Mental Health and Occupational Functioning in Nurses: An investigation of anxiety sensitivity and factors affecting future use of an mHealth intervention

护士的心理健康和职业功能：焦虑敏感性和影响未来使用移动健康干预措施的因素的调查

• 批准号: 10826673
• 负责人: Danielle Hoyt
• 金额: $ 4.77万
• 依托单位: RUTGERS, THE STATE UNIV OF N.J.
• 依托单位国家: 美国
• 财政年份: 2024
• 资助国家: 美国
• 起止时间: 2024-01-01 至 2025-12-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10826673
• 关键词: Address; Adoption; Affect; Affective; Anxiety; Assistantship; Award; Behavioral Model; COVID-19 pandemic; Caliber; Characteristics; Clinical Sciences; Cognitive; Communities; Data Analytics; Diagnostic; Discipline of Nursing; Distress; Educational process of instructing; Effectiveness; Equation; Esthesia; Etiology; Feedback; Foundations; Future; General Population; Goals; Health; Health Personnel; Health Resources; Healthcare; Impairment; Interdisciplinary Study; Intervention; Investigation; Length; Link; Maintenance; Measurement; Mediating; Medication Errors; Mental Depression; Mental Health; Mental Health Services; Modality; Modeling; Mood Disorders; National Institute of Mental Health; Nature; Nurses; Nursing Assessment; Nursing Services; Occupational; Occupations; Outcome; Output; Patient Care; Patients; Performance at work; Personal Satisfaction; Population; Poverty; Prevalence; Prevention; Productivity; Psychiatric Nursing; Psychopathology; Quality of Care; Reporting; Research; Risk Factors; Role; Sampling; Strategic Planning; Stress; Surveys; Symptoms; System; Time; Training; Translational Research; Treatment outcome; United States National Institutes of Health; Work; Workplace; alternative treatment; anxiety sensitivity; brief intervention; burnout; clinical translation; dissemination strategy; evidence base; experience; falls; functional disability; functional outcomes; improved; insight; mHealth; patient safety; preference; research data dissemination; skills; social stigma; stakeholder perspectives; theories; therapy development; uptake

PROJECT SUMMARY/ABSTRACT Nurses experience high levels of stress due to the demands of their occupation, and, unsurprisingly, they evidence significantly greater prevalence of affective disorders compared to the general population. In addition to the personal toll, impoverished mental health of nurses negatively impacts the quality of care of their patients. There is a well-documented relation between depression and presenteeism (i.e., reduced work productivity due to a health condition). Furthermore, presenteeism in nurses is associated with impaired patient care, including increased patient falls and medication errors. Burnout is another major concern for nurses, experienced by as many as 64% of the nursing workforce, and has also been linked to compromised patient care and decreased patient safety. Although the need for mental healthcare in nurses is high, engagement in traditional mental health services is low. Factors including time limitations, stigma, and lack of stakeholder engagement have contributed to a critical gap between the mental health resources nurses need, and those that are actually available to them. This application proposes that Anxiety Sensitivity (AS), a well-documented risk factor for psychopathology, may be a mechanism underlying occupational functional impairments in nurses. Evidence-based autonomous mHealth interventions that target AS, such as the Cognitive Anxiety Sensitivity Treatment (CAST) intervention, may adequately address the treatment gap. Aligned with the NIH Stage Model of behavioral intervention development, the proposed study will involve the assessment of nurses and use of mediational structural equation modelling to examine the relations among AS, mental health (anxiety, burnout, and depression), and occupational outcomes (presenteeism and quality of patient care). A sample of administrative stakeholders will also be surveyed to identify organizational and system level factors that may promote or impede uptake and sustainability of CAST in the nursing workforce. A third sample, comprised of nurses, will complete the CAST intervention and provide feedback on intervention format, content, and engagement. Together, these aims will directly inform future intervention tailoring and optimization of intervention dissemination strategies to enhance stakeholder engagement and maximize the benefits to the wellbeing of nurses and their patients. The applicant is applying for an F31 award to receive high caliber training in the treatment of the cognitive- affective vulnerability anxiety sensitivity (Goal 1), transdiagnostic treatment implementation and optimization (Goal 2), theory and application of measurement and data analytic strategies (Goal 3), and interdisciplinary research dissemination skills (Goal 4). The research and training plan will lay the foundation for the applicant’s future pursuit of translational research initiatives in the treatment and prevention of affective psychopathology. Receiving an F31 award will relieve the applicant from her time-intensive teaching assistantship to effectively conduct research and establish a strong interdisciplinary network in the translational clinical science field.

项目摘要/摘要 由于事件的要求，护士承受着很高的压力，毫不奇怪，他们 与普通人群相比，情感障碍的患病率明显更大。此外 对个人损失，护士的贫困心理健康对他们的护理质量产生了负面影响 患者。抑郁和演讲之间存在据可查的关系（即减少的工作 由于健康状况而产生的生产力）。此外，护士中的演讲主义与患者受损有关 护理，包括增加患者跌倒和药物错误。倦怠是护士的另一个主要问题， 多达64％的护士劳动力经历，也与受损的患者有关 护理和改善患者安全。尽管护士中对心理保健的需求很高，但参与 传统的心理健康服务较低。包括时间限制，污名和缺乏利益相关者在内的因素 参与度导致了护士需要的心理健康资源与那些人之间的关键差距 实际上可以使用。 该申请提出，焦虑敏感性（AS）是精神病理学的有据可查的危险因素，可能 成为护士占据功能障碍的一种机制。循证自主 针对目标的MHealth干预措施，例如认知焦虑敏感性治疗（CAST）干预， 可以充分解决治疗差距。与行为干预的NIH阶段模型保持一致 开发，拟议的研究将涉及护士的评估和中介结构的使用 方程建模，以检查心理健康（焦虑，倦怠和抑郁）之间的关系，以及 职业成果（演讲主义和患者护理的质量）。行政利益相关者的样本将 还应进行调查以确定可能促进或阻碍吸收的组织和系统级别因素 护士劳动力中的演员的可持续性。第三个样本，完成护士，将完成演员阵容 干预并提供有关 干预格式，内容和参与。这些目标将在一起 直接告知将来的干预剪裁和优化干预传播策略以增强 利益相关者参与并最大程度地利用护士及其患者的福祉。 申请人正在申请F31奖励，以接受高素质培训，以治疗认知 - 情感脆弱性动画敏感性（目标1），经诊断治疗的实施和优化 （目标2），测量和数据分析策略的理论和应用（目标3）和跨学科 研究传播技巧（目标4）。研究和培训计划将为申请人的基础奠定基础 未来对翻译研究计划在治疗和预防情感心理病理学方面的追求。 获得F31奖将使申请人从她的耗时的教学助理中救出，以有效地 进行研究并在翻译的临床科学领域建立强大的跨学科网络。