Hsu Hsiang-Chin, Lee Huan-Fang, Hung Hsuan-Man, Chen Yi-Lin, Yen Miaofen, Chiang Hui-Ying, Chow Lok-Hi, Fetzer Susan J, Mu Pei-Fan
Department of Emergency Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Department of Emergency Medicine, School of Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
J Nurs Manag. 2024 Apr 23;2024:8544725. doi: 10.1155/2024/8544725. eCollection 2024.
This umbrella review aims to comprehensively synthesize and analyze the findings of available systematic reviews on the effectiveness of individual-based strategies for reducing nurse burnout occurring in hospital-based settings.
Following JBI guidelines, an umbrella review was conducted to integrate the effectiveness of various strategies to reduce burnout. Systematic reviews were searched in the Embase, MEDLINE (Ovid), Cochrane Library, CINAHL (EBSCO), Scopus, and WOS databases. Inclusion criteria included studies published in any language from database inception to April 2023. Eligibility assessment involved two independent reviewers who evaluated titles, abstracts, and full texts. The systematic reviews were critically evaluated using JBI SUMARI. The results were narratively synthesized and grouped by strategy.
Eleven systematic reviews were included, covering the years 2012 to 2021. The appraisal tools varied, though all included reviews were of high quality. The strategies were categorized into three domains: mental health (51%), physical activities (26%), and professional competence (13%). The interventions most identified were mindfulness-based stress reduction for mental health, yoga for physical activities, and professional competence education. These individual-based strategies were shown to effectively eliminate emotional exhaustion (72.7%), depersonalization (44%), and occupational stress (78%) among nurses in hospital-based settings.
Mental health, physical activities, and professional competence are strategies to reduce nurse burnout. Implementing these approaches in healthcare settings can improve emotional exhaustion, depersonalization, and occupational stress of nurses.
本综述旨在全面综合和分析现有系统评价的结果,这些评价涉及基于个体的策略在减少医院环境中护士职业倦怠方面的有效性。
按照循证卫生保健国际协作组(JBI)指南进行综述,以整合各种减少职业倦怠策略的有效性。在Embase、MEDLINE(Ovid)、Cochrane图书馆、护理学与健康领域数据库(CINAHL,EBSCO)、Scopus和Web of Science数据库中检索系统评价。纳入标准包括从数据库建立到2023年4月以任何语言发表的研究。由两名独立评审员对标题、摘要和全文进行资格评估。使用JBI SUMARI对系统评价进行严格评估。结果进行叙述性综合并按策略分组。
纳入了11项系统评价,涵盖2012年至2021年。评估工具各不相同,但所有纳入的评价质量都很高。这些策略分为三个领域:心理健康(51%)、体育活动(26%)和专业能力(13%)。最常确定的干预措施是心理健康方面的正念减压、体育活动方面的瑜伽以及专业能力教育。这些基于个体的策略被证明能有效消除医院环境中护士的情感耗竭(72.7%)、去人格化(44%)和职业压力(78%)。
心理健康、体育活动和专业能力是减少护士职业倦怠的策略。在医疗环境中实施这些方法可以改善护士的情感耗竭、去人格化和职业压力。