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聚焦解决方案的短期治疗与跨学科合作以减轻中国护士的工作压力、职业倦怠和应对方式:一项随机对照试验。

Interdisciplinary cooperation with solution-focused brief therapy to reduce job stress, burnout, and coping in Chinese nurses: A randomised controlled trial.

作者信息

Kong Yan, Zhang YanQi, Sun Ping, Zhang JinShu, Lu Yang, Li Juan, Zheng YingHua

机构信息

Department of Nursing, Central Hospital of Dalian University of Technology (Dalian Municipal Central Hospital), Dalian, 116033, China.

Jingmen People's Hospital, Jingmen, 448000, China.

出版信息

Heliyon. 2024 Nov 6;10(22):e40138. doi: 10.1016/j.heliyon.2024.e40138. eCollection 2024 Nov 30.

Abstract

BACKGROUND

Increased job stress and burnout are common among clinical nurses in China, reducing their work efficiency and nursing quality. Multiple studies have been conducted on brief interventions to reduce job stress and burnout among nurses. However, research has been hampered by a lack of psychological knowledge among nursing staff.

AIM

To assess a solution-focused brief therapy for enhancing nurses' coping styles and mitigating job stress and burnout based on interdisciplinary cooperation.

DESIGN

This randomised controlled trial.

SETTINGS

We randomly allocated 60 nurses working at a tertiary general hospital in a city in China to an experimental (n = 30) or a control group (n = 30).

METHODS

A collaborative research team comprising psychology and nursing specialists was established to conduct this study. The control group received routine psychological intervention, whereas the intervention group received a solution-focused brief therapy based on interdisciplinary cooperation. Chinese nurses' job stressors, Maslach Burnout Inventory, and simplified coping style questionnaire were used to evaluate both groups before and after the intervention.

RESULTS

A comparison of the scores for job burnout, total job stress, and positive coping before and after the interventions revealed significant improvements in the experimental group, whereas the scores for emotional exhaustion, depersonalisation, and total job stress in the control group demonstrated statistically significant differences. No significant differences were observed in the scores for negative coping, personal accomplishment, and coping style between the test and control groups before and after the intervention.

CONCLUSIONS

Solution-focused brief therapy implemented through interdisciplinary collaboration effectively enhances clinical nurses' active coping style, alleviates job stress and burnout, and offers valuable guidance for nursing management practices.

摘要

背景

工作压力增加和职业倦怠在中国临床护士中很常见,这降低了他们的工作效率和护理质量。已经针对减轻护士工作压力和职业倦怠的简短干预措施进行了多项研究。然而,由于护理人员缺乏心理学知识,研究受到了阻碍。

目的

评估一种以解决问题为导向的简短疗法,以基于跨学科合作增强护士的应对方式,减轻工作压力和职业倦怠。

设计

这项随机对照试验。

设置

我们将在中国某城市一家三级综合医院工作的60名护士随机分为试验组(n = 30)和对照组(n = 30)。

方法

成立了一个由心理学和护理专家组成的合作研究团队来开展这项研究。对照组接受常规心理干预,而干预组接受基于跨学科合作的以解决问题为导向的简短疗法。使用中国护士工作压力源量表、马氏职业倦怠量表和简易应对方式问卷在干预前后对两组进行评估。

结果

干预前后职业倦怠、工作压力总分和积极应对得分的比较显示,试验组有显著改善,而对照组的情感衰竭、去个性化和工作压力总分显示出统计学上的显著差异。干预前后试验组和对照组在消极应对、个人成就感和应对方式得分上未观察到显著差异。

结论

通过跨学科合作实施的以解决问题为导向的简短疗法有效地增强了临床护士的积极应对方式,减轻了工作压力和职业倦怠,并为护理管理实践提供了有价值的指导。

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[Analysis of the situation and influential factors of job burnout among 166 nurses in Guangzhou, China].[中国广州166名护士职业倦怠状况及影响因素分析]
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2019 Aug 20;37(8):576-580. doi: 10.3760/cma.j.issn.1001-9391.2019.08.004.

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