Journal of Health And Care
Volume 24, Issue 4 (winter 2023)
JHC 2023, 24(4): 368-379 |
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Ethics code: IR.IAU.TABRIZ.REC.1400.202
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Aghbolaghi N, Aghdasi A, Rostami H, Ahangar A. Examining the Effectiveness of Mindfulness Based Stress Reduction on Mental Fatigue, Perceived Stress, and Emotion Regulation in Nurses. JHC 2023; 24 (4) :368-379
URL: http://hcjournal.arums.ac.ir/article-1-1411-en.html
URL: http://hcjournal.arums.ac.ir/article-1-1411-en.html
Islamic Azad University, Tabriz Branch, Tabriz - Iran.
Abstract: (1151 Views)
Background & aim: Nursing is known to be a stressful job, and the psychological pressure caused by existing stressors has an adverse effect on both the individual and the organization.The purpose of this study was to examine the effectiveness of mindfulness based stress reduction (MBSR) on mental fatigue, perceived stress, and emotion regulation in nurses of Shafa hospital in Urmia.
Methods: The current research method was semi-experimental, with a pre-test-post-test design and a control group. The statistical population of the research was all the nurses of Shafai Hospital in Urmia city (200 people), among whom 30 people were selected in a targeted way and were replaced by random method in two experimental and control groups. Data collection tools included psychological fatigue scale, emotion questionnaire and perceived stress scale. The implementation method was in the order that first the subjects were selected by the screening method and divided into two separate experimental groups. And before the implementation of the intervention in each group, three questionnaires were administered as a pre-test on the participants of all groups. After that, each experimental intervention was implemented on separate experimental groups, and finally, the same questionnaires were again implemented as a post-test on the participants of both experimental groups. Data analysis was done using multivariate covariance test in SPSS22 software.
Results: The average scores of nurses' mental fatigue before and after the intervention in the experimental group were 7.13±1.68 and 10.6±1.68 respectively and in the control group 10.8±3.61 and 2.99 respectively. It was ± 27.11. The average scores of perceived stress in the stages before and after the intervention in the experimental group were 35.6±6.42 and 29.73±3.99, respectively, and in the control group, 37.8±5.82 and 6.97±6, respectively. 36.36 and the average emotion regulation scores before and after the intervention in the experimental group were 60.53±4.36 and 65.6±7.49 respectively and in the control group 61.33±5.54 and 87.53±53 respectively. It was 60/ The results showed that the average scores of mental fatigue, perceived stress, and mindfulness in the experimental group, after the intervention of stress reduction based on mindfulness, have decreased significantly compared to the control group (p<0.01).
Conclusion: The results showed that stress reduction training based on mindfulness leads to improvement of perceived stress level and improvement of mental fatigue and level of emotion regulation in the group of nurses. Therefore, it is suggested to use this intervention for psychological empowerment and emotion regulation of nurses
Methods: The current research method was semi-experimental, with a pre-test-post-test design and a control group. The statistical population of the research was all the nurses of Shafai Hospital in Urmia city (200 people), among whom 30 people were selected in a targeted way and were replaced by random method in two experimental and control groups. Data collection tools included psychological fatigue scale, emotion questionnaire and perceived stress scale. The implementation method was in the order that first the subjects were selected by the screening method and divided into two separate experimental groups. And before the implementation of the intervention in each group, three questionnaires were administered as a pre-test on the participants of all groups. After that, each experimental intervention was implemented on separate experimental groups, and finally, the same questionnaires were again implemented as a post-test on the participants of both experimental groups. Data analysis was done using multivariate covariance test in SPSS22 software.
Results: The average scores of nurses' mental fatigue before and after the intervention in the experimental group were 7.13±1.68 and 10.6±1.68 respectively and in the control group 10.8±3.61 and 2.99 respectively. It was ± 27.11. The average scores of perceived stress in the stages before and after the intervention in the experimental group were 35.6±6.42 and 29.73±3.99, respectively, and in the control group, 37.8±5.82 and 6.97±6, respectively. 36.36 and the average emotion regulation scores before and after the intervention in the experimental group were 60.53±4.36 and 65.6±7.49 respectively and in the control group 61.33±5.54 and 87.53±53 respectively. It was 60/ The results showed that the average scores of mental fatigue, perceived stress, and mindfulness in the experimental group, after the intervention of stress reduction based on mindfulness, have decreased significantly compared to the control group (p<0.01).
