nursing

Introduction: University students have a lot of problems in the field of adjustment especially social and health adjustment. Therefore, present research aimed to investigate the effectiveness of group therapy based on acceptance and commitment on social and emotional adjustment of nursing students.
Methods: This research was carried out as a semi-experimental, with a pre-test and post-test design. The statistical population included all nursing students of Islamic Azad University of Pishva branch in 2015-16 academic year. 40 nurses were selected by voluntary sampling method and randomly assigned to two equal groups. The experimental group experienced 8 sessions of 90 minutes of education by group therapy based on acceptance and commitment. Groups completed the dimensions of social and health adjustment of Bell’s adjustment questionnaire. Data were analyzed using SPSS19 and by multivariate analysis of covariance method.
Results: The findings showed there was a significant difference between experimental and control groups in the social and health adjustment. In the other words, group therapy based on acceptance and commitment significantly led to improve the social and health adjustment of nursing students (P≤0/05).
Conclusion: The results are due to the importance of group therapy based on acceptance and commitment on increasing social and health adjustment of nursing students. Therefore, it is suggested that counselors and therapists improve the dimension of adjustment especially social and health adjustment using group therapies based on acceptance and commitment.

دانشجويان مشکالت زيادی در زمینۀ سازگاری بهويژه سازگاری اﺟتماعی و بهداشتی دارند. بنابراين، مقدمه:
پژوهﺶ ﺣاﺿر با هدف بررسی اﺛربﺨشی گروه درمانی مﺒتنی بر پذيرش و تﻌهد بر سازگاری اﺟتماعی و بهداشتی
دانشجويان پرستاری انجام شد.
اين پژوهﺶ بهصورت نیمه آزمايشی با طرح پیﺶآزمون و پﺲآزمون انجام شد. ﺟامﻌۀ آماری روش کار:
بود. در 1394-95 شامﻞ همۀ دانشجويان رشتۀ پرستاری دانشگاه آزاد اسالمی واﺣد پیشوا در سال تﺤﺼیلی
پرستار با روش نمونهگیری داوطلﺒانه انتﺨاب و به روش تﺼادﻓی در دو گروه مﺴاوی ﺟايگﺰين شدند. 40 مجموع
دﻗیقهای با روش گروه درمانی مﺒتنی بر پذيرش و تﻌهد آموزش ديد. گروه ها ابﻌاد 90 گروه آزمايﺶ، هشﺖ ﺟلﺴۀ
ويرايﺶ SPSS سازگاری اﺟتماعی و بهداشتی پرسﺶنامۀ سازگاری بِﻞ را تکمیﻞ کردند. داده ها به کمک نرماﻓﺰار
و با روش تﺤلیﻞ کوواريانﺲ چندمتﻐیری تﺤلیﻞ شدند. 19
ياﻓتهها نشان داد بین گروههای آزمايﺶ و کنترل در سازگاری اﺟتماعی و بهداشتی تفاوت مﻌناداری یافتهها:
به عﺒارت ديگر گروهدرمانی مﺒتنی بر پذيرش و تﻌهد بهصورت مﻌناداری، باعﺚ بهﺒود سازگاری وﺟود داشﺖ.
.(P≤0/05اﺟتماعی و بهداشتی دانشجويان پرستاری شد )
نتايﺞ ﺣاکی از اهمیﺖ گروهدرمانی مﺒتنی بر پذيرش و تﻌهد بر اﻓﺰايﺶ سازگاری اﺟتماعی و نتیجهگیری:
بهداشتی دانشجويان پرستاری بود. بنابراين پیشنهاد میشود مشاوران و درمانگران برای بهﺒود ابﻌاد سازگاری
به ويژه سازگاری اﺟتماعی و بهداشتی از گروه درمانی مﺒتنی بر پذيرش و تﻌهد استفاده کنند.

This study aimed to examine the relationships between occupational stressors, mental health problems, and sleep difficulty, and the mediating roles of cognitive fusion and cognitive reappraisal on the relationships in Chinese nurses. A total of 323 nurses (mean age = 32.11 ± 6.75 years) from 25 hospitals in China participated a cross-sectional online survey. Participants were asked to refer to the period during the severest time of the COVID-19 pandemic in China (January to March 2020) when assessing the psychological variables. The direct links from occupational stressors to cognitive fusion, cognitive reappraisal, mental health and sleep difficulty were significant. Cognitive fusion and cognitive reappraisal mediated the links from occupational stressors to mental health problems, while cognitive fusion and mental health problems mediated the links from occupational stressors to sleep difficulty. The sequential mediation via cognitive fusion and mental health problems as well as via cognitive reappraisal and mental health problems on the links from occupational stressors to sleep difficulty were also significant. Findings from the current study indicate that intervention strategies focusing on the reduction of cognitive fusion and improvement of cognitive reappraisal could help better prepare nurses to alleviate mental health problems and sleep difficulties that are related to COVID-19 and potentially similar pandemics in the future.

To find the full text version of this article and others (as well as download a full text pdf.), ACBS members can visit the ScienceDirect homepage here. 

Objectives
Nurses are at high risk of chronic stress. Tailored, evidence-based stress-management interventions may minimise absenteeism and staff turnover, whilst at the same time promoting good quality patient care. Current literature for nurse-focused stress-management interventions is varied in quality, with little focus on data-driven intervention development. This study explores how process measures related to Acceptance and Commitment Training (ACT) are associated with perceived stress and professional quality of life in nurses, in order to guide intervention development.

Design
A cross-sectional, online psychometric survey was implemented using LimeSurvey software.

