Kelly Lesly, Rowe Chyela, Choudhury Aproteem, Woo-Cater Sandy, Greenwood Lindiwe
Nursing Research, CommonSpirit Health, Phoenix, Arizona, USA.
Arts Therapies & Well-Being, CHI Memorial, Chattanooga, Tennessee, USA.
Worldviews Evid Based Nurs. 2024 Dec;21(6):626-633. doi: 10.1111/wvn.12750. Epub 2024 Oct 21.
Mind-body medicine (MBM) is an evidence-based intervention associated with trauma and stressful events. The MBM intervention alleviates symptoms of work-related stress and builds resilience by utilizing self-care techniques facilitated in small group settings. Healthcare leaders who experienced traumatic stress through the COVID-19 pandemic may benefit from interventions aimed at their needs.
We evaluated the effects of a peer support MBM intervention on perceived stress, resilience, well-being, and empathy for nurse leaders and compassionate care leaders.
A pre-post intervention was conducted via 7 virtual and 2 on-site groups, recruiting from a large multihospital health system in the United States. Participants engaged in an 8-week program facilitated by a certified faculty group leader from The Center for Mind-Body Medicine and engaged in resilience skills building activities along with facilitated sharing. Validated instruments were used to measure outcomes at pre, post, 1 month, and 6 month follow-up intervals. Surveys included open-ended questions for qualitative feedback related to facilitators, barriers, and group experiences.
Seventy-three leaders completed the MBM program, and 22 completed the four research surveys; all qualitative responses were included for feedback. Perceived stress decreased after the intervention (p < .008) and was maintained for 6 months post intervention (p < .005). Resilience increased after the intervention (p < .034) and for 1 month (p < .049) but decreased after 6 months. Qualitative responses showed that time and workload factors were the most significant barrier to participation, while the benefits included protected time with peers, learning well-being skills, and having a safe place to process emotions.
Healthcare leaders face unique challenges, including workplace trauma and crises. Interventions that support their stress response, resilience, and overall well-being should take into consideration the nature of their work, the balance of time demands, and the need for peer support to overcome barriers to sustainable interventions.
身心医学（MBM）是一种基于证据的干预措施，与创伤和应激事件相关。MBM干预通过在小组环境中促进自我护理技术的应用来减轻工作相关压力症状并增强恢复力。在新冠疫情期间经历过创伤性应激的医疗保健领导者可能会从针对其需求的干预措施中受益。
我们评估了同伴支持的MBM干预对护士领导者和富有同情心的护理领导者的感知压力、恢复力、幸福感和同理心的影响。
通过7个虚拟小组和2个现场小组进行干预前后研究，招募对象来自美国一个大型多医院卫生系统。参与者参加了一个为期8周的项目，由身心医学中心的认证教员组长主持，参与恢复力技能培养活动并进行促进分享。使用经过验证的工具在干预前、干预后、1个月和6个月随访时测量结果。调查包括与促进者、障碍和小组经历相关的开放式问题，用于定性反馈。
73名领导者完成了MBM项目，22名完成了四项研究调查；所有定性回复都纳入反馈。干预后感知压力降低（p < 0.008），并在干预后6个月保持（p < 0.005）。干预后恢复力增强（p < 0.034），持续1个月（p < 0.049），但6个月后下降。定性回复表明，时间和工作量因素是参与的最主要障碍，而益处包括与同伴的专属时间、学习幸福感技能以及有一个处理情绪的安全场所。
医疗保健领导者面临独特的挑战，包括工作场所创伤和危机。支持他们应激反应、恢复力和整体幸福感的干预措施应考虑到他们工作的性质、时间需求的平衡以及获得同伴支持以克服可持续干预障碍的必要性。
