Component analysis of occupational stress inoculation applied to registered nurses in an acute care hospital setting.

Abstract

The stress inoculation paradigm (SI), which consists of education (Ed), coping skills training (CS), and exposure to simulated stressors (Ex), was applied to the occupational stress experienced by nurses. Occupational stress was operationally defined in terms of 13 dependent measures reflecting problem areas summarized by the acronym Re ACT (retrograde complaints, assertiveness deficits, competency concerns, and time stress). ReACT also stood for the ingredients of the CS component (relaxation training, assertive skill building, cognitive restructuring, and time management instruction). In order to determine which SI components produce a treatment effect, 60 acute-care registered nurses were randomly assigned to one of four active treatment cells, namely, SI, CS, Ex, Ed, or no treatment at all (NT). A multivariate analysis of variance at posttest, and subsequent univariate analyses simultaneously considering 4-month follow-up data, clearly demonstrate that SI is an effective treatment with durable benefits and that CS is its principal ingredient. Additional demand-characteristics analyses indicate that these effects cannot likely be ascribed to placebo-related phenomena.

Relationship between Burnout and Communication Skill Training among Japanese Hospital Nurses: A Pilot Study

“…We found that the personal accomplishment and the two communication skills such as "accepting valid criticisms" and "negotiation" of the intervention group had improved significantly five months after the training as compared with that of the reference. Our results implied that communication skill Only a few studies have investigated the relationship between communication skill and burnout of health professionals including nurses 17,18) . We studied the relationship between burnout and communication skill training, especially AsT, among Japanese hospital nurses to improve the mental health of human service workers.…”

“…This educational process is considered to enhance objective thinking of one's self and to prevent the creation of a firm belief in a self-image of being an inexhaustible and super-competent person; one of the reasons for burnout 32) . West et al indicated that the EE and PA had improved significantly four months after the stress management course which had included training in assertive skills through role-playing 17) . In the CS-list, two communication skills, "accepting valid criticisms" and "negotiation", of the intervention improved significantly after the AsT.…”

Systematic review of interventions for reducing occupational stress in health care workers

“…Altogether 11 of the 19 included studies (30,35,37,38,(42)(43)(44)(45)(46)(47)(48) had interventions that were specifically directed towards nurses. In seven studies (32-34, 36, 39, 49, 50), interventions were directed at all of the staff of participating health care facilities, and, in one study, the intervention was directed towards respiratory therapists (40).…”

Dutch practice guidelines for managing adjustment disorders in occupational and primary health care

“…No randomized controlled studies were found that evaluated the therapy or guidance of employees with burnout, but several controlled studies evaluated intervention among a working population with a burnout measure as the dependent variable (17)(18)(19)(20)(21)(22)(23)(24)(25). However, none of the studies concerned patients diagnosed with burnout.…”