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Effect of Web-based Career Identity and Assertion Training for Stress Management among Japanese Nurses-A Randomized Controlled Trial-

基于网络的职业认同和主张培训对日本护士压力管理的效果-随机对照试验-

基本信息

批准号：
17592205
负责人：
KOBAYASHI Toshio
金额：
$ 1.34万
依托单位：
Hiroshima University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2005
资助国家：
日本
起止时间：
2005 至 2006
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-17592205/
关键词：
Nurse Web-based learning Job stress Assertion Career identity 職業アイデンティティストレス

项目摘要

The purpose of this study is to reduce the stress among Japanese hospital nurses by studying stress coping and assertion methods on a web-site, and to improve nurses' mental health status.1. The web-based learning program for nurses was made referring to the stress management program for regular workers. The program was composed of nurse's career identity (CI) and assertion (AS) skill.2. The learning effect of the CI program was evaluated with randomized control trial (RCT) for nurses. Participants were randomly assigned to the intervention and the control groups, and given a questionnaire before and after study, and one month post-study. A seventy-minute web-based learning session was given to the intervention group over 3 weeks and thereafter to the control group. As a result, several CI improved in the intervention group after study, while several CI worsened in the control group. Though "Interpersonal relationship difficulty" among stressors improved in the intervention group, it worsened in the control group.3. The learning effect of the AS program was evaluated with RCT for nurses. As a result, "Knowledge of AS" rose just after study, but decreased one month later in the intervention group. No change was recognized in the control group regarding AS mind and action, though "Frankness" rose in the intervention group one month later. Concerning stress and mental health status, "Irritation" decreased just after the study, and "Quantitative load" decreased one month later in the intervention group. Using ANCOVA, "Knowledge of AS" in the intervention group was found to be significantly higher than that in the control group, and "Depression" in the intervention group tended to improve.These results indicate that CI, AS, job stress, and mental health status improved after web-based learning program among Japanese hospital nurses.

本研究的目的是通过研究日本医院护士在网站上的压力应对和断言方法，来降低日本医院护士的压力，改善护士的心理健康状况.护士网络学习方案是参照普通员工压力管理方案制定的。该项目由护士职业认同（CI）和断言（AS）技能组成.采用随机对照试验（RCT）评价护士CI学习效果。参与者被随机分配到干预组和对照组，并在研究前后和研究后一个月进行问卷调查。干预组在3周内进行70分钟的网络学习课程，随后进行对照组。结果，研究后干预组的几个CI改善，而对照组的几个CI恶化。压力源中的“人际关系困难”在干预组有所改善，但在对照组有所恶化.采用随机对照试验（RCT）评价护士自主学习的效果。结果，干预组的“AS知识”在研究后立即上升，但在一个月后下降。在控制组中，关于AS的思想和行为没有变化，尽管干预组的“坦率”在一个月后有所上升。在压力与心理健康状况方面，干预组的“激惹”在研究后立即减少，“数量负荷”在一个月后减少。通过协方差分析发现，干预组护士的“AS知识”显著高于对照组，“抑郁”有改善的趋势，表明日本医院护士在网络学习项目后，CI、AS、工作压力和心理健康状况均有所改善。