Methods
One-hundred and forty-two nurses were recruited from various specialties across four English National Health Service (NHS) Trusts. Questionnaires assessed demographic and work-related sample characteristics, ACT processes (mindfulness, acceptance, cognitive defusion, self-as-context, values and committed action), and four work-related wellbeing outcomes (perceived stress, burnout, compassion fatigue and compassion satisfaction). Correlation and regression models were used to analyse data.

Results
All six ACT processes negatively correlated with perceived stress, burnout and compassion fatigue, and positively correlated with compassion satisfaction (all p < .05). In regression models, these same processes explained significant variance for all outcomes (R2 range = 0.36-0.61), above and beyond that explained by socio-demographic and work-related factors. Acceptance (β range: -.25 to -.55), mindfulness (β range: -.25 to -.39), and values-based processes (β range: -.21 to -.36) were frequent independent contributors to work-related wellbeing.

Conclusions
This study demonstrates that the ACT framework provides a promising platform from which to develop nurse-focused stress-management interventions. Interventions focusing on acceptance, mindfulness, and values-linked processes may be most effective.

To find the full text version of this article and others (as well as download a full text .pdf.), ACBS members can visit the ScienceDirect homepage here.

Objectives: Nurses and nurse aides experience high rates of physical injury, assault, and abuse compared to other occupations. They also frequently have intersectional identities with other groups that experience higher rates of mental and physical health challenges and problems. In addition to belonging to these multiple vulnerable populations, nurses and nurse aides experience high levels of work stress and burnout. These variables are risk factors for injuries associated with lifting and transferring, as well as assault from residents. Given the focus on present moment awareness, commitment to values, and responding flexibly in difficult situations, Acceptance and Commitment Therapy (ACT) may be an effective approach for this population.
Design: Participants were randomly assigned to either the ACT group condition or a wait-list control condition. Participants completed baseline and one-month follow-up outcome measures.
Setting/Location: The interventions were provided at participant work sites (nursing homes and assisted living facilities) that were located in multiple locations across Northern Ohio.
Subjects: Seventy-one nurses and nurse aides participated in the study. Of these, 37 were randomly assigned to the ACT group intervention and 34 were assigned to the wait-list control group.
Intervention: A two-session group-based ACT intervention. Each session was 2.5 hours long and spaced one-week apart. The intervention topics included acceptance, mindfulness, psychological flexibility, willingness to experience discomfort, present-moment focus, self-as-context, values identification, and values-congruent committed action.
Outcome measures: Days missed due to injury, frequency of work-based injuries, musculoskeletal complaints, mental health symptoms, and overall satisfaction with the intervention.
Results: Participants in the ACT group reported significantly fewer days missed due to injury and a significant reduction in mental health symptoms compared to the control group. Participants in the ACT group rated the intervention very favorably.
Conclusion: A group-based ACT intervention can promote improvements in well-being for nurses and nurse aides working in long-term care settings. Further research in this area would benefit from conducting group-based ACT interventions at different organizational levels. 

Alleviating the suffering of patients treated in psychiatric inpatient wards is a great challenge. Preliminary or multiple diagnoses, inherent complexities of the inpatient milieu and the lack of potentially effective psychological treatment form part of this challenge. The present study explored the usefulness of a transdiagnostic psychological treatment model (Acceptance & Commitment Therapy, ACT) as a means of improving inpatient care from the perspective of psychiatric nurses. Nurses (n =10) participated in three ACT workshops, a total of 21 h, and were interviewed about the experienced usefulness and difficulties of the ACT model, as a tool for improving everyday ward work. Results, revealed by qualitative content analysis, suggest usefulness in the areas of alleviating patients symptoms, enriching typical ward duties, and handling one's own thoughts and feelings. Difficulties stemmed from lack of time, the model itself and patients’ severe illness. Possible adjustments of the ward context are suggested.

To find the full text version of this article and others (as well as download a full text .pdf.), ACBS members can visit the ScienceDirect homepage here.

Objectives

Mindfulness-based interventions (MBIs) have received large empirical support for their efficacy. In comparison, few studies have explored the underlying mechanisms and processes through which MBIs impact outcomes. This study aimed to explore the potential role of trait mindfulness, self-compassion and psychological inflexibility as mediators of the effects of a MBI on burnout, compassion fatigue, psychological symptoms and satisfaction with life.

Method

This study used data from a non-randomized controlled study with a sample of oncology nurses. Participants were recruited from two large oncology hospitals in Portugal's north and centre regions. A sample of 94 oncology nurses agreed to participate in the study and self-selected into an experimental (n =45) and a wait-list comparison condition (n =48). Participants in the wait-list comparison condition received the intervention at a later date. Complete data was obtained for 48 of the initial 94 participants, mainly due to poor follow-up data rather than high drop-out rate. The data analysed was from both waitlist and intervention participants after the waitlist group had received the intervention. Participants completed self-report measures to assess several processes, such as mindfulness, psychological inflexibility, self-compassion, and several outcomes, such as burnout and compassion fatigue, depression, anxiety and stress symptoms, and satisfaction with life.

Results

Changes in mindfulness mediated changes in burnout, anxiety and stress, and satisfaction with life; changes in self-compassion mediated the impact of the intervention on burnout, depression, anxiety, stress and satisfaction with life; and psychological inflexibility mediated reductions in burnout, compassion fatigue, depression, and stress.

Conclusions

These findings contribute to the growing body of research examining the underlying mechanisms at work in MBIs, and highlight the importance of mindfulness, self-compassion and psychological inflexibly as key change processes.

To find the full text version of this article and others (as well as download a full text .pdf.), ACBS members can visit the ScienceDirect homepage here.