Effectiveness of interventions for academic burnout among nursing students: A systematic review.
Effectiveness of interventions for academic burnout among nursing students: A systematic review.
复制标题
护生学业倦怠干预措施的有效性：系统评价。
DOI：
10.1111/wvn.12628
复制
发表时间：
2023
影响因子：
4.3
通讯作者：
G. Nassereddine
中科院分区：
文献类型：
--
作者：
D. L. R. Tating;R. L. Tamayo;Julia Czen N Melendres;Isabel K Chin;Ericka Louise C Gilo;G. Nassereddine
背景
与其他卫生专业相比，护理专业学生经历更高的压力和倦怠，患病率高达20%。最近，他们受到COVID-19大流行导致的护理教育变化的影响，例如社会隔离和远程学习的要求。虽然有现有的研究干预措施，解决护理专业学生的学术倦怠，有没有综合随机试验就这个问题。
目的
本研究的目的是系统地综合护理专业学生学业倦怠的干预研究。
方法
在PubMed、CINAHL、CENTRAL、Web of Science和Scopus中对随机对照试验进行了系统检索。合格性标准基于与患者、干预、比较和结局（PICO）问题相关的研究直接性。两名综述作者独立筛选纳入的文章，收集纳入研究的数据，并使用科克伦偏倚风险工具2.0进行偏倚风险评估。进行叙述性综合。该综述已在PROSPERO（CRD 42022350196）中预先注册。
结果
6篇论文被纳入本次审查。研究了各种干预措施：气功练习，渐进式肌肉放松，自生疗法和笑声疗法，教学行为会议侧重于个人和专业发展，应对技能的提高。这些干预措施对护理专业学生的学业倦怠、抑郁和压力的影响是短期的，随着时间的推移，它们的益处仍然不确定。
将证据与行动联系起来
渐进式肌肉放松和认知行为干预对护理专业学生的学业倦怠、抑郁和压力有短期的积极影响。这些研究结果可能会支持护理专业学生的个人层面和组织层面的举措，旨在减少或防止学业倦怠的发展。需要对各种环境和文化中的学业负担干预措施的效果进行大规模、高质量的研究。
BACKGROUND
Nursing students experience higher stress and burnout compared to students in other health professions, with a prevalence rate of as high as 20%. More recently, they have been affected by changes in nursing education due to the COVID-19 pandemic, such as requirements for social isolation and distance learning. Although there are existing studies on interventions that address academic burnout among nursing students, there is no synthesis of randomized trials on this topic.
AIM
This study aimed to systematically synthesize studies of interventions for academic burnout among nursing students.
METHODS
A systematic search for randomized controlled trials was performed in PubMed, CINAHL, CENTRAL, Web of Science, and Scopus. Eligibility criteria were based on study directness in relation to the Patient, Intervention, Comparison, and Outcome (PICO) question. Two review authors independently screened articles for inclusion, collected data from the included studies, and performed risk of bias assessments using the Cochrane Risk of Bias Tool 2.0. A narrative synthesis was performed. This review was registered a priori in PROSPERO (CRD42022350196).
RESULTS
Six papers were included in this review. Various interventions were studied: Qigong exercises, progressive muscle relaxation, autogenic therapy and laughter therapy, didactic behavioral sessions focusing on personal and professional development, and coping skills enhancement. The effects of these interventions on academic burnout, depression, and stress among nursing students were short term and their benefits over time remain uncertain.
LINKING EVIDENCE TO ACTION
Progressive muscle relaxation and cognitive behavioral interventions demonstrated short-term positive effects on academic burnout, depression, and stress among nursing students. These findings may support the development of individual-level and organizational-level initiatives for nursing students aimed to lessen or prevent academic burnout. Large-scale, high-quality studies on the effect of interventions on academic burden in various settings and cultures are needed.