Charlot-Swilley Dominique, Zuskov Sabrina, Curtis Latisha, Mitchell Stephanie, Anderson Elva
Department of Pediatrics, Georgetown University School of Medicine, 2115 Wisconsin Avenue, N.W., 6th Floor, Washington, DC 20007, USA.
Department of Psychiatry, Georgetown University Medical Center, Washington, DC 20007, USA.
Healthcare (Basel). 2025 Feb 24;13(5):487. doi: 10.3390/healthcare13050487.
: The COVID-19 pandemic has highlighted the challenges faced by essential professionals, such as nurse managers and early childhood educators (ECEs), who grapple with heightened stress, burnout, and compassion fatigue. In response, the , , , (CPR) program was designed as a virtual, structured wellness intervention to address these pressing concerns among caregiving professionals. : A mixed-methods study was employed to evaluate the feasibility, acceptability, and preliminary outcomes of CPR, implemented across two cohorts: nurse managers in a pediatric hospital and early childhood educators (ECEs) serving equity-deserving communities. Participants completed electronic surveys at pre- and post-test assessing mindfulness, professional quality of life, healthy lifestyle behaviors, and perceived social cohesion. One month post-program, focus groups were conducted using a facilitation guide to evaluate program elements, including group structure, expectations, discussion themes, and sustainability. : Quantitative findings suggest that while nurse managers experienced significant reductions in compassion fatigue, along with improvements in mindfulness and perceived cohesion, ECEs exhibited stable levels of stress and burnout. Both cohorts reported enhanced sleep quality, emphasizing the program's potential to foster critical aspects of wellbeing. Qualitative participant feedback highlighted the importance of organizational readiness, leadership engagement, and program flexibility for successful implementation. : The study highlights the need for tailored, context-sensitive wellness interventions that recognize the unique challenges faced by different caregiving roles. It also emphasizes the potential for sustained impact when wellness initiatives are integrated into the organizational culture, further reinforcing the importance of ongoing commitment to workforce wellbeing in high-stress environments.
新冠疫情凸显了诸如护士长和幼儿教育工作者等一线专业人员所面临的挑战，他们要应对不断加剧的压力、职业倦怠和同情疲劳。作为回应，“关爱、保护、恢复”（CPR）项目被设计为一种虚拟的、结构化的健康干预措施，以解决这些护理专业人员面临的紧迫问题。
一项混合方法研究被用于评估CPR项目的可行性、可接受性和初步成果，该项目在两个群体中实施：一家儿科医院的护士长以及为应受公平对待社区服务的幼儿教育工作者。参与者在测试前和测试后完成电子调查，评估正念、职业生活质量、健康生活方式行为和感知到的社会凝聚力。在项目结束一个月后，使用一份促进指南进行焦点小组讨论，以评估项目要素，包括小组结构、期望、讨论主题和可持续性。
定量研究结果表明，虽然护士长的同情疲劳显著减轻，正念和感知到的凝聚力也有所改善，但幼儿教育工作者的压力和职业倦怠水平保持稳定。两个群体都报告睡眠质量有所提高，这凸显了该项目在促进健康关键方面的潜力。定性的参与者反馈强调了组织准备、领导参与和项目灵活性对成功实施的重要性。
该研究强调需要有针对性的、因地制宜的健康干预措施，以认识到不同护理角色所面临的独特挑战。它还强调了将健康倡议融入组织文化时产生持续影响的潜力，进一步强化了在高压力环境中持续致力于员工健康的重要性。
