Women's Services, St. Luke's Health System, 190 East Bannock, Boise, ID 83712, USA.
Nursing & Patient Care Center of Excellence, St. Luke's Health System, 190 East Bannock, Boise, ID 83712, USA.
Appl Nurs Res. 2021 Dec;62:151484. doi: 10.1016/j.apnr.2021.151484. Epub 2021 Aug 8.
PURPOSE/AIMS: The purpose of this study was to determine whether resiliency activities, compiled into a practice playbook designed for implementation by nurse leaders and self-initiation by clinical nurses, improves resilience in both the nurse leaders and direct care nurses who implement them.
Evidence indicates strengthening nurse resilience increases well-being, protects against burnout, improves retention and increases patient safety.
A resilience playbook was assembled to include stress-reduction activities. Resilience was measured at baseline and after two phases during which participants engaged in leader-led and self-initiated activities. The Connor-Davidson Resilience Scale (CD-RISC) was used to measure resilience.
A total of 118 nurses completed both phases; 17 leaders and 101 clinical nurses. A significant increase in mean CD-RISC scores was detected among those who participated in self-initiated activities (p = 0.01). Initiating or participating in leader-led activities did not positively impact resilience scores. Further, clinical nurses who participated in leader-led activities were not more likely to participate in self-initiated activities.
This study supports self-initiated resilience-strengthening activities as beneficial to nurses, but not leader-led initiatives. These results are especially important for nursing leaders as they strive to reduce burnout, improve nurse retention and achieve exceptional practice quality.
目的/目的：本研究旨在确定弹性活动，汇编成一个实践手册，由护士领导者设计并由临床护士自行实施，是否能提高实施这些活动的护士领导者和直接护理护士的弹性。
有证据表明，增强护士的适应力可以提高幸福感，预防倦怠，提高留任率并增加患者安全性。
编制了一个弹性手册，其中包括减轻压力的活动。在两个阶段，参与者进行领导主导和自我发起的活动之后，分别在基线和之后测量弹性。使用 Connor-Davidson 弹性量表（CD-RISC）来衡量弹性。
共有 118 名护士完成了两个阶段；17 名领导者和 101 名临床护士。那些参与自我发起的活动的人的平均 CD-RISC 评分显着增加（p = 0.01）。参与领导主导的活动并没有对弹性评分产生积极影响。此外，参与领导主导活动的临床护士不太可能参与自我发起的活动。
这项研究支持自我发起的弹性增强活动对护士有益，但不支持领导主导的活动。这些结果对护理领导者尤其重要，因为他们努力减少倦怠，提高护士留任率并实现卓越的实践质量。
