs working in NHs and show promise for managing stress and improving well-being and compassion toward residents. The briefer 6-h format may maximize participation, while still providing benefits.
背景/目的：在养老院（NHs）工作的注册护士助理（CNAs）面临着巨大的工作和个人压力。在之前的研究中，自我同情培训已被证明可以在医疗保健提供者和帮助职业者的干预后减少压力。本研究检验了自我同情培训在解决 CNA 压力和幸福感方面的可行性、可接受性和初步结果。
干预前后。
北卡罗来纳州的三个中等规模的非营利性 NH。
30 名 CNA，平均年龄为 49 岁，96%为女性，83%为黑人/非裔美国人。
在一个 NH 中，参与者接受了为期 8 周、每次 2.5 小时（共 20 小时）的小组干预。在招募 NH2 和 3 的时候，出现了一种更简短的格式（6 周、每次 1 小时；共 6 小时），并受到 CNA 的青睐，因此 NH2 和 3 的参与者都接受了 6 小时的小组干预。所有干预都在参与 NH 的会议室中，在轮班变化期间进行。
干预的出勤率、保留率和可接受性；自我同情、压力、倦怠、抑郁、对痴呆症居民的态度以及干预前后 3 个月和 6 个月的工作满意度。
两种培训模式的出勤率和对项目的满意度都很高，而且流失率都很低。自我同情在所有时间段都显著提高（p<0.001），压力和抑郁在 3 个月内显著改善（p<0.05），但 6 个月内没有显著改善。工作满意度没有明显变化。
自我同情干预对在 NHs 工作的 CNA 是可行和可接受的，并且有希望管理压力，提高幸福感和对居民的同情心。更简短的 6 小时格式可能会最大限度地提高参与度，同时仍提供益处。
