Effectiveness of a stress management program in continuous care nursing professionals

Autor

  • Edgar Galindo University of Evora
  • Rodrigo Pires Association for Family Planning, Vilavicosa
  • Luisa Gracio University of Evora
  • Adelinda Candeias University of Evora

Słowa kluczowe:

occupational stress, stress management, nursing research, cognitive-behavior therapy

Abstrakt

Background

Nursing is a stressful profession, because it is highly specialized work done under conditions of considerable pressure and has consequently a strong psychological impact. Occupational stress has been considered a serious public health problem, especially in the case of the nursing profession, with considerable consequences for the individual, for the quality of his work and for the associated economic costs. Although the topic of stress has become an important field of research, experimental studies on stress management strategies are rather scarce, especially in the case of the so-called risk professions, such as nursing.

Participants and procedure

The present study applied a cognitive-behavioral training program for stress management to a  sample of nursing professionals (N = 5) from an intensive care unit. The intervention was applied on the basis of a multiple baseline design. Evaluation of results was carried using quantitative and one qualitative measures. Emphasis was given to evaluation of physiological, cognitive and emotional symptoms of stress.

Results

The main hypotheses seem to have been confirmed, i.e. the stress management program reduces the participants’ physiological, cognitive and emotional stress symptoms according to applied assessment instruments. The results show different levels of stress reduction, as well as an improvement of the number and efficacy of the coping skills of the participants. Correlations were found between quantitative measures, between quantitative and qualitative measures, as well as between physiological, cognitive and emotional symptoms of stress.

Conclusions

Research hypotheses were confirmed, i.e., the applied program seems to be able to reduce stress.

Downloads

Download data is not yet available.

Bibliografia

Ando, M., Natsume, T., Kukihara, H., Shibata, H., & Ito, S. (2011). Efficacy of mindfulness-based meditation therapy on the sense of coherence and mental health of nurses. Health, 3, 118–122. https://doi.org/10.4236/health.2011.32022.

Bazarko, D., Cate, R. A., Azocar, F., & Kreitzer, M. J. (2013). The impact of an innovative mindfulnessbased stress reduction program on the health and well-being of nurses employed in a corporate setting. Journal of Workplace Behavioral Health, 28, 107– 133. https://doi.org/10. 1080/15555240.2013.779518.

Beck, C. T. (2011). Secondary traumatic stress in nurses: a systematic review. Archives of Psychiatric Nursing, 25, 1–10. https://doi.org/10.1016/j.apnu.2010.05.005.

Carson, J., Butterworth, T., & Burnard, P. (1998). Clinical supervision, stress management and social support. In T. Butterworth, J. Faugier, & P. Burnard (Eds.), Clinical Supervision and Mentorship in Nursing (pp. 49–65). Stanley Thornes.

Carson, J., & Kuipers, E. (1998). Stress management interventions. In S. Hardy, J. Carson, & B. Thomas (Eds.), Occupational stress: Personal and professional approaches (pp. 157–174). Stanley Thornes.

Dickinson, T., & Wright, K. M. (2008) Stress and burnout in forensic mental health nursing: a literature review. British Journal of Nursing, 17, 81–87. https://doi.org/10.12968/bjon.2008.17.2.28133.

Dunn, L., & Ritter, S. (1995). Stress in mental health nursing. A review of the literature. In J. Carson, L. Fagin, & S. Ritter (Eds.), Stress and coping in mental health nursing (pp. 29–45). Chapman & Hall.

Edwards, D., & Burnard, P. (2003). A systematic review of stress and stress management interventions for mental health nurses. Journal of Advanced Nursing, 42, 169–200. https://doi.org/10.1046/j.1365- 2648.2003.02600.x.

Ewers, P., Bradshaw, T., McGovern, J., & Ewers, B. (2002). Does training in psychosocial interventions reduce burnout rates in forensic nurses? Journal of Advanced Nursing, 37, 470–476. https:// doi.org/10.1046/j.1365-2648.2002.02115.x.

Fink, G. (2016). Stress, definitions, mechanisms, and effects outlined: Lessons from anxiety. In G. Fink (Ed.), Stress: Concepts, cognition, emotion, and behavior (pp. 33–37). Elsevier.

Folkman, S. (2013). Stress: Appraisal and coping. In M. D. Gellman & J. R. Turner (Eds.), Encyclopedia of behavioral medicine (pp. 1913–1915). Springer.

Gauthier, T., Meyer, R. M., Grefe, D., & Gold, J. I. (2015). An on-the-job mindfulness-based intervention for pediatric ICU nurses: a pilot. Journal of Pediatric Nursing, 30, 402–409. https://doi.org/10.1016/j. pedn.2014.10.005.

