The Effects of an Educational Program on the Professional Quality of Life and Health of Nurses: A Cluster Experimental Design

Chia-Yun FU ； Chia-Chan KAO ； Ruey-Hsia WANG

《The Journal of Nursing Research》 29卷3期 (2021/06) Pp. 1-11

https://doi.org/10.1097/jnr.0000000000000426

摘要

Background: The complexity of the healthcare environment and intense workloads may negatively impact the health and professional quality of life (ProQOL) of nurses. Prior research has identified a significant association in nurses between ProQOL and health. Developing an intervention to improve the ProQOL and health of nurses may benefit the quality of nursing care. Purpose: The aim of this study was to explore the effects of a compassion fatigue Resiliency, mindfulness Respiration, and Relatives and friends' support (i.e., 3Rs) educational program on ProQOL, physical health, and mental health in nurses. Methods: A cluster experimental design was used in this study to recruit registered nurses at two regional teaching hospitals in southern Taiwan as participants. The experimental group (n = 67) attended the 4-week (2-hours-per-week) 3R educational program. The control group (n = 57) received no intervention. The outcome variables, including compassion satisfaction, burnout, secondary traumatic stress, physical health, and mental health, were measured at baseline, at the end of the intervention (immediate effect), at 4 weeks postintervention (short-term effect), and at 12 weeks postintervention (medium-term effect). The study was conducted from May 2017 to December 2017. Results: Increases in compassion satisfaction and mental health and decreases in secondary traumatic stress were significantly greater in the experimental group than in the control group between baseline and all three posttest time points. Moreover, burnout decreased and physical health improved more significantly in the experimental group than in the control group between the baseline and end of intervention time points (p ＜ .001). Conclusions/Implications for Practice: The 3R educational program intervention, integrating compassion fatigue resiliency, mindfulness respiration, and support from relatives and friends, had immediate and positive effects on ProQOL as well as physical and mental health. Moreover, the intervention was shown to have short-term and medium-term positive effects on compassion satisfaction, secondary traumatic stress, and mental health. Nursing managers may apply programs that integrate compassion fatigue resiliency, mindfulness respiration, and relatives and friends' support to improve ProQOL and health in nurses.

關鍵字

nurses ； professional quality of life ； physical health ； mental health ； compassion fatigue

參考文獻

Li, Y., Fang, J., & Zhou, C. (2019).Work-related predictors of sleep quality in Chinese nurses: Testing a path analysis model. The Journal of Nursing Research, 27(5), Article e44. https://doi.org/10.1097/jnr.0000000000000319

Rayan, A., Sisan,M., & Baker, O. (2019). Stress, workplace violence, and burnout in nurses working in king Abdullah Medical City during Al-hajj season. The Journal of Nursing Research, 27(3), Article e26. https://doi.org/10.1097/jnr.0000000000000291

Bazarko, D., Cate, R. A., Azocar, F.,& Kreitzer, M. J. (2013). The impact of an innovativemindfulness-based stress reduction program on the health and well-being of nurses employed in a corporate setting. Journal of Workplace Behavioral Health, 28(2), 107–133. https://doi.org/10.1080/15555240.2013.779518

Carlesi, K. C., Padilha, K. G., Toffoletto, M. C., Henriquez-Roldan, C., & Juan, M. A. (2017). Patient safety incidents and nursing workload. Revista Latino-Americana de Enfermagem, 25, Article e2841. https://doi.org/10.1590/1518-8345.1280.2841

Cavanagh,N., Cockett,G., Heinrich, C., Doig, L., Fiest, K.,Guichon, J. R., Page, S., Mitchell, I., & Doig, C. J. (2020). Compassion fatigue in healthcare providers: A systematic review and metaanalysis. Nursing Ethics, 27(3), 639–665. https://doi.org/10.1177/0969733019889400