正念減壓課程對護理臨床教師焦慮與復原力之成效探討

護理臨床教師除繁重的臨床照護外，還需承擔指導新進護理人員的責任，長期處於沉重且複雜的工作環境倍感壓力。故本研究目的：探討正念減壓課程對護理臨床教師焦慮與復原力之成效。方法：採單組前、後測研究設計，以北部某醫學中心護理臨床教師為研究對象，共收案35人。以情境焦慮量表、特質焦慮量表及復原力量表為研究工具，以正念減壓課程為期4週共25小時及視訊討論2次（4小時）為介入措施，收集介入前、介入後立即及介入後第2個月等資料進行統計分析。結果：共35位臨床教師參與正念減壓課程，介入措施後立即及第2個月情境焦慮程度降低P值＜.001、復原力改善P值＜.002，而特質焦慮則在介入第2個月看到成效P值＜.022。建議：正念減壓訓練課程應在臨床教師繼續教育中常規舉辦，並與資訊結合透過網路視訊、通訊軟體即時討論、反思與回饋，將練習經驗強化於日常生活與工作中，以提升復原力，促進健康。

關鍵字

護理臨床教師；正念減壓；焦慮；復原力

並列摘要

Background: Nursing preceptors play an important role in successful transition of less experienced or novice nurses to independence practice; however, preceptors often experience anxiety and stress due to their multifaceted responsibilities for the preceptee in current complex healthcare environment. Strategies are needed to help nursing preceptors relieve stress and improve resilience. Purpose: This study aimed to examine the effects of mindfulness-based stress reduction (MBSR) on anxiety and resilience among nursing preceptors. Method: This study used one-group longitudinal pretest-posttest design to evaluate whether a mindfulness- based stress reduction intervention had an effect on anxiety and resilience in a sample of 35 nursing preceptors from a medical center in northern Taiwan (This Study provided 25 hours of MBSR program, included two time of fele-conference (4 hours) during four weeks.) Subjects completed questionnaires of situational anxiety, trait anxiety and resilience at baseline, and post-test and 2 months after the intervention. Results: The findings showed that nursing preceptors reported decreased situational anxiety and improved resilience at both post-test and 2 months after the intervention, and reduced trait anxiety at 2 months after the intervention. Conclusion: Our results suggest that a mindfulness-based stress reduction intervention is effective in reducing anxiety and increasing resilience in nursing preceptors. Future experimental trails are needed to establish more robust evaluation for the effects of mindfulness-based stress reduction in this population.

並列關鍵字

nursing preceptor ； mindfulness-based stress reduction ； anxiety ； resilience

參考文獻

古蕙瑄（2019）．正念療癒的臨床應用．領導護理，20（2），17-23。http://doi.org/10.29494/LN.201906_20(2).0002

石世明（2020）．以覺知訓練培養醫療人員復原力(Resilience)．醫療品質雜誌，14（4），33-39。http://doi.org/10.3966/199457952020071404008

李歡芳、許晏寧、江惠英（2019）．提升護理人員職場復原力之策略．源遠護理，13（2），30-35。http://doi.org/10.6530/YYN.201907_13(2).0005

林俐伶、林秋菊（2019）．在逆境中堅強—運用復原力概念於照顧者負荷．護理雜誌，66（3），100-1054。http://doi.org/10.6224/JN. 201906_66(3).12

陳怡甄、郭素娥、阮祺文（2017）．護理人員的安全文化對工作生活平衡之影響-復原力之調節效果．弘光學報，80，13-25。http://doi.org/10.6615/HAR.201709.80.02

主題瀏覽