Despite the implementation of several communication programs for nurses working in hospitals, no evidence-based systematic review has yet been conducted on their efficacy.
In this systematic review of communication programs for nurses, we searched for literature published between 2011 and 2020 in four foreign databases and one domestic database (PubMed, Embase, CINAHL, PsycINFO, and RISS). The papers identified were evaluated on their quality using Version 2 of the Cochrane risk-of-bias tool for randomized trials (RoB 2). The main search terms included “nurse”, “communication”, “program”, and “intervention.” Thirteen articles were included in the final analysis.
The communication programs utilized various teaching methods – such as simulation, reflection, and debriefing – with a majority of these programs significantly improving participants’ communication skills and performance. However, the overall quality of the studies was low concerning the randomization process and measurement; relatively few studies made use of online education methods. All variables assessed using self-reported measures were significant, but not all showed significant results when using objective measures as assessed by the evaluators.
The study’s findings suggest a need for programs dealing with nurses’ communication with health care providers in diverse clinical settings and online-based simulation programs. Moreover, high-quality literature applying the randomization process and measurement is required. Additionally, it is necessary to use both subjective and objective measures to evaluate the overall communication capacities of nurses and reflect the contextual characteristics of various clinical settings.
Citations
본 연구에서는 노인 당뇨 환자를 대상으로 한 지역사회 기반 심리 중재가 환자들의 우울 증상과 혈당조절에 미치는 효과를 체계적으로 고찰하였다. 국내외 7개의 데이터베이스를 사용하여, 2008년 1월 1일부터 2018년 7월 31일까지 발표된 문헌들을 확인하였다. 선정기준에 따라 다섯 편의 연구가 최종 선정되었으며, 총 대상자는 제2형 당뇨 진단을 받은 지역사회 거주 노인 596명이었다. 메타분석에 선정된 네 편의 연구 모두 행동 교육을 목적으로 프로그램을 구성하였다. 추후에는 표본 크기를 늘려 심리적 중재 프로그램을 시행하는 것이 바람직하며 더욱 다양한 지역에서 수행하는 것이 필요함을 확인할 수 있었다.
Citations
The purpose of this study was to examine the mediating effects of Mindfulness-Based Stress Reduction Program on Stress response, self-efficacy, emotional intelligence and burnout among nurses.
The study was a nonequivalent control group pretest-posttest design, with 34 participants (experimental group: 17, control group: 17). The Mindfulness-Based Stress Reduction program for Small and Medium Sized Hospital Nurses for this study was conducted in pre-class, in-class, and post-class stages for a total of 8 weeks Data were analyzed with an independent t-test and repeated measures ANOVA.
The experimental group showed significant improvement in stress response (F=3.37, p=.041), burnout (F=3.38, p=.040), emotional intelligence (F=5.10, p=.009) and self-efficacy (F=3.51, p=.049).
The results of this study show that MBSR program is an effective stress management method for small and medium Sized Hospital Nurses. Therefore, the MBSR program is recommended to nurses and health care providers for stress management.
Citations
The purpose of this study is to develop an addiction preventing program for nurses, which will improve nurses’ general competency of preventing the addiction problem.
The develop process is in 3 steps. First, We analyzed the studies. A group of addiction experts did the focus group interview and drew out the core competency that is necessary to the general nurses. At the second step of the process, we developed 8 modules of addiction preventing program. For the last step, we calculated the content validity index (CVI) from the expert, and the average of CVI was 0.9.
Each module’s topic is; Overall understanding of addiction, Type and characteristic of addiction, Addiction preventing program with SBIRT (Alcoholism, Addiction of internet-game and smartphone, Gambling addiction, Substance addiction), and the Addiction management for internet-game and smartphone addicted adolescent, and employee’s alcoholism).
This study provides the basic educational information of the four major addiction prevention. Since nurses are the first line medical staff who is responsible for the screening, it is very important to provide and educate nurse.
This study is a systematic review of literature to analyze the characteristics and effects of suicide prevention programs for the elderly.
We systematically reviewed literature published from 2007 to 2018 in 8 domestic and foreign databases (KISS, NDSL, Koreamed, RISS, Pubmed, CINAHL, EMBASE, CENTRAL). The main search terms were ‘elderly’, ‘suicide’, ‘intervention program’, and included 8 articles matching the selection criteria in the final analysis. The program was divided into activities, counseling, and community support programs.
Most of the programs effectively reduced suicidal ideation and depression by reducing suicide risk factors and improving protective factors.
As a result of the analysis, it was found that it is necessary to develop a specialized program for the prevention of suicide in the elderly considering social, environmental, personal and community characteristics.
Citations
This study aims to test the effectiveness of a camp program and to analyze the factors related to stress relief. To this end, the present study conducted prospective research for six months on the change of stress, depression, and the level of post-traumatic stress among the firefighters who participated in the camp program.
The perceived stress (PSS-K), stress by the different portion (GARS), post-traumatic stress symptoms (IES-R) and depression (BDI-II) were evaluated at five sessions over the span of six months, and the change of each measure was analyzed. Those five sessions were before the camp, right after the camp and a month, three months and six months after the camp. Moreover, this study assessed characteristics of sociodemographic, firefighting task and mental health that are related to the level of stress at six months after the camp.
Compared with before the camp, the level of depression was significantly lower right after the camp. However, the level did not have significant difference after a month period. At one month after the camp, the level of stress was significantly lower than before the camp, and was maintained after six months. The predictive factors of the degree of stress relief after the camp were high job stress and low disease stress.
This study has found that the stress relief from the camp continued until six months after the camp, and the stress-relieving effect through the camp was substantial for those with higher job stress and lower disease stress.
Citations
The purpose of this study was to evaluate the effects a cognitive behavioral intervention on perceived stress, somatic symptoms, automatic negative thoughts and dysfunctional attitudes in college students.
This was a quasi-experimental study with a nonequivalent control group design. Students who agreed to participate in the study and had a total score of 7 or greater on the Patient Health Questionnaire-15 were asked to choose one of the two groups to attend: Experimental and control groups. Students in the experimental group (N=17) received 5-weekly group sessions of the intervention, each of which lasted 60 minutes. The interventions were not provided to the control group (N=15). Students in both groups were asked to complete a set of questionnaires at baseline and five weeks. Descriptive statistics were calculated, and t-test, Mann-Whitney U test and repeated measures ANOVA were performed.
There was a significant interaction between time and group for perceived stress, somatic symptoms and automatic negative thoughts. Dysfunctional attitudes, on the other hand, were not significantly different by group.
The findings showed that the intervention was effective for college students suffering from perceived stress and somatic symptoms. In particular, the significant decrease in automatic negative thoughts among students in the intervention group suggests that the effect of the cognitive-behavioral intervention was mediated by the cognitive factors of somatic symptoms.
Citations
This study compared the effectiveness of group growth-writing program on anxiety, powerlessness, hope and guilt of mother with pediatric cancer patient with those of waiting-list control group. Participants were assigned to two groups: a growth-writing group (N=14), a waiting-list control group (N=14). At baseline, post-treatment and follow-up, all participants completed questionnaires. The growth-writing program was delivered in three sessions. As a result, growth-writing group showed significant decrease in anxiety, guilt and significant increase in hope compared to the waiting-list control group without any activities. However, powerlessness did not have significant change. This study examined that growth-writing could be an effective intervention for mothers with the pediatric cancer patients. Limitations and suggestions for further studies were included.
Citations