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自我保健技能预防倦怠:在本科护理课程中嵌入正念的初步研究。

Self-Care Skills to Prevent Burnout: A Pilot Study Embedding Mindfulness in an Undergraduate Nursing Course.

机构信息

Chatham University, Pittsburgh, PA, USA.

出版信息

J Holist Nurs. 2023 Sep;41(3):265-274. doi: 10.1177/08980101221117367. Epub 2022 Jul 27.

DOI:10.1177/08980101221117367
PMID:35898184
Abstract

Burnout negatively affects nurses and increases nursing turnover. Many student nurses experience burnout throughout their academic program, negatively affecting student success and patient care. To explore effects of mindfulness education / self-care skills training in undergraduate nursing students on stress and self-care. A four-week pilot with four-week follow-up. In-person mindfulness sessions were offered to first-year nursing students. 67 students enrolled in a nursing skills course. Four in-person mindfulness educational sessions were provided with a 4-week follow-up. Outcomes were stress and self-care, measured by the Perceived Stress Scale and Mindful Self-Care Scale at pre-, post-, and follow-up. 58 (86.6%) completed pilot; mean age = 22.8 (5.75), majority females (84%) and Caucasian (79%). Students practicing one or more mindfulness techniques at least 8 times outside class increased self-care 9.5% pre- to post-intervention ( = .01), although not sustained at follow-up. Stress did not change significantly in either direction ( = .94), potentially mediating the stress of starting clinical immediately following the intervention. Mindfulness education increased self-care in first-year nursing students who practiced mindfulness outside class. Recommendations include further research and integration of mindfulness into courses to assess benefits and coping skills for future nurses.

摘要

burnout 对护士有负面影响,并增加护理人员的流动率。许多护生在整个学业期间都经历了 burnout,这对学生的成功和患者的护理都有负面影响。为了探索正念教育/自我保健技能训练对本科护生压力和自我保健的影响。这是一个为期四周的试点研究,随后进行了四周的随访。为护生提供了为期四周的面对面正念课程。有 67 名学生参加了护理技能课程。提供了四次面对面的正念教育课程,并进行了为期四周的随访。在干预前、后和随访时,使用感知压力量表和正念自我护理量表测量压力和自我护理情况。58 名(86.6%)完成了试点研究;平均年龄为 22.8(5.75),大多数为女性(84%)和白人(79%)。学生们在课堂外至少 8 次练习一种或多种正念技巧,自我护理提高了 9.5%(=0.01),尽管在随访中没有持续提高。压力在两个方向上都没有显著变化(=0.94),这可能是在干预后立即开始临床实践所带来的压力的中介因素。正念教育提高了护生在课堂外练习正念时的自我保健能力。建议进一步研究和将正念融入课程中,以评估未来护士的益处和应对技能。

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