A Web-Based Stress Management Program for Nurses

基于网络的护士压力管理计划

• 批准号: 8252544
• 负责人: REBEKAH K HERSCH
• 金额: $ 15.96万
• 依托单位: ISA ASSOCIATES, INC.
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-03-09 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8252544
• 关键词: Address; Agreement; Alcohol or Other Drugs use; American; Area; Benchmarking; Cognitive; Computers; Development; Devices; Discipline of Nursing; Effectiveness; Environment; Goals; Health; Health behavior change; Healthcare Systems; Hospitals; Incidence; Individual; Internet; Intervention; Job Satisfaction; Knowledge; Letters; Licensing; Marketing; Measures; Modeling; Nature; Nurses; Occupations; Online Systems; Outcome; Participant; Personal Satisfaction; Persons; Phase; Plague; Questionnaires; Randomized; Randomized Controlled Trials; Recruitment Activity; Sampling; Schedule; Site; Specific qualifier value; Stress; Taxes; Testing; Waiting Lists; Work; Workload; Workplace; base; burnout; cost effective; environmental stressor; experience; health care service organization; innovation; meetings; programs; prototype; randomized trial; skills; social; stress management; stressor

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. PUBLIC HEALTH RELEVANCE: The notoriously high stress of the nursing occupation damages the health and well-being of nurses and contributes to attrition and nursing shortages in hospitals throughout the U.S. Although there exist promising in- person interventions for addressing problems of stress among nurses, the schedules and workloads of nurses can pose problems for implementing in-person interventions. The experience of our group indicates that web- based interventions might be ideally suited to addressing the high levels of stress among nurses. The outcome of this Fast Track project will be the development and test of an innovative, web-based stress management program for nurses, along with a guide to assist nurse managers in reducing stressors in the hospital environment. The effective development and test of these programs could provide a mechanism for broad dissemination of an efficacious and cost-effective stress management program for nurses in hospitals throughout the U.S., potentially resulting in significant reductions in nurses' stress, burnout and attrition.

描述（由申请人提供）：护理是众所周知的高压力职业——精神上和体力上都消耗殆尽，而且职业倦怠的发生率很高。压力除了对护士的健康和福祉造成破坏性影响外，也是造成护理行业人员流失和普遍短缺的一个主要原因。尽管存在有希望的面对面干预措施来解决护士的压力问题，但我们团队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给实施面对面干预带来问题，并且基于网络的干预措施可能非常适合解决护士的高压力问题。近年来，基于互联网的压力管理计划已经在工作场所得到开发和测试，多项研究的证据，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计划可以是减轻护士压力的有效干预措施。 该快速通道项目的总体目标是为护士开发和测试基于网络的压力管理计划，该计划由专门的网络应用程序支持，并附有主要针对改善工作环境的基于网络的护士经理指南。在第一阶段，将开发护士压力管理计划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计划和护士经理指南，并将在西奈山医院对 300 名护士进行随机对照试验来测试护士压力管理计划。西奈山热情地同意作为该项目两个阶段的地点。最终的方案将通过 ISA 劳动力健康中心的集中努力推向医院。 公共健康相关性：众所周知，护理职业的高压力损害了护士的健康和福祉，并导致美国各地医院的人员流失和护士短缺。尽管存在有希望的面对面干预措施来解决护士的压力问题，但护士的日程安排和工作量可能会给实施现场干预带来问题。我们小组的经验表明，基于网络的干预措施可能非常适合解决护士的高压力问题。该快速通道项目的成果将是为护士开发和测试基于网络的创新压力管理计划，以及帮助护士管理者减少医院环境压力源的指南。这些计划的有效开发和测试可以为美国各地医院护士广泛传播有效且具有成本效益的压力管理计划提供一种机制，从而可能显着减少护士的压力、倦怠和自然减员。