Conclusion: The results showed that stress reduction training based on mindfulness leads to improvement of perceived stress level and improvement of mental fatigue and level of emotion regulation in the group of nurses. Therefore, it is suggested to use this intervention for psychological empowerment and emotion regulation of nurses
Keywords: Mindfulness Based Stress Reduction, Mental Fatigue, Perceived Stress, Emotion Regulation, Nurses
Type of Study: quasi-experimental |
Subject:
nursing
Received: 2022/10/25 | Accepted: 2023/03/1 | Published: 2023/03/1
Received: 2022/10/25 | Accepted: 2023/03/1 | Published: 2023/03/1
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52. Ghanei Gheshlagh R, Hosseini MA, Sayehmiri K. Job stress among Iranian nurses: a systematic review and meta-analysis. Kurdistan Faculty of Nursing, Midwifery and Paramedicine Journal. 2017;2(4):68-75 [Persian]. [DOI:10.29252/sjnmp.2.4.68]
53. Mark G, Smith A. Occupational stress, job characteristics, coping, and the mental
54. health of nurses. British Journal of Health Psychology. 2012;17(3):505-21. [DOI:10.1111/j.2044-8287.2011.02051.x] [PMID]
55. Shahbazi N, Davoodi SJ. The effect of occupational stress on depression and quality of life of female nurses. The 12th International Conference on Health, Treatment and Health Promotion; 2022 [Persian].
56. Van Cutsem J, Marcora S, Pauw KD, Bailey S, Meeusen R, Roelands B. The effects of mental fatigue on physical performance: a systematic review. Sports Medicine. 2017;47(8):1569-88. [DOI:10.1007/s40279-016-0672-0] [PMID]
57. Shabani M, Jarareh J. The effectiveness of mindfulness-based stress reduction on caring pressure and mental fatigue of mothers with autistic children. Social Work Quarterly. 2020;9(1):5-12 [Persian].
58. Seymour M, Wood C, Giallo R, Jellett R. Fatigue, stress and coping in mothers of children with an autism spectrum disorder. Journal of Autism And Developmental Disorders. 2013;43(7):1547-54. [DOI:10.1007/s10803-012-1701-y] [PMID]
59. Giallo R, Wood CE, Jellett R, Porter R. Fatigue, wellbeing and parental self-efficacy in mothers of children with an autism spectrum disorder. Autism. 2013;17(4):465-80. [DOI:10.1177/1362361311416830] [PMID]
60. Tabanfar S, Pourbabaki R. Relationship between dimensions of safety climate and unsafe behaviors of the construction industry workers. Archives of Environmental & Occupational Health. 2021;5(3):1068-74. [DOI:10.18502/aoh.v5i3.7164]
61. Pourtalemi T, Emami Sigaroudi A, heidari M, Mokhtari Laleh N, Kazem Negzhad leyli E. Mental workload and cognitive failures assessment of nurses during the period of the Covid-19 outbreak and its relationship with the occurrence of unsafe behaviors in public hospitals of Guilan Province in 2019-2020. Journal of Health and Safety at Work. 2023;13(1):129-48 [Persian].
62. Hosseini Hashemi M. The relationship between perceived stress and nurses' job satisfaction. Iranian Journal of Psychology and Behavioral Sciences. 2022;30(1):1-7 [Persian].
63. Masa'Deh R, Alhalaiqa F, Abu Al Ruz ME, Dweik G. Perceived stress in nurses: a comparative study. Global Journal of Health Science. 2017;9(6):195-204. [DOI:10.5539/gjhs.v9n6p195]
64. Elder E, Johnston ANB, Wallis M, Crilly J. The demoralization of nurses and medical doctors working in the emergency department: a qualitative descriptive study. International Emergency Nursing. 2020;52:100841. [DOI:10.1016/j.ienj.2020.100841] [PMID]
65. Masa'deh R, Mahmoud Masadeh O, Momani A, Jarrah S, Al Shabatat SH, Alshawabkeh GA, et al. The effect of anger management program on perceived stress of healthcare professionals: a quasi-experimental study. Nursing Practice Today. 2021;8(4):303-12. [DOI:10.18502/npt.v8i4.6706]
66. Barati H, Hasani F, Ghanbari Panah A, Poushaneh K. The evaluation modeling distress tolerance based on unpleasant lifestyle with mediation of cognitive emotion regulation in women nurses hospital during Coronavirus disease. Journal of Psychological Methods and Models. 2022;13(49):31-42 [Persian].
67. Casini E, Glemser C, Premoli M, Preti E, Richetin J. The mediating role of emotion regulation strategies on the association between rejection sensitivity, aggression, withdrawal, and prosociality. Emotion. 2021;5(3):1-12.
68. Gratz KL, Roemer L. Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment. 2004;26(1):41-54. [DOI:10.1023/B:JOBA.0000007455.08539.94]
69. Gholami R, Zomorody S, Abdi S. Effectiveness of stress management on cognitive emotion regulation and general health of patients with dyspepsia. The Quarterly Journal of School of Medicine, Shahid Beheshti University of Medical Sciences. 2021;3(45):60-66 [Persian].
70. Ghaffari S, Karimi M. The role of cognitive regulation of emotion and ataxia in job burnout of public library librarians in Semnan province in 2019. Science and Technology of Information Management. 2021;7(1):153-74 [Persian].
