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Rosen J, Penque S. How Does Mindfulness Affect Registered Nurses Practicing in Acute Care Settings? A Study of the Lived Experiences of Nurses After Participating in a Mindfulness Program. J Am Psychiatr Nurses Assoc 2024; 30:355-363. [PMID: 35815620 DOI: 10.1177/10783903221108767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Psychological well-being of nurses is necessary to protect the overall care of themselves, as well as their patients. This is especially concerning given the effects of the COVID-19 pandemic. There are several research studies on mindfulness for RNs and its impact on psychological health and well-being. There is limited research on how nurses may use mindfulness during patient care. AIM The purpose of this study was to explore the effects of mindfulness education and practice on helping RNs to develop self-care skills and to apply mindfulness in the clinical setting. METHOD This was an exploratory mixed method design including quantitative (pilot study) and qualitative methods. Upon completion of a 4-week course on mindfulness practices, focus groups were held with the seven participants who completed the program. Open-ended, semi-structured interviews were held 1 week and then 3 months post-intervention. A constant comparative method and thematic analysis were utilized to analyze the data. RESULTS Four themes were identified; (1) using mindfulness to calm down one's emotional response in the clinical setting; (2) awareness; (3) loving yourself; and (4) self-care. Nurses reported increased awareness and were able to use the technique of mindfulness practice during patient care. CONCLUSION The findings of this study validate the benefits of mindfulness for self-care. Nurses were able to utilize mindfulness while caring for patients in different settings and during difficult patient situations, including in Behavioral Health. Further research is needed longitudinally, to explore how mindfulness can be practiced and utilized to improve outcomes in patient care.
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Affiliation(s)
- Jacquelyn Rosen
- Jacquelyn Rosen, MSN, RN, PMHCNS-BC, NC-BC, Mount Sinai South Nassau, Oceanside, NY, USA
| | - Susan Penque
- Susan Penque, PhD, ANP-C, NE-C, HC-C, Sacred Heart University, Fairfield, CT, USA
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Reichel JL, Mülder LM, Dietz P, Heller S, Werner AM, Schäfer M, Schwab L, Letzel S, Rigotti T. Conditional reciprocal stressor-strain effects in university students: a cross-lagged panel study in Germany. Sci Rep 2024; 14:6952. [PMID: 38521804 PMCID: PMC10960860 DOI: 10.1038/s41598-024-57486-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2023] [Accepted: 03/18/2024] [Indexed: 03/25/2024] Open
Abstract
University students worldwide are facing increasing mental health challenges. Traditional stress models, like the Job/Study Demand-Resources Model, link stressors directly to strain. Yet, recent studies suggest the influence of strain on stressors may be even stronger. Our research explored these reciprocal dynamics among university students, considering social support and mindfulness as potential moderators. We conducted a two-wave panel study with 264 university students. We ran separate cross-lagged panel structural equation analyses for three key health outcomes-emotional exhaustion, depression, and well-being-each paired with perceived study stressors, specifically workload and work complexity. Findings revealed significant stressor and strain effects, with social support notably moderating the impact of emotional exhaustion on workload. These insights challenge traditional stress theories and underscore the importance of mental health support and effective stress management strategies for students, emphasizing the need for proactive mental health initiatives in academic environments.
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Affiliation(s)
- Jennifer L Reichel
- Institute of Occupational, Social and Environmental Medicine, University Medical Center of the University of Mainz, Mainz, Germany.