Hersch, R. K., Cook, R. F., Deitz, D. K., Kaplan, S., Hughes, D., Friesen, M. A., & Vezina, M. (2016). Reducing nurses’ stress: a randomized controlled trial of a web-based stress management program for nurses. Applied Nursing Research, 32, 18–25. https:// doi.org/10.1016/j.apnr.2016.04.003.

Humpel, N., & Caputi, P. (2001). Exploring the relationship between work stress, years of experience and emotional competency using a sample of Australian mental health nurses. Journal of Psychiatric and Mental Health Nursing, 8, 399–403. https://doi. org/10.1046/j.1365-2850.2001.00409.x.

Johnston, J. M., & Pennypacker, H. S. (2009). Strategies and tactics of behavioral research. Routledge. Kunkler, J., & Whittick, J. (1991). Stress-management groups for nurses: Practical problems and possible solutions. Journal of Advanced Nursing, 16, 172–176. https://doi.org/10.1111/j.1365-2648.1991. tb01621.x.

Melchior, M., Bours, G., Schmitz, P., & Wittich, Y. (1997). Burnout in psychiatric nursing: a metaanalysis of related variables. Journal of Psychiatric and Mental Health Nursing, 4, 193–201. https://doi. org/10.1046/j.1365-2850.1997.00057.x.

Melchior, M., Philipsen, H., Abu-Saad, H., Halfens, R., van de Berg, A., & Gassman, P. (1996). The effectiveness of primary nursing on burnout among psychiatric nurses in long-stay settings. Journal of Advanced Nursing, 24, 694–702. https://doi. org/10.1046/j.1365-2648.1996.02457.x.

Milne, D., Burdett, C., & Beckett, J. (1986). Assessing and reducing the stress and strain of psychiatric nursing. Nursing Times, 82, 59–62. Moody, K., Kramer, D., Santizo, R. O., Magro, L., Wyshogrod, D., Ambrosio, J., Castillo, C., Lieberman, R., & Stein, J. (2013). Helping the helpers: mindfulness training for burnout in pediatric oncology, a pilot program. Journal of Pediatric Oncology Nursing, 30, 275–284. https://doi.org/10.1177/ 1043454213504497.

Needleman J., Buerhaus, P., Mattke, S., Stewart, M., & Zelevinsky, K. (2002). Nurse-staffing levels and the quality of care in hospitals. New England Journal of Medicine, 346, 1715–1722. https://doi. org/10.1056/NEJMsa012247.

Paris, M., & Hoge, M. A. (2010). Burnout in the mental health workforce: a review. Journal of Behavioral Health Services & Research, 37, 519–528. https://doi.org/10.1007/s11414-009-9202-2.

Reineck, C., & Furino, A. (2005). Nursing career fulfillment: statistics and statements from registered nurses. Nursing Economics, 23, 25–31.

Reschke, K. (2011). Medizinpsychologische Gesundheitsanalyse von Fahrerlehrer/innen in Bayern 2011 [Medical-psychological health analysis of driving instructors in Bavaria 2011]. Leipzig University.

Ruotsalainen, J., Verbeek, J., Marine, A., & Serra, C. (2015). Preventing occupational stress in healthcare workers. Cochrane Database of Systematic Reviews, 4, CD002892. https://doi.org/10.1002/14651858.CD 002892.pub5.

Saedpanah, D., Salehi, S., & Moghaddam, L. F. (2016). Effect of emotion regulation training on occupational stress of critical care nurses. Journal of Clinical and Diagnostic Research, 10, 1–4. https://doi. org/10.7860/JCDR/2016/23693.9042.

Sarid, O., Rivka, B., Rivka, E., & Dorit, S. E. (2012). Are cognitive-behavioral interventions effective in reducing occupational stress among nurses? Applied Nursing Research, 25, 152–157. https://doi. org/10.1016/j.apnr.2011.01.004.

Schröder, H., & Reschke, K. (2010). Optimistisch den Stress meistern [Optimistic stress management]. Dgvt Verlag.

Smith, S. A. (2014). Mindfulness‐based stress reduction: an intervention to enhance the effectiveness of nurses’ coping with work‐related stress. International Journal of Nursing Knowledge, 25, 119–130. https://doi.org/10.1111/2047-3095.12025.

Watson J. (1986). A step in the right direction: Relaxation training for psychiatric staff. Senior Nurse, 5, 12–13.

Zeller, J. M., & Levin, P. F. (2013). Mindfulness interventions to reduce stress among nursing personnel. Workplace Health and Safety, 61, 85–89. https:// doi.org/10.1177/216507991306100207.

Opublikowane

2021-03-15

Jak cytować

Galindo, E., Pires, R., Gracio, L., & Candeias, A. (2021). Effectiveness of a stress management program in continuous care nursing professionals. Health Psychology Report, 9(1), 49–62. Pobrano z https://czasopisma.bg.ug.edu.pl/index.php/HPR/article/view/5747

Numer

Dział

Artykuły