71. Babaei Nadinluye K, Mikaeli Manee F, Pezeshki H, Bafande H, Abdi H. Relationship between mindfulness and meta-emotion on predicting emotional adjustment of novice nurses. Iran Journal of Nursing. 2017;30(105):11-22 [Persian]. [DOI:10.29252/ijn.30.105.11]
72. Myers RE. Cultivating mindfulness to promote self-care and well-being in perioperative nurses. AORN Journal. 2017;105(3):259-66. [DOI:10.1016/j.aorn.2017.01.005] [PMID]
73. Bränström R, Duncan LG, Moskowitz JT. The association between dispositional mindfulness, psychological well-being, and perceived health in a Swedish population‐based sample. British Journal of Health Psychology. 2011;16(2):300-16. [DOI:10.1348/135910710X501683] [PMID] []
74. Kuyken W, Warren FC, Taylor RS, Whalley B, Crane C, Bondolfi G, et al. Efficacy of mindfulness-based cognitive therapy in prevention of depressive relapse: an individual patient data meta-analysis from randomized trials. JAMA Psychiatry. 2016;73(6):565-74. [DOI:10.1001/jamapsychiatry.2016.0076] [PMID] []
75. Accoto A, Gaetano Chiarella S, Raffone A, Montano A, de Marco A, Mainiero F, et al. Beneficial effects of mindfulness-based stress reduction training on the well-being of a female sample during the first total lockdown due to Covid-19 pandemic in Italy. International Journal of Environmental Research and Public Health. 2021;18(11):5512. [DOI:10.3390/ijerph18115512] [PMID] []
76. Sanilevici M, Reuveni O, Lev-Ari SH, Golland Y, Levit-Binnun N. Mindfulness-based stress reduction increases mental wellbeing and emotion regulation during the first wave of the COVID-19 Pandemic: a synchronous online intervention study. Frontiers in Psychology. 2021;11(12):720965. [DOI:10.3389/fpsyg.2021.720965] [PMID] []
77. Gu J, Strauss C, Bond R, Cavanagh K. How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? a systematic review and meta-analysis of mediation studies. Clinical Psychology Review. 2015;37:1-12. [DOI:10.1016/j.cpr.2015.01.006] [PMID]
78. Janssen M, Heerkens Y, Kuijer W, Heijden BV, Engels J. Effects of mindfulness-based stress reduction on employees' mental health: a systematic review. PloS One. 2018;13(1):e0191332. [DOI:10.1371/journal.pone.0191332] [PMID] []
79. Zahedirad Z, Rezakhani S, Vakili P. Comparison effectiveness of mindfulness-based cognitive therapy and mindfulness-based stress reduction method on stress among nurses in a psychiatric hospital. Iranian Journal of Nursing Research. 2020;15(5):84-98 [Persian].
80. McVeigh C, Ace L, Ski CF, Carswell C, Burton S, Rej S, et al. Mindfulness-based interventions for undergraduate nursing students in a university setting: a narrative review. Health Care. 2021;9(11):1493. [DOI:10.3390/healthcare9111493] [PMID] []
81. Yoder EA. Compassion fatigue in nurses. Applied Nursing Research. 2010;23(4):191-97. [DOI:10.1016/j.apnr.2008.09.003] [PMID]
82. Bardwell WA, Ancoli-Israel S. Breast cancer and fatigue. Sleep Medicine Clinics. 2008;3(1):61-71. [DOI:10.1016/j.jsmc.2007.10.011] [PMID] []
83. Beyrai M, Zeynali SH, Ashrafyan P, Nikanfar A. The role of trait anxiety in predicting depression and fatigue in breast cancer patients. Quarterly Journal of Breast Diseases of Iran. 2013;6(2):50-56 [Persian].
84. Watson D, Clark LA, Tellegen A. Development and validation of a brief measure of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology. 1988;54(6):1063-70. [DOI:10.1037/0022-3514.54.6.1063] [PMID]
85. Bakhshipour Rodsari A, Dezhkam M. Confirmatory factor analysis of positive and negative affect scale. Journal of Psychology. 2006;9(4):351-65.
86. Cohen S. Perceived stress in a probability sample of the United States. In: Spacapan S, Oskamp S, editors. The claremont symposium on applied social psychology. The social psychology of health. California: Sage Publications, Inc; 1988.
87. Khalili R, Sirati Nir M, Ebadi A, Tavallai A, Habibi M. Validity and reliability of the Cohen 10-item Perceived Stress Scale in patients with chronic headache: Persian version. Asian Journal of Psychiatry. 2017;26:136-40 [Persian]. [DOI:10.1016/j.ajp.2017.01.010] [PMID]
88. Kabat-Zinn J, Hanh TN. Full catastrophe living: using the wisdom of your body and mind to face stress, pain and illness. American Psychological Association. Delta Trade Paperback/Bantam Dell 2009.
89. Kazemi N, Hossein khanzade A, Rasoulzadeh V, Mohammadi S.T. The effectiveness of mindfulness education on job burnout and educational optimism in primary school teachers. Quarterly Journal of Career & Organizational Counseling. 2020;12(43):51-72.
90. Saberinia A, Aflatoniyan E, Jannat F, Aminizadeh M. The effect of mindfulness-based cognitive therapy on the anxiety of pre-hospital emergency staff. Journal of Rehabilitation. 2019;20(4):340-49 [Persian]. [DOI:10.32598/rj.20.4.340]
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