| | - Lina M Mülder
- Department of Work, Organizational, and Business Psychology, Institute for Psychology, Johannes Gutenberg University, Mainz, Germany
| | - Pavel Dietz
- Institute of Occupational, Social and Environmental Medicine, University Medical Center of the University of Mainz, Mainz, Germany
| | - Sebastian Heller
- Institute of Occupational, Social and Environmental Medicine, University Medical Center of the University of Mainz, Mainz, Germany
| | - Antonia M Werner
- Department of Psychosomatic Medicine and Psychotherapy, University Medical Center of the University Mainz, Mainz, Germany
| | - Markus Schäfer
- Department of Communication, Johannes Gutenberg University, Mainz, Germany
- Department of Culture, Media and Psychology, Macromedia University of Applied Sciences, Frankfurt, Germany
| | - Lisa Schwab
- Department of Sport Science, Johannes Gutenberg University, Mainz, Germany
| | - Stephan Letzel
- Institute of Occupational, Social and Environmental Medicine, University Medical Center of the University of Mainz, Mainz, Germany
| | - Thomas Rigotti
- Department of Work, Organizational, and Business Psychology, Institute for Psychology, Johannes Gutenberg University, Mainz, Germany
- Leibniz Institute for Resilience Research, Mainz, Germany
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Zhang Y, He H, Yang C, Wang X, Luo J, Xiao J, Fu B, Chen Y, Ma C. Chain mediations of perceived social support and emotional regulation efficacy between role stress and compassion fatigue: insights from the COVID-19 pandemic. Front Public Health 2023; 11:1269594. [PMID: 38026273 PMCID: PMC10680973 DOI: 10.3389/fpubh.2023.1269594] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2023] [Accepted: 10/23/2023] [Indexed: 12/01/2023] Open
Abstract
Background Nurses at the frontline faced high risks of the COVID-19 infection, undertook heavy workloads of patient care, and experienced tremendous stress that often led to compassion fatigue. Aim This study was to explore the role of positive psychosocial resources (i.e., perceived social support and emotional regulation efficacy) in the relationship between role stress and compassion fatigue. Methods A cross-sectional design was conducted in Hubei Province, China between May and September 2021. The Role Stress Questionnaire, the Perceived Social Support Scale, the Emotional Regulation Efficacy Scale, and the Professional Quality of Life Scale were used to measure key variables of interest. Nurse socio-demographic data were also collected. Structural equation modeling was used to explore the relationships, including potential mediating effect, among role stress, perceived social support, emotional regulation efficacy, and compassion fatigue. Results A total of 542 nurses participated in this investigation, and 500 were eventually enrolled in the analysis. The incidence of compassion fatigue among nurses was 94.2%, including 65.8% of nurses reporting at least moderate compassion fatigue. Univariate analysis showed that educational level, marital status, hospital rank, sleep time were the factors affecting compassion fatigue of the nurses. The structural equation modeling revealed that: Role stress had a direct positive effect on compassion fatigue; Perceived social support and emotional regulation efficacy partially mediated the link between role stress and compassion fatigue respectively; And there was a chain mediating role of perceived social support and emotional regulation efficacy between role stress and compassion fatigue. Conclusion The incidence of compassion fatigue was high during the COVID-19 pandemic among bedside nurses in China. Improving social support and enhancing the efficacy of emotion regulation may help alleviate compassion fatigue directly and/or via buffering the impact of role stress.
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Affiliation(s)
- Yuan Zhang
- School of Nursing, Hubei University of Chinese Medicine, Wuhan, Hubei, China
| | - Huijuan He
- School of Nursing, Hubei University of Chinese Medicine, Wuhan, Hubei, China
| | - Chongming Yang
- College of Family, Home, and Social Sciences, Brigham Young University, Provo, UT, United States
| | - Xiangrong Wang
- School of Nursing, Hubei University of Chinese Medicine, Wuhan, Hubei, China
| | - Jiang’an Luo
- School of Nursing, Hubei University of Chinese Medicine, Wuhan, Hubei, China
| | - Jie Xiao
- School of Nursing, Hubei University of Chinese Medicine, Wuhan, Hubei, China
| | - Bei Fu
- School of Nursing, Hubei University of Chinese Medicine, Wuhan, Hubei, China
| | - Yiwen Chen
- School of Nursing, Hubei University of Chinese Medicine, Wuhan, Hubei, China
| | - Chenjuan Ma
- NYU Rory Meyers College of Nursing, New York, NY, United States
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Yan J, Wu C, Liu Y, Zhang H, He C, Lin Y, Li Y, Zhang Y, Li Y, Lang H. Influencing factors of quality of life among front-line nurses who collected nucleic acid samples during COVID-19: a path analysis. Front Public Health 2023; 11:1154725. [PMID: 37492138 PMCID: PMC10364801 DOI: 10.3389/fpubh.2023.1154725] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Accepted: 03/21/2023] [Indexed: 07/27/2023] Open
Abstract
