Enhancing the resilience of nurses and midwives: Pilot of a mindfulness-based program for increased health, sense of coherence and decreased depression, anxiety and stress
Enhancing the resilience of nurses and midwives: Pilot of a mindfulness-based program for increased health, sense of coherence and decreased depression, anxiety and stress
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DOI：
10.5172/conu.2013.45.1.114
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发表时间：
2013-08-01
影响因子：
1.6
通讯作者：
Crisp, Jackie
中科院分区：
文献类型：
--
作者：
Foureur, Maralyn;Besley, Karyn;Crisp, Jackie
一般的卫生工作者，特别是助产士和护士，由于其工作和工作场所的性质而承受着高度的压力/痛苦；而且，他们的社会化工作方式将自我照顾的可能性降到最低。人们对培养适应力强的员工的兴趣日益浓厚，这意味着人们对正念冥想等整体实践的作用的兴趣也在大幅增长。Kabat-Zinn的基于正念的减压法（MBSR）是那些寻求在多种情况下练习、理论化或研究正念的人最常用的方法之一。本研究的主要目的是试点的有效性适应正念为基础的压力减轻干预护士和助产士的心理健康。更具体地说，我们试图测试改良MBSR干预的可接受性和可行性，为未来的随机对照试验（RCT）提供信息。试点研究采用干预前和干预后设计。20名助产士和20名护士参加了为期一天的讲习班，承诺每天冥想8周，并完成干预前和干预后措施：一般健康问卷（GHQ-12）；连贯性感(SOC) -生活取向与抑郁、焦虑和压力量表（DASS）一个小组参加了访谈或焦点小组讨论，讨论他们在这个项目中的经历和他们正在进行的正念练习。定量结果包括GHQ-12、SOC和DASS的应力分量表有显著改善。定性研究结果支持干预的可接受性，并强调了与任何未来随机对照试验的可行性相关的一些问题。总之，正念练习有望提高个人和工作场所的弹性，然而，需要来自精心构建的研究的有意义的研究证据来吸引和激励参与和组织支持。
Health workers in general, and midwives and nurses in particular, experience high levels of stress/ distress due to the nature of their work and workplaces; and, their socialization into ways of working that minimizes the likelihood of self-care. Increasing interest in the development of resilient workers has meant an enormous growth in interest in the role of holistic practices such as mindfulness meditation. Kabat-Zinn's mindfulness-based stress reduction (MBSR) is one of the most commonly used by those seeking to practise, theorize or research mindfulness across multiple contexts. The primary aim of this study was to pilot the effectiveness of an adapted mindfulness-based stress reduction intervention on the psychological wellbeing of nurses and midwives. More specifically,we sought to test the acceptability and feasibility of a modified MBSR intervention to inform a future randomized controlled trial (RCT). The pilot study used a pre and post intervention design. Twenty midwives and 20 nurses participated in a one-day workshop, undertook to meditate daily for 8 weeks and completed pre and post intervention measures: general health questionnaire (GHQ-12); sense of coherence (SOC) -orientation to life and the depression, anxiety and stress scale (DASS). A subgroup took part in interviews or focus group discussions of their experiences of the program and their ongoing mindfulness practice. The quantitative findings included significant improvements on the GHQ-12, SOC and the stress subscale of the DASS. Qualitative findings support the acceptability of the intervention, and highlighted a number of issues related to feasibility of any future RCT. In conclusion, mindfulness practice holds promise for increasing individual and workplace resilience, however, meaningful research evidence from carefully constructed studies will be required to engage and motivate participation and organizational support.