A Web-Based Stress Management Program for Nurses

描述（由申请人提供）：护理是一个众所周知的高压力职业-情绪负担和身体消耗，与倦怠的发生率很高。除了压力对护士的健康和幸福的破坏性影响外，压力也是护理专业人员流失和普遍短缺的主要原因。虽然存在有前途的人的干预措施，以解决护士之间的压力问题，我们的团队在医院的多个项目的经验表明，护士的时间表和工作量可能会造成实施人的干预措施的问题，基于网络的干预可能是理想的适合解决护士之间的高水平的压力。近年来，基于互联网的压力管理计划已经在工作场所开发和测试，并从几项研究，包括最近的一项研究，我们的组织在医院环境中进行的证据表明，基于网络的压力管理计划可以是一个有效的干预措施，以减少护士之间的压力。 这个快速通道项目的总体目标是开发和测试一个基于网络的护士压力管理程序，由一个专门的网络应用程序支持，并伴随着一个基于网络的护士经理的指南，主要是针对工作环境的改善。在第一阶段，将制定护士压力管理程序和护士管理者指南的原型，并对护士压力管理原型进行可行性测试。在第二阶段，将全面开发基于网络的护士压力管理程序和护士管理人员指南，并在一项有300名护士参加的随机对照试验中对护士压力管理程序进行测试。西奈医院。山西奈已热情地同意作为该项目两个阶段的地点。最终的计划将通过伊萨的劳动力健康中心的集中努力向医院推销。 公共卫生相关性：众所周知，护理职业的高压力损害了护士的健康和福祉，并导致美国各地医院的减员和护理短缺。尽管存在有希望的亲自干预措施来解决护士之间的压力问题，但护士的时间表和工作量可能会给实施亲自干预带来问题。我们小组的经验表明，基于网络的干预措施可能非常适合解决护士的高水平压力。这个快速通道项目的结果将是一个创新的，基于网络的压力管理计划的护士，沿着的指南，以帮助护士管理人员在减少医院环境中的压力源的开发和测试。这些项目的有效开发和测试可以为美国各地医院的护士提供一种广泛传播有效且具有成本效益的压力管理项目的机制，潜在地导致护士的压力、倦怠和损耗的显著减少。

DESCRIPTION (provided by applicant): Nursing is a notoriously high-stress occupation - emotionally taxing and physically draining, with a high incidence of burnout. In addition to the damaging effects of stress on nurses' health and well being, stress is also a major contributor to attrition and widespread shortages in the nursing profession. Although there exist promising in-person interventions for addressing problems of stress among nurses, the experience of our group across multiple projects in hospitals has indicated that the schedules and workloads of nurses can pose problems for implementing in-person interventions, and that web-based interventions might be ideally suited to addressing the high levels of stress among nurses. In recent years, Internet-based stress management programs have been developed and tested in the workplace, and the evidence from several studies, including a recent study conducted by our organization in a hospital setting, has indicated that a web-based stress management programs can be an efficacious intervention for reducing stress among nurses. The overall goal of this Fast-Track project is to develop and test a web-based stress management program for nurses, supported by a specialized web application and accompanied by a web-based nurse manager's guide directed mainly at improvements in the work environment. In Phase I, prototypes of a nurses stress management program and a nurse managers' guide will be developed and a feasibility test will conducted on the nurses stress management prototype. In Phase II, the web-based stress management program for nurses and the nurse managers' guide will be fully developed, and the nurses stress management program will be tested in a randomized controlled trial with 300 nurses at Mt. Sinai Hospital. Mt. Sinai has enthusiastically agreed to serve as the site for both phases of the project. The final program will be marketed to hospitals through concentrated efforts by ISA's Center for Workforce Health. PUBLIC HEALTH RELEVANCE: The notoriously high stress of the nursing occupation damages the health and well-being of nurses and contributes to attrition and nursing shortages in hospitals throughout the U.S. Although there exist promising in- person interventions for addressing problems of stress among nurses, the schedules and workloads of nurses can pose problems for implementing in-person interventions. The experience of our group indicates that web- based interventions might be ideally suited to addressing the high levels of stress among nurses. The outcome of this Fast Track project will be the development and test of an innovative, web-based stress management program for nurses, along with a guide to assist nurse managers in reducing stressors in the hospital environment. The effective development and test of these programs could provide a mechanism for broad dissemination of an efficacious and cost-effective stress management program for nurses in hospitals throughout the U.S., potentially resulting in significant reductions in nurses' stress, burnout and attrition.