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基于正念的压力管理方案对医护人员压力和倦怠的定性分析。

A Qualitative Analysis of a Mindfulness-Based Stress Management Program to Reduce Stress and Burnout for Health Care Staff.

机构信息

Author Affiliations: Exercise Science, Cleveland State University, Cleveland, OH (Drs Sos and Melton); and Health and Human Performance Department, Concordia University Chicago, River Forest, Illinois (Dr Melton).

出版信息

Holist Nurs Pract. 2025;39(1):25-31. doi: 10.1097/HNP.0000000000000662. Epub 2024 Nov 14.

Abstract

Occupational stress in the work setting can lead to burnout. Health care workers are at a higher risk of experiencing stress and burnout. Mindfulness has gained momentum as a coping mechanism for stress and feelings of burnout, although it is unknown which mindfulness practices are the most effective for reducing feelings of occupational stress. The purpose of the qualitative portion of this mixed-methods study was to explore health care staff's perceptions of the characteristics of mindfulness interventions that were effective in reducing their stress and feelings of burnout. Health care staff consisting of nurses, State Tested Nursing Aides, housekeeping staff, culinary staff, activities staff, social workers, and chaplain staff ( N = 48) in a senior care and rehabilitation setting in a Midwestern city were invited to attend a semi-structured focus group, post-intervention. Thematic analysis was used to identify 3 main themes: ease of use promotes effective implementation, positive impact of mindfulness on self and others, and home- and work-related factors affect implementation. Overall, participants perceived benefit from various mindfulness practices for reducing their feelings of stress and burnout in the workplace. Guidance, ease of use of the mindfulness practice, and addressing barriers such as time and location can help with implementation.

摘要

工作环境中的职业压力会导致倦怠。医护人员面临更高的压力和倦怠风险。正念作为一种应对压力和倦怠感的方法已经越来越受到关注,尽管尚不清楚哪些正念练习对减轻职业压力最有效。这项混合方法研究的定性部分旨在探讨医护人员对正念干预措施的特征的看法,这些特征对减轻他们的压力和倦怠感是有效的。中西部城市一家老年护理和康复机构的医护人员(包括护士、注册护士助理、家政人员、厨师、活动人员、社会工作者和牧师)(N=48)受邀参加半结构化焦点小组,在干预后。主题分析用于确定 3 个主要主题:易用性促进有效实施、正念对自己和他人的积极影响以及家庭和工作相关因素影响实施。总体而言,参与者认为各种正念练习对减轻他们在工作场所的压力和倦怠感有益。指导、正念练习的易用性以及解决时间和地点等障碍可以帮助实施。

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