正念介入措施對護理師情緒、專業生活品質、自我慈悲、和睡眠品質成效之研究=Effects of Mindfulness Interventions on the Emotions, Professional Quality of Life, Self-Compassion, and Sleep Quality of Nurses
In addition to being subjected to the toil of caring for patients suffering from diseases, primary nurses are often faced with stressful situations at work. If primary nurses are unable adapt to the stressful situations physically and psychologically, they are likely to become trapped in negative emotions, which may in turn lead to compassion fatigue and burnout. Main purpose 1. To examine the effects of different mindfulness interventions on the mindfulness level, emotions, professional quality of life, self-compassion, and sleep quality of nurses. 2. To explore the feelings experienced by nurses during the mindfulness interventions 3. To explore the subjective changes perceived by the nurses after receiving the mindfulness interventions, and their suggestions for the intervention program. Study method This study was divided into two stages. The first stage was a pilot study that focused on examining the level of the depression, anxiety, stress (DASS) in nurses. The second stage was a mixed-mode study in which both quantitative and qualitative research data were collected simultaneously. The sample for this mixed-mode study consisted of 62 nurses from a Taiwanese medical center. A quasi-experimental study design was adopted for the quantitative research. This study had two experimental intervention groups and one nonintervention control group. The mindfulness-based interventions administered to each of the experimental intervention groups were 5-week mindfulness-based intervention (MBI) and 5-week guided respiration mindfulness therapy (GRMT). The measurement tools used in this study were a demographic questionnaire, the Mindful Attention Awareness Scale (MAAS), the Professional Quality of Life Scale (ProQOL), the Self-compassion Scale, and the Pittsburgh Sleep Quality Index (PSQI). For the quantitative data analysis, nonparametric analysis methods such as the Kruskal-Wallis test, the Wilcoxon Signed-rank test, and the Generalized Estimating Equation test were used. For the qualitative study, data were collected through in-depth interviews. In terms of the qualitative data analysis, a six-step thematic analysis approach was adopted, in which the induction method was used to identify the themes of the interview data. Study results The results indicated that compared to male nurses, female have higher levels of compassion satisfaction and secondary traumatic stress (p < .05), and poorer sleep quality (p < .05). Nurses who are married have higher levels of mindfulness, self-kindness, common humanity, self-criticism, isolation, and over-identification than those who are not married (p < .05). Nurses who work in shifts have higher levels of self-kindness and common
目次
頁碼 口試委員會審定書 i 序言 ii 中文摘要 iii-iv 英文摘要 v-vii 第一章 緒論 第一節 研究動機與重要性 P 1-6 第二節 研究目的 P 7 第三節 名詞界定 P 8-10 第四節 研究假設 P 11 第二章 文獻查證 第一節 護理人員工作壓力 P 14-16 第二節 護理人員的情緒 P 17-18 第三節 護理人員的專業生活品質 P 19-24 第四節護理人員自我慈悲 P 25-26 第五節 正念介入措施 P 27-43 第六節 研究問題之思考與方向 P 44-45 第三章 研究方法學 第一節第一階段前驅測試 P 46-53 第二節 混合研究 P 54-56 第三節 量性研究設計 P 57-64 第四節 質性研究設計 P 65-71 第五節 研究倫理 P 72 第四章 研究結果 第一節 第一階段前驅研究結果 P 73 第二節 量性研究結果 P 74-113 第三節 質性研究結果 P 114-157 第三節 第五章 討論 第一節 人口學特性與各指標間的關係 P158-161 第二節不同正念介入措施對護理人員的成效 P 162-169 第三節正念介入措施的經驗 P 170-172 第四節研究限制 P 173-174 第六章 結論 P175-178 參考文獻 P179-212 附件一 人體試驗委員會審查通過證明 P 213 附件二 質性訪談大綱 P 214 附件三 研究問卷 P 215-223 附件四 五週課程引導式正念呼吸 P 224-225 附件五 五週課程 正念介入課程 P 226 附件六 五週正念介入課程主要內容 P227-231
