Rush-Copley Medical Center Aurora, Illinois (Ms Patronis); and College of Nursing (Dr Staffileno) and Center for Clinical Research and Scholarship (Dr Staffileno), Rush University Medical Center, Chicago, Illinois.
Holist Nurs Pract. 2021;35(3):158-166. doi: 10.1097/HNP.0000000000000443.
Long hours, inadequate staff, and increasingly complicated patients make nurses more vulnerable to increased levels of stress and burnout. Nurses skilled in exercising self-care practices are better equipped to manage complex clinical situations. The purpose of this pilot study was to evaluate the feasibility of short mindfulness sessions (Mindful Moment) practiced prior to a shift, available in person and online, on nurse burnout and perceived levels of stress. The 8-week Mindful Moment study consisted of 20-minute sessions delivered either in person or online that included yoga, self-reflection, and meditation. Nurse burnout was assessed using the Maslach Burnout Inventory at weeks 0, 4, and 8. Perceived stress was assessed using a visual analog scale before and after each Mindful Moment session. Descriptive statistics, pre/postintervention differences, and percent change calculations were used to evaluate study outcomes. Forty-seven nurses agreed to participate, with 20 nurses completing the study (43%). Participants were all female, aged 36.8 ± 9.8 years, with 12 ± 8.6 years of nursing experience. With respect to nurse burnout, there was a -31% change in emotional exhaustion (P = .079), a -31% change in depersonalization (P = .057), and a +10% change in personal accomplishment (P = .331). There were consistent reductions in nurses' perceived stress pre/post-Mindful Moment session, with percent changes ranging from -35% to 40%. Findings from this study suggest that practicing a brief Mindful Moment prior to the start of a shift is feasible and self-care interventions provide lower levels of burnout and perceived stress among this sample of nurses.
长时间工作、人手不足以及越来越复杂的患者使护士更容易承受更大的压力和职业倦怠。擅长自我保健实践的护士更有能力处理复杂的临床情况。本初步研究旨在评估在轮班前进行简短的正念练习(正念时刻)的可行性,这些练习可亲自进行,也可在线进行,以评估其对护士倦怠和感知压力的影响。为期 8 周的正念时刻研究包括 20 分钟的课程,可亲自或在线进行,包括瑜伽、自我反思和冥想。在第 0、4 和 8 周使用 Maslach 倦怠量表评估护士倦怠。在每次正念时刻课程前后使用视觉模拟量表评估感知压力。使用描述性统计、干预前后差异和百分比变化计算来评估研究结果。47 名护士同意参与,其中 20 名护士完成了研究(43%)。参与者均为女性,年龄 36.8±9.8 岁,护理经验 12±8.6 年。在护士倦怠方面,情绪衰竭有-31%的变化(P=.079),去人格化有-31%的变化(P=.057),个人成就感有+10%的变化(P=.331)。在正念时刻课程前后,护士的感知压力持续降低,百分比变化范围从-35%到 40%。本研究结果表明,在轮班前进行短暂的正念时刻练习是可行的,自我保健干预措施可降低该护士样本的倦怠和感知压力水平。