Zhang Li, Xiao Jian, Zhang Anao, Zhang Hui
Department of Cardiology, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei, China.
Department of Otolaryngology, Sinopharm Dongfeng General Hospital, Hubei University of Medicine, Shiyan, China.
Front Psychol. 2025 Mar 26;16:1514612. doi: 10.3389/fpsyg.2025.1514612. eCollection 2025.
Chinese nurses experience high level of psychological distress, which negatively impacts nurses' mental health. A daily positive work reflection intervention is a widely disseminated employee management program, designed to improve employee wellbeing. The program has shown promising results in management, but has rarely been tested in healthcare settings, such as among nurses.
The purpose of this study is to evaluate the efficacy of a daily positive work reflection intervention for psychological distress among Chinese nurses.
This study used a switching replication design and randomly allocated 205 nurses to two groups (i.e., the experimental group and the waitlist control group) with three waves of measurement at pre-treatment, immediate post-treatment (T2), and immediate post-treatment (for the control group after intervention switch, T3) for changes in psychological distress.
In addition to significant within group improvements over time for both groups, OLS linear regression with Full Information Likelihood Estimation revealed a statistically significant between group treatment effects across outcome domains, including psychological distress, = 22.60, < 0.001, = 11.34, somatic symptoms, = 6.79, < 0.001, = 6.56, depressive symptoms, = 8.15, < 0.001, = 8.19, and anxiety symptoms, = 7.69, < 0.001, = 8.23.
Results suggest that a daily positive work reflection intervention is a feasible and promising intervention for decreasing Chinese nurses' psychological distress. The study used a convenience sample which led to a concern of external generalizability, and the study had limited evaluation of long-term change.
中国护士经历着高水平的心理困扰，这对护士的心理健康产生了负面影响。每日积极工作反思干预是一项广泛传播的员工管理项目，旨在改善员工的幸福感。该项目在管理方面已显示出有前景的结果，但在医疗环境中，如在护士群体中，很少进行测试。
本研究的目的是评估每日积极工作反思干预对中国护士心理困扰的疗效。
本研究采用切换复制设计，将205名护士随机分为两组（即实验组和等待列表对照组），在治疗前、治疗后即刻（T2）以及治疗后即刻（干预切换后对照组为T3）进行三轮测量，以观察心理困扰的变化。
除两组随时间均有显著的组内改善外，采用全信息似然估计的OLS线性回归显示，在包括心理困扰（F = 22.60，p < 0.001，η² = 11.34）、躯体症状（F = 6.79，p < 0.001，η² = 6.56）、抑郁症状（F = 8.15，p < 0.001，η² = 8.19）和焦虑症状（F = 7.69，p < 0.001，η² = 8.23）等结果领域，两组间治疗效果具有统计学意义。
结果表明，每日积极工作反思干预是一种可行且有前景的干预措施，可减少中国护士的心理困扰。本研究使用了便利样本，这引发了对外部普遍性的担忧，且该研究对长期变化的评估有限。
