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An on-the-job mindfulness-based intervention for pediatric ICU nurses.

机译：儿科ICU护士基于在职正念的干预措施。

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摘要

Nurses are vulnerable to stress and burnout commonly associated with the nursing profession. Studies over the last decade demonstrate the prevalence of nurse stress and burnout. Mindfulness-based interventions provide aspects of social support, stress reduction, promote self-efficacy and increase overall wellbeing for healthcare workers. There are few mindfulness interventions specifically for nurses and none for nurses on the PICU. Grounded in a Socially Engaged Buddhism (SEB) a brief mindfulness-based pilot intervention was designed specifically for pediatric intensive care unit (PICU) nurses at Children's Hospital of Los Angeles (CHLA).;The first aim of the pilot intervention assessed the feasibility of a five-minute mindfulness meditation for nurses on the PICU before each work shift. The second aim investigated change in nursing stress, burnout, self-compassion, mindfulness and job satisfaction. The third aim examined whether religious/spiritual variables correlated with any change in stress and burnout over time. Using a pre-post-test design, 38 predominately white female nurses under 40 years of age with fewer than 5 years of nursing experience were studied at an urban academic pediatric hospital. The Nursing Stress Scale, the Mindfulness Attention Awareness Scale and the Self-Compassion Scale were administered at baseline, post-intervention and one month following. The intervention was found to be feasible for nurses on the PICU. A general linear model reported significant decreases in stress from baseline to post intervention and maintained one month following the intervention.;Integrating mindfulness meditation into the medical setting as a spiritually-based tool poses challenges. The current study was the first of its kind to address nurse stress and burnout through a mindfulness intervention at the workplace as a spiritual care service. Findings may inform future interventions that support on-the-job self-care and stress-reduction. The dissertation research contributes to the knowledge in fields of pastoral and spiritual care, religion and health, stress and health, social science and nursing. The study provides a critical examination of how Buddhist pedagogy and praxis is being popularized and applied to the mainstream medical ideology, as well as an example of an Engaged Buddhist approach to researching spirituality within healthcare..
机译：护士容易受到与护理专业有关的压力和倦怠的困扰。过去十年的研究表明，护士压力和倦怠现象普遍存在。基于正念的干预措施可提供社会支持，减轻压力，提高自我效能并增加医护人员的整体福祉。针对PICU的护士，很少有针对护士的正念干预措施。立足于社会参与佛教（SEB），针对洛杉矶儿童医院（CHLA）的小儿重症监护室（PICU）护士，设计了一种基于正念的简短试点干预措施；该试点干预措施的第一个目的是评估在每次轮班之前，为PICU的护士进行五分钟的正念冥想。第二个目标调查了护理压力，倦怠，自我同情，正念和工作满意度的变化。第三个目标是检查宗教/精神变量是否与压力和倦怠随时间的变化有关。使用测试前的设计，在城市学术儿科医院研究了38位40岁以下白人女性护士，其中不到5年的护理经验。在基线，干预后和一个月后，分别给予护理压力量表，正念注意意识量表和自我同情量表。发现干预对PICU的护士是可行的。一个通用的线性模型报告了从基线到干预后的压力显着降低，并在干预后一个月得以维持。;将正念冥想作为基于精神的工具整合到医疗环境中会带来挑战。当前的研究是通过在工作场所进行正念干预作为精神护理服务来解决护士压力和职业倦怠的此类研究。这些发现可能会为将来的干预措施提供支持，这些干预措施有助于在职自我保健和减轻压力。论文的研究为牧民和精神保健，宗教与健康，压力与健康，社会科学与护理领域的知识的发展做出了贡献。该研究提供了关于佛教教学法和实践如何被普及并应用到主流医学思想体系的批判性考察，并提供了一种从事佛教研究医疗保健灵性方法的实例。

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  • 作者

    Gauthier, Tina S.;

  • 作者单位

    University of the West.;

  • 授予单位 University of the West.;
  • 学科 Religion General.;Health Sciences Nursing.;Health Sciences Alternative Medicine.
  • 学位 Ph.D.
  • 年度 2013
  • 页码 287 p.
  • 总页数 287
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 工程基础科学;
  • 关键词

  • 入库时间 2022-08-17 11:41:15

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