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护士心理教育团体干预:原理、理论框架与发展。

A Psychoeducational Group Intervention for Nurses: Rationale, Theoretical Framework, and Development.

机构信息

Amanda K. Bailey, MA, LMHC, AdventHealth Orlando, Orlando, FL, USA.

Amanda T. Sawyer, PhD, AdventHealth, Orlando, Orlando, FL, USA.

出版信息

J Am Psychiatr Nurses Assoc. 2023 May-Jun;29(3):232-240. doi: 10.1177/10783903211001116. Epub 2021 Jun 22.

Abstract

OBJECTIVE

Nursing is a demanding profession with constant stressors, which makes nurses vulnerable to the detrimental effects of high stress, burnout, and compassion fatigue. There is a need for a multidimensional group intervention facilitated by a licensed mental health professional to improve mental health and well-being in nurses. An intervention called RISE, which is an acronym for esilience, nsight, elf-compassion, and mpowerment, was developed to promote self-care, protect against burnout, and improve indicators of well-being among nurses. We explain the rationale, theoretical framework, and development of RISE.

METHODS

RISE is based on an integrative theoretical framework of mindfulness, acceptance and commitment therapy, and cognitive-behavioral therapy. It consists of eight psychoeducational group sessions with topics related to the four RISE themes of resilience, insight, self-compassion, and empowerment.

RESULTS

RISE is a contribution to the literature on well-being interventions for nurses. It will further the understanding of effective interventions to mediate the detrimental effects of stress and burnout in nursing and to improve the mental health and well-being of nurses amid the complex interplay of factors at the individual, unit, and organizational levels.

CONCLUSIONS

As an approach that combines education with therapeutic process and support to improve coping and well-being inside and outside of the workplace, RISE addresses the underlying causes and effects of high stress, burnout, and compassion fatigue.

摘要

目的

护理是一项要求很高的职业,压力不断,这使得护士容易受到高压力、倦怠和同情心疲劳的不利影响。需要由持牌心理健康专业人员提供多维小组干预,以改善护士的心理健康和幸福感。一种名为 RISE 的干预措施应运而生,它是弹性、洞察力、自我同情和赋权的缩写,旨在促进自我保健、预防倦怠,并改善护士的幸福感指标。我们解释了 RISE 的基本原理、理论框架和发展。

方法

RISE 基于正念、接纳和承诺疗法以及认知行为疗法的综合理论框架。它由八个心理教育小组组成,主题与 RISE 的四个主题(弹性、洞察力、自我同情和赋权)相关。

结果

RISE 是对护士幸福感干预文献的贡献。它将进一步了解有效的干预措施,以缓解护理工作中压力和倦怠的不利影响,并在个人、单位和组织层面的复杂因素相互作用中改善护士的心理健康和幸福感。

结论

作为一种将教育与治疗过程和支持相结合的方法,以提高工作内外的应对能力和幸福感,RISE 针对的是高压力、倦怠和同情心疲劳的根本原因和影响。

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