College of Nursing, The Ohio State University, Columbus, Ohio, USA.
College of Nursing, University of Arizona, Gilbert, Arizona, USA.
Worldviews Evid Based Nurs. 2024 Apr;21(2):110-119. doi: 10.1111/wvn.12716. Epub 2024 Mar 15.
BACKGROUND: Nursing well-being has become a heightened focus since the COVID-19 pandemic. Nurses are leaving the profession early in their careers or retiring sooner than expected. Those who remain in the workforce report higher levels of burnout, anxiety, depression, and exhaustion. There is concern that there may be a shortage of at least half a million nurses by 2030. AIMS: This systematic review aimed to investigate the evidence of using a mental health promotion mHealth app to improve the mental health of hospital nurses. METHODS: A systematic search was conducted in CINAHL Plus with Full Text, MEDLINE with Full Text, Professional Development Collection, Psychology and Behavioral Sciences Collection, Sociological Collection, PsycInfo, Embase, and PubMed with search dates of January 2012-November 15, 2022. The mHealth intervention needed to be asynchronously delivered through a smartphone with hospital nurse participants to be included in this review. RESULTS: Of the 157 articles screened for this review, six were included. Primary outcome variables were anxiety, burnout, coping, depression, self-efficacy, stress, well-being, and work engagement. Intervention types included mindfulness-based interventions (MBIs), cognitive behavioral therapy (CBT), stress inoculation therapy (SIT), psychoeducation, and stress management. Anxiety, depression, well-being, and burnout improved with MBIs; depression improved with CBT; and anxiety and active coping improved with SIT. LINKING EVIDENCE TO ACTION: This review demonstrated promising findings in using mHealth apps to improve the mental health of hospital nurses. However, more randomized controlled trials with larger sample sizes may reveal which type of mHealth app and how much exposure to the intervention is more effective in improving specific mental health symptoms. Longitudinal follow-up is also recommended to study sustainability of the mental health improvements.
背景:自 COVID-19 大流行以来,护理人员的幸福感已成为人们关注的焦点。护士在职业生涯早期离职或提前退休的情况比以往更为常见。那些仍在工作岗位上的人报告称,他们的倦怠、焦虑、抑郁和疲惫程度更高。有人担心,到 2030 年,护士的短缺人数可能至少达到 50 万。
目的:本系统评价旨在调查使用心理健康促进型移动健康应用程序改善医院护士心理健康的证据。
方法:对 CINAHL Plus with Full Text、MEDLINE with Full Text、Professional Development Collection、Psychology and Behavioral Sciences Collection、Sociological Collection、PsycInfo、Embase 和 PubMed 进行了系统检索,检索日期为 2012 年 1 月至 2022 年 11 月 15 日。这项综述纳入的研究对象为使用智能手机异步提供的移动健康干预措施,参与者为医院护士。
结果:在这项综述中,有 157 篇文章被筛选,其中 6 篇被纳入。主要结局变量包括焦虑、倦怠、应对方式、抑郁、自我效能感、压力、幸福感和工作投入度。干预类型包括正念减压疗法(MBI)、认知行为疗法(CBT)、应激接种训练(SIT)、心理教育和压力管理。MBI 可改善焦虑、抑郁、幸福感和倦怠;CBT 可改善抑郁;SIT 可改善焦虑和积极应对方式。
联系实际:本综述表明,使用移动健康应用程序改善医院护士心理健康的前景广阔。然而,更大规模、随机对照试验可能会揭示哪种类型的移动健康应用程序以及干预措施的暴露程度如何更有效地改善特定的心理健康症状。还建议进行纵向随访,以研究心理健康改善的可持续性。
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