Intervention effects of a cognitive behavioral skills building program on newly licensed registered nurses
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Marlene Sampson, PhD, MSN-Ed, RN, Associate Director-The Ohio State Wexner Medical Center
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Background: The well-being of healthcare clinicians is considered a national crisis. Healthcare clinicians, including nurses, have higher rates of substance abuse, depression and suicide than the national average. Depression and poor health in nurses are linked to medical errors and patient dissatisfaction. Ninety-one percent of NLRNs report high stress levels resulting in stress-related illness, absenteeism and burnout. In 2017, the National Academy of Medicine launched the Action Collaborative on Clinician Well-being to develop evidence-based solutions to reduce this public health epidemic. The purpose of this study was to examine the effects of a Cognitive Behavioral Therapy (CBT)-based skills building program entitled MINDBODYSTRONG for Healthcare Providers on perceived stress, anxiety, depressive symptoms, healthy lifestyle beliefs, healthy lifestyle behaviors, job satisfaction and work absences in NLRNs participating in a nurse residency program.
Methods: A two-group, cluster randomization control trial was conducted using the MINDBODYSTRONG program. The attention control group received the usual nurse residency curriculum while the intervention group received the usual nurse residency curriculum in addition to eight weekly sessions of the MINDBODYSTRONG program. A pre/posttest with a three month post-intervention follow up was used to evaluate the effects of the intervention on perceived stress, anxiety, depressive symptoms, healthylifestyle beliefs, healthy lifestyle behaviors, job satisfaction and work absences in NLRNs. Ninety-three NLRNs participating in the nurse residency program were recruited. Repeated measures ANOVA was used to analyze the data at three time points. Paired t-tests were used for comparing data from baseline to immediate post-test, immediate post-test to 3-month post-test, and baseline to 3-month post-test. Cohen’s d was used to determine effect sizes, and Pierson’s r was used to determine correlations among the variables.
Results: Eighty-nine NLRNs, 42 in the control group and 47 in the intervention group, completed measures for all time points. The intervention group had significant improvement and moderate to large positive effects for stress, anxiety, depression and healthy lifestyle behaviors for all time points compared to the control group. The intervention group scored better and had a moderate to large positive effect for job satisfaction. There was a floor effect with work absence with too few NLRNs reporting calling off shifts to see a significant result or effect size.
Conclusion: The MINDBODYSTRONG for Healthcare Providers Program was effective in improving the mental health and healthy lifestyle behaviors for this group of NLRNs. It also shows promise for improving job satisfaction and work absences in this population. A larger scale clinical trial that is fully powered is now needed to determine if the positive short-term effects of MINDBODYSTRONG can be sustained over a longer period of time.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 27534777; ProQuest document ID: 2272840745. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Randomized Controlled Trial |
Research Approach | Quantitative Research |
Keywords | Mental Health; Healthly Lifestyle Behaviors; Newly Licensed Nurses; Cognitive Behavioral Therapy; Skills Building Programs |
Grantor | The Ohio State University |
Advisor | Melnyk, Bernadette; Tucker, Sharon |
Level | PhD |
Year | 2019 |
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