A Web-Based Stress Management Program for Nurses

描述（由申请人提供）：护理是一项众所周知的高压力职业——情感负担和体力消耗，倦怠的发生率很高。除了压力对护士健康和幸福的破坏性影响外，压力也是造成护理专业人员流失和普遍短缺的主要原因。尽管存在解决护士压力问题的现场干预措施，但我们小组在医院多个项目中的经验表明，护士的日程安排和工作量可能会对实施现场干预措施造成问题，而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。近年来，基于网络的压力管理程序已经在工作场所得到开发和测试，并且来自几项研究的证据，包括我们组织最近在医院环境中进行的一项研究，表明基于网络的压力管理程序可以有效地干预护士的压力。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，该程序由一个专门的网络应用程序支持，并附带一个基于网络的护士经理指南，主要针对工作环境的改善。在第一阶段，将开发护士压力管理项目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者指南，并对西奈山医院300名护士进行随机对照试验，对护士压力管理程序进行测试。西奈山热情地同意作为项目两个阶段的场地。最后的方案将通过ISA的劳动力健康中心的集中努力向医院推销。

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.