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应用证据改善实践:对护士在心理健康康复组织支持方面经历的定性洞察

Applying Evidence to Improve Practice: Qualitative Insights Into Nurses' Experiences With Organizational Support for Mental Health Recovery.

作者信息

Ali Sayed Ibrahim, Shaban Mostafa

机构信息

Department of Family and Community Medicine, College of Medicine, King Faisal University, Al Hofuf, Al-Ahsa, Saudi Arabia.

Geriatric Nursing Department, Faculty of Nursing, Cairo University, Cairo, Egypt.

出版信息

Worldviews Evid Based Nurs. 2025 Jun;22(3):e70045. doi: 10.1111/wvn.70045.

Abstract

BACKGROUND

The mental health and well-being of nurses are critical issues in health care, particularly following the increased stressors introduced by the COVID-19 pandemic. Nurses frequently experience burnout, stress, and emotional exhaustion due to systemic issues such as staffing shortages, heavy workloads, and limited access to mental health resources. These challenges not only affect nurses' well-being but also impact the quality of patient care. Organizational support plays a pivotal role in mitigating these issues, yet the lived experiences of nurses regarding such support remain underexplored.

AIM

This Study Aimed to Explore Nurses' Lived Experiences of Organizational Support and Its Impact on Their Mental Health Recovery, With a Focus on Identifying Actionable Strategies for Improvement.

METHODS

A qualitative phenomenological approach was employed, using Interpretative Phenomenological Analysis (IPA) to gain deep insights into nurses' experiences. Twenty nurses from various healthcare facilities in the Asir region, Saudi Arabia, were recruited through purposive sampling. Data were collected through face-to-face semi-structured interviews and analyzed using thematic analysis to identify recurring patterns and themes.

RESULTS

Three main themes emerged: (1) Supportive Leadership, highlighting the critical role of empathetic and communicative leadership in fostering well-being; (2) Systemic Barriers, including staffing shortages, heavy workloads, and limited access to mental health resources; and (3) Workplace Wellness Culture, reflecting the influence of stigma, peer support, and the practicality of wellness programs on mental health recovery. These themes underscore the interconnected nature of leadership, systemic issues, and workplace culture in supporting nurses' mental health.

LINKING EVIDENCE TO ACTION

The findings suggest several actionable strategies, including leadership training programs to foster empathy and communication, policies to address systemic barriers, tailored and accessible wellness programs, and initiatives to reduce mental health stigma. These interventions are essential for creating supportive environments that prioritize nurses' well-being and enhance their ability to deliver high-quality care.

摘要

背景

护士的心理健康和福祉是医疗保健中的关键问题,尤其是在新冠疫情带来更多压力源之后。由于人员短缺、工作量大以及获得心理健康资源的机会有限等系统性问题,护士经常经历职业倦怠、压力和情绪耗竭。这些挑战不仅影响护士的福祉,还会影响患者护理质量。组织支持在缓解这些问题方面起着关键作用,但护士在这种支持方面的实际经历仍未得到充分探索。

目的

本研究旨在探讨护士对组织支持的实际经历及其对心理健康恢复的影响,重点是确定可采取的改进策略。

方法

采用定性现象学方法,运用解释性现象学分析(IPA)深入了解护士的经历。通过目的抽样从沙特阿拉伯阿西尔地区的各种医疗机构招募了20名护士。通过面对面的半结构化访谈收集数据,并使用主题分析来识别反复出现的模式和主题。

结果

出现了三个主要主题:(1)支持性领导,强调富有同理心和沟通能力的领导在促进福祉方面的关键作用;(2)系统性障碍,包括人员短缺、工作量大以及获得心理健康资源的机会有限;(3)工作场所健康文化,反映了耻辱感、同伴支持以及健康计划的实用性对心理健康恢复的影响。这些主题强调了领导、系统性问题和工作场所文化在支持护士心理健康方面的相互联系。

将证据与行动联系起来

研究结果提出了一些可采取的策略,包括培养同理心和沟通能力的领导力培训计划、解决系统性障碍的政策、量身定制且易于获得的健康计划,以及减少心理健康耻辱感的举措。这些干预措施对于创造优先考虑护士福祉并提高其提供高质量护理能力的支持性环境至关重要。

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