Aim The aim of this study is to investigate the quality of life of nurses who collected nucleic acid samples throughout the COVID-19 epidemic's routine management, as well as the factors that may have influenced it. Background After the outbreak of COVID-19, normalized epidemic prevention and control throughout China were implemented. Nucleic acid testing has become an effective measure for the early detection of virus-infected individuals. Nurses collecting nucleic acid samples undertake important tasks. Their quality of life is significant to maintaining team stability and containing the epidemic. However, research on their quality of life is still limited. Methods A cross-sectional survey was conducted on 1,292 nurses who collected nucleic acid samples from five tertiary general hospitals in Xi'an through self-reported electronic questionnaires (including general demographic information, the Connor-Davidson Resilience Scale, the Social Support Rating Scale, and the World Health Organization Quality of Life Brief Scale). Descriptive, one-way ANOVA and multiple linear regression were performed using SPSS 26.0. Structural equation modeling was used to analyze the influencing factors. Results The nurses collecting nucleic acid samples had a modest level of quality of life. Age, marital status, average daily sleep duration, frequency of exercise, psychological resilience, and social support were all influencing factors of quality of life, according to multiple linear regression analysis. Quality of life was found to be significantly related to psychological resilience and social support. Conclusion Demographic characteristics, psychological resilience, and social support are the factors affecting the quality of life of nurses who collect nucleic acid samples. Nursing managers should focus more on these factors to improve the quality of life for nurses. Relevance to clinical practice Nursing managers should realize the importance of the quality of life of nurses who collect nucleic acid samples in maintaining a vigorous nursing team and ensuring optimized epidemic control. Social support should also be provided to nurses to improve their psychological resilience, thereby improving their quality of life.
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Affiliation(s)
- Jiaran Yan
- School of Nursing, Air Force Medical University, Xi'an, Shaanxi, China
| | - Chao Wu
- School of Nursing, Air Force Medical University, Xi'an, Shaanxi, China
| | - Yu Liu
- Xijing Hospital, Air Force Medical University, Xi'an, Shaanxi, China
| | - Hongli Zhang
- School of Nursing, Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, China
| | - Chunyan He
- School of Nursing, Air Force Medical University, Xi'an, Shaanxi, China
| | - Yawei Lin
- School of Nursing, Air Force Medical University, Xi'an, Shaanxi, China
| | - Yang Li
- School of Nursing, Air Force Medical University, Xi'an, Shaanxi, China
| | - Yuhai Zhang
- Department of Health Statistics, Air Force Medical University, Xi'an, Shaanxi, China
| | - Yinglan Li
- Xiangya Nursing School, Central South University, Changsha, Hunan, China
| | - Hongjuan Lang
- School of Nursing, Air Force Medical University, Xi'an, Shaanxi, China
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Su Y, Sun W, Gan Y, Zhu Q, Liu G, Hui L, Tang H, Liu Z. Mindfulness mediates the relationship between positive parenting and aggression, depression, and suicidal ideation: A longitudinal study in middle school students. Front Psychol 2022; 13:1007983. [DOI: 10.3389/fpsyg.2022.1007983] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2022] [Accepted: 10/12/2022] [Indexed: 11/06/2022] Open
Abstract
Previous research has indicated that parenting factors affect the risk of maladaptive psychological outcomes (e.g., aggression, depression, or suicidal ideation), and that positive parenting is a prospective risk factor for maladaptive psychological outcomes. However, the mechanisms underlying the relationships between positive parenting, mindfulness, and maladaptive psychological outcomes remain unknown, as do the processes that mediate the effect of positive parenting on maladaptive psychological outcomes in adolescents. The objective of the present study was to investigate the longitudinal relationship between positive parenting, mindfulness, and maladaptive psychological outcomes in middle school students, as well as the mediating effect of mindfulness in the relationships between positive parenting and depression, aggression, and suicidal ideation. In this study, 386 middle school children (aged 12–16) were tested three times over a period of 6 months. Positive parenting was assessed at Time 1, mindfulness at Time 2, and depression, aggression, and suicidal ideation at Time 3. Using structural equation modeling, positive parenting was revealed to be longitudinally associated with mindfulness and negatively associated with maladaptive psychological outcomes. More crucially, mindfulness mediated the relationship between positive parenting and maladaptive psychological outcomes. This research provides important insights into how to effectively decrease adolescent maladaptive psychological outcomes and highlights the importance of teaching mindfulness to youths.
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