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探索针对新毕业护士压力恢复力的正念干预措施:一项定性研究。

Exploring mindfulness interventions for stress resilience in newly graduated nurses: A qualitative study.

作者信息

Wang Shu-Chen, Shih Shih-Ming, Kuo Li-Chuan

机构信息

Department of Nursing, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation and Tzu Chi University, Hualien, Taiwan.

Xin-Ming Psychological Clinic, Chiayi, Taiwan.

出版信息

Tzu Chi Med J. 2024 May 15;36(4):452-459. doi: 10.4103/tcmj.tcmj_250_23. eCollection 2024 Oct-Dec.

Abstract

OBJECTIVES

In an aging society coping with workforce challenges, successful hospital management hinges on the recruitment and retention of nurses. It is of utmost priority to address job stress and fortify mental resilience. While quantitative research supports investigating the stress-alleviating effects of mindfulness for nursing staff, obtaining a direct perspective from nurses is essential to comprehend how they navigate burnout and apply mindfulness for stress management. This qualitative study aimed to explore newly graduated nurses' experiences who participated in a mindfulness course and evaluate the practical application of acquired strategies in their work and daily lives, providing insights for retention strategies in health-care institutions.

MATERIALS AND METHODS

Thirty-one recently graduated nurses participated in an 8-session weekly in the mindfulness program. Qualitative data were obtained through focus group discussions during each session and subjected to thematic analysis.

RESULTS

Five key themes were generated to show how nurses experience mindfulness training: (1) shedding light on workplace stress and adaptation; (2) stress upon entering the workforce; (3) reactions to the vicious cycle of anxiety responses to stress through mindfulness practices; (4) discovery of daily life pleasures and obstacles encountered during the mindfulness course; (5) obstacles encountered during the mindfulness course. Through participation in the program, the subjects' levels of mindfulness of stress responses were enhanced.

CONCLUSION

This study underscores the advantages of mindfulness courses for newly graduated nurses and emphasizes the crucial role of workplace support. Practical recommendations for nursing administrators and educators include fostering familiarity with the health-care environment, promoting teamwork, and addressing anxiety related to handovers. Mindfulness breathing training has proven effective in alleviating pressure during shift transitions. Nursing managers can enhance staff well-being by creating moments of happiness, encouraging positive experience sharing, and organizing outdoor activities. Suggestions for future research involve refining the implementation of the Mindfulness-Based Stress Reduction course for accessibility and effectiveness, extending courses to other health-care professionals to promote team harmony, and positively impacting nursing staff's well-being and performance.

摘要

目标

在应对劳动力挑战的老龄化社会中,医院的成功管理取决于护士的招聘和留用。解决工作压力并增强心理韧性是重中之重。虽然定量研究支持调查正念对护理人员的减压效果,但从护士那里获得直接观点对于理解他们如何应对职业倦怠以及应用正念进行压力管理至关重要。这项定性研究旨在探索参加正念课程的新毕业护士的经历,并评估所习得策略在其工作和日常生活中的实际应用,为医疗机构的留用策略提供见解。

材料与方法

31名新毕业护士参加了为期8周的每周一次的正念课程。通过每次课程中的焦点小组讨论获得定性数据,并进行主题分析。

结果

生成了五个关键主题,以展示护士如何体验正念训练:(1)揭示工作场所压力与适应情况;(2)进入职场时的压力;(3)通过正念练习对压力焦虑反应恶性循环的反应;(4)发现日常生活中的乐趣以及正念课程中遇到的障碍;(5)正念课程中遇到的障碍。通过参与该课程,受试者对压力反应的正念水平得到了提高。

结论

本研究强调了正念课程对新毕业护士的益处,并强调了工作场所支持的关键作用。对护理管理人员和教育工作者的实际建议包括培养对医疗环境的熟悉度、促进团队合作以及解决与交接班相关的焦虑。正念呼吸训练已被证明在缓解轮班过渡期间的压力方面有效。护理管理者可以通过创造快乐时刻、鼓励分享积极体验和组织户外活动来提高员工的幸福感。对未来研究的建议包括完善基于正念减压课程的实施以提高可及性和有效性,将课程扩展到其他医疗专业人员以促进团队和谐,并对护理人员的幸福感和绩效产生积极影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2637/11483087/bdba63ca647f/TCMJ-36-452-g001.jpg

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