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Worldviews on evidence-based nursing. 2025 Jun;22(3):e70045. doi: 10.1111/wvn.70045 Q13.82024

Applying Evidence to Improve Practice: Qualitative Insights Into Nurses' Experiences With Organizational Support for Mental Health Recovery

循证护理实践改进:精神健康照护恢复取向的组织支持之质性洞见 翻译改进

Sayed Ibrahim Ali  1, Mostafa Shaban  2

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作者单位

  • 1 Department of Family and Community Medicine, College of Medicine, King Faisal University, Al Hofuf, Al-Ahsa, Saudi Arabia.
  • 2 Geriatric Nursing Department, Faculty of Nursing, Cairo University, Cairo, Egypt.
  • DOI: 10.1111/wvn.70045 PMID: 40462292

    摘要 中英对照阅读

    Background: The mental health and well-being of nurses are critical issues in health care, particularly following the increased stressors introduced by the COVID-19 pandemic. Nurses frequently experience burnout, stress, and emotional exhaustion due to systemic issues such as staffing shortages, heavy workloads, and limited access to mental health resources. These challenges not only affect nurses' well-being but also impact the quality of patient care. Organizational support plays a pivotal role in mitigating these issues, yet the lived experiences of nurses regarding such support remain underexplored.

    Aim: This Study Aimed to Explore Nurses' Lived Experiences of Organizational Support and Its Impact on Their Mental Health Recovery, With a Focus on Identifying Actionable Strategies for Improvement.

    Methods: A qualitative phenomenological approach was employed, using Interpretative Phenomenological Analysis (IPA) to gain deep insights into nurses' experiences. Twenty nurses from various healthcare facilities in the Asir region, Saudi Arabia, were recruited through purposive sampling. Data were collected through face-to-face semi-structured interviews and analyzed using thematic analysis to identify recurring patterns and themes.

    Results: Three main themes emerged: (1) Supportive Leadership, highlighting the critical role of empathetic and communicative leadership in fostering well-being; (2) Systemic Barriers, including staffing shortages, heavy workloads, and limited access to mental health resources; and (3) Workplace Wellness Culture, reflecting the influence of stigma, peer support, and the practicality of wellness programs on mental health recovery. These themes underscore the interconnected nature of leadership, systemic issues, and workplace culture in supporting nurses' mental health.

    Linking evidence to action: The findings suggest several actionable strategies, including leadership training programs to foster empathy and communication, policies to address systemic barriers, tailored and accessible wellness programs, and initiatives to reduce mental health stigma. These interventions are essential for creating supportive environments that prioritize nurses' well-being and enhance their ability to deliver high-quality care.

    Keywords: interventions; leadership; mental health; nurses; organizational culture; thematic analysis.

    Keywords:evidence based practice; mental health recovery; nurses experiences

    背景: 护士的心理健康和福祉是医疗保健中的关键问题,特别是在 COVID-19 大流行引发的额外压力之后。由于系统性问题如人手短缺、工作量大以及缺乏心理健康资源等原因,护士经常经历职业倦怠、压力和情绪耗竭。这些问题不仅影响护士的个人福祉,还影响患者的护理质量。组织支持在缓解这些问题方面起着关键作用,然而有关这种支持的护士实际体验仍然鲜有研究。

    目的: 本研究旨在探索护士的实际体验中关于组织支持对其心理健康恢复的影响,并着重于识别可操作的改进策略。

    方法: 采用质性现象学方法,利用解释性现象学分析(IPA)来深入了解护士的经历。通过目的抽样招募了来自沙特阿拉伯阿西尔地区的不同医疗机构的20名护士,并通过面对面半结构化访谈收集数据,使用主题分析法识别反复出现的模式和主题。

    结果: 三个主要主题浮现出来:(1)支持性领导力,强调共情且善沟通的领导在促进福祉方面的重要作用;(2)系统障碍,包括人手短缺、工作量大以及缺乏心理健康资源;(3)职场健康文化,反映了污名化问题、同事支援和保健计划的实际操作对心理健康的恢复影响。这些主题突显了领导力、系统性问题与职场文化之间支持护士心理健康的关系。

    证据到行动的联系: 研究结果提出了一系列可行策略,包括培养共情与沟通能力的领导培训项目,解决系统障碍的政策制定,可定制且易于获取的心理健康方案,以及减少心理健康的污名化。这些干预措施对于创建优先考虑护士福祉并提高其护理质量的工作环境至关重要。

    关键词: 干预;领导力;心理健康;护士;组织文化;主题分析。

    关键词:基于证据的实践; 心理健康康复; 护士经历; 组织支持; 质性洞察力

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    期刊名:Worldviews on evidence-based nursing

    缩写:WORLDV EVID-BASED NU

    ISSN:1545-102X

    e-ISSN:1741-6787

    IF/分区:3.8/Q1

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