School of Nursing, Shanghai Jiao Tong University, Shanghai, China.
School of Nursing, Shanghai Jiao Tong University, Shanghai, China.
Nurse Educ Today. 2024 Aug;139:106224. doi: 10.1016/j.nedt.2024.106224. Epub 2024 Apr 19.
Workplace violence (WPV) against emergency nurses has been common but unavoidable. Promoting resilience may mitigate the subsequent health harms of workplace violence. Current interventions mainly focused on internal factors related to resilience, though the external factors can influence personal growth.
To test the effect, feasibility, and acceptability of a Comprehensive Active Resilience Education (CARE) program on promoting resilience in emergency nurses exposed to workplace violence.
This is a two-armed quasi-experimental using mixed methods, following the TREND checklist.
This study was conducted from March 2023 to July 2023 in a tertiary hospital in Shanghai, China. Emergency nurses exposed to workplace violence were recruited using cluster sampling and allocated to the intervention and control groups. The intervention group received the CARE program. The control group received no intervention.
71participants were recruited and no participants withdrew during the intervention. The resilience and anxiety scores displayed a significant effect in the group*time interaction effect. After four months, the intervention group demonstrated a significant improvement in resilience and anxiety scores. The intervention group showed greater improvement in coping, perceived organizational support, and depression scores compared to the control group. Two themes of joyful engagement experience and effective intervention were identified from qualitative interviews with the intervention group.
The Comprehensive Active Resilience Education (CARE) program was effective, feasible, and acceptable in increasing resilience in emergency nurses exposed to workplace violence. The CARE program we developed can be replicated and integrated into systematic education programs for all nurses to help them maintain their mental health and good job performance while dealing with workplace violence.
工作场所暴力（WPV）对急诊护士来说很常见，但又无法避免。提高韧性可以减轻工作场所暴力对健康的后续危害。目前的干预措施主要集中在与韧性相关的内部因素上，尽管外部因素会影响个人成长。
测试针对暴露于工作场所暴力的急诊护士的综合主动韧性教育（CARE）计划对促进韧性的效果、可行性和可接受性。
这是一项采用混合方法的双臂准实验研究，遵循 TREND 清单。
本研究于 2023 年 3 月至 7 月在中国上海的一家三级医院进行，采用整群抽样招募暴露于工作场所暴力的急诊护士，并将其分配到干预组和对照组。干预组接受 CARE 计划，对照组不接受干预。
共招募了 71 名参与者，在干预期间没有参与者退出。韧性和焦虑评分在组间*时间交互效应中显示出显著效果。四个月后，干预组的韧性和焦虑评分均显著提高。与对照组相比，干预组在应对方式、感知组织支持和抑郁评分方面的改善更为显著。从干预组的定性访谈中得出了两个主题：快乐参与体验和有效干预。
综合主动韧性教育（CARE）计划在提高暴露于工作场所暴力的急诊护士的韧性方面是有效、可行和可接受的。我们开发的 CARE 计划可以复制并纳入系统的教育计划，以帮助所有护士在应对工作场所暴力时保持心理健康和良好的工作表现。
