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心理健康急救作为一种支持策略对新冠疫情后医院护士的心理韧性及组织环境相关因素的有效性:探索仍在继续。

Effectiveness of mental health first aid as a supportive tactic on resilience and organisational environment-related factors among hospital nurses in the wake of COVID-19: the search continues.

作者信息

Eweida Rasha Salah, Khedr Mahmoud Abdelwahab, Ghallab Eman, Ibrahim Nashwa, Khonji Leena Mohammad, Ali Eman Abdeen

机构信息

Assistant Professor, Mental Health Nursing Specialty, Nursing Department, College of Health and Sport Sciences, University of Bahrain, Zallaq, Bahrain.

Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt.

出版信息

J Res Nurs. 2025 Apr 10:17449871241275011. doi: 10.1177/17449871241275011.

Abstract

BACKGROUND

The implementation of Mental Health First Aid (MHFA) has been shown to effectively prevent long-term psychological effects of trauma. Additionally, it aids nurses in stabilising their emotional state and facilitates their practical recovery.

AIM

To investigate the effect of MHFA on resilience capacity, organisational commitment, job insecurity and turnover among nurses working in the COVID-19 isolation units.

METHODS

Sixty nurses in COVID-19 isolation units participated in a quasi-experimental two-group, pre-post-test research. Nurses with low resilience capacity due to the COVID-19 crisis in Egypt completed a baseline survey. The study group employed MHFA strategies using the RAPID model. At the same time, standard psychological care was provided to the control group.

RESULTS

A statistically significant improvement in resilience and organisational commitments mean scores among the study group (62.50 ± 19.33, 21.67 ± 9.66, respectively) post-intervention. Besides, a significant decline in the study group's job insecurity and turnover intention mean scores (8.90 ± 2.32, 8.70 ± 2.34, respectively) after the MHFA intervention.

CONCLUSION

Implementing MHFA enhances nurses' ability to withstand the challenges of COVID-19, significantly boosting their resilience. Additionally, it positively impacts their organisational commitment, reducing both job insecurity and turnover intention.

摘要

背景

心理健康急救(MHFA)的实施已被证明能有效预防创伤带来的长期心理影响。此外,它有助于护士稳定情绪状态并促进其实际康复。

目的

调查心理健康急救对在新冠疫情隔离病房工作的护士的心理韧性、组织承诺、工作不安全感和离职率的影响。

方法

60名在新冠疫情隔离病房工作的护士参与了一项准实验性两组前后测研究。由于埃及的新冠疫情危机而心理韧性较低的护士完成了基线调查。研究组采用RAPID模型实施心理健康急救策略。与此同时,对照组接受标准心理护理。

结果

干预后,研究组的心理韧性和组织承诺平均得分有统计学意义的显著提高(分别为62.50±19.,33和21.67±9.66)。此外,心理健康急救干预后,研究组的工作不安全感和离职意愿平均得分显著下降(分别为8.90±2.32和8.70±2.34)。

结论

实施心理健康急救可增强护士应对新冠疫情挑战的能力,显著提高其心理韧性。此外,它对护士的组织承诺有积极影响,降低了工作不安全感和离职意愿。

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