Journal List > J Korean Acad Psychiatr Ment Health Nurs > v.28(2) > 1128951

J Korean Acad Psychiatr Ment Health Nurs. 2019 Jun;28(2):190-204. Korean.
Published online Jun 28, 2019.  https://doi.org/10.12934/jkpmhn.2019.28.2.190
© 2019 The Korean Academy of Psychiatric and Mental Health Nursing
An Integrative Review of Job Stress and Mental Health Intervention Programs for Experienced Nurses
Jinhae Lee,1 Heejung Kim,2 and Sarah Lim3
1Staff Nurse, Severance Hospital · Master's Student, College of Nursing, Yonsei University, Seoul, Korea.
2Assistant Professor, College of Nursing · Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Korea.
3Staff Nurse, Severance Hospital · Doctoral Student, College of Nursing, Yonsei University, Seoul, Korea.

Corresponding author: Lim, Sarah. College of Nursing, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea. Tel: +82-2-2228-0016, Fax: +82-2-2227-6549, Email: srlim342@yuhs.ac
Received May 31, 2019; Revised Jun 14, 2019; Accepted Jun 17, 2019.

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Abstract

Purpose

The purpose of this study was to review intervention programs for experienced nurses' job stress and mental health.

Methods

Searches of literature were conducted through four electronic databases (RISS, KISS, PubMed, and CINAHL), focusing on the recent 5-year publications in English or Korean. Thirteen studies were selected for the final analysis and Scottish Intercollegiate Guidelines Network checklist was used to assess methodological rigor and quality.

Results

Randomized controlled trials were used in five studies and quasi-experimental designs in eight studies. Cognitive-Behavioral Therapy (CBT) and group approach were the most frequent types of interventions in six and nine studies respectively. On average, the intervention was required for eight weeks and 60~120 minutes per session. After evaluating the effects of CBT, complementary alternative therapy, informative training, simulation training and stimuli control, most of the tested interventions reduced experienced nurses' job stress and improved mental health, but informative training did not.

Conclusion

Despite the obvious importance of experienced nurses in quality of nursing care, it has not been well studied due to limited numbers of studies with less rigorous design. Study findings provide a basis for developing intervention programs to reduce job stress and improve mental health for experienced nurses.

Keywords: Nurses; Occupational stress; Mental health; Review

Figures


Figure 1
Flow chart of study selection.
Click for larger image

Tables


Table 1
Quality Assessment of Studies (N=13)
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Table 2
Study Design of Interventions for Nurses' Job Stress and Mental Health (N=13)
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Table 3
Effectiveness of Interventions for Nurses' Job Stress and Mental Health (N=13)
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Notes

CONFLICTS OF INTEREST:The authors declared no conflicts of interest.

Appendix 1

Studies selected for the Analysis

1. Duarte J, Pinto-Gouveia J. Effectiveness of a mindfulnessbased intervention on oncology nurses' burnout and compassion fatigue symptoms: a non-randomized study. International Journal of Nursing Studies. 2016;64:98–107. https://doi.org/10.1016/j.ijnurstu.2016.10.002

2. El Khamali R, Mouaci A, Valera S, Cano-Chervel M, Pinglis C, Sanz C, et al. Effects of a multimodal program including simulation on job strain among nurses working in intensive care units: a randomized clinical trial. Journal of American Medical Association. 2018;320(19):1988–1997. https://doi.org/1001/jama.2018.14284

3. Fang R, Li X. A regular yoga intervention for staff nurse sleep quality and work stress: a randomised controlled trial. Journal of Clinical Nursing. 2015;24(23–24):3374–3379. https://doi.org/10.1111/jocn.12983

4. Henderson J. The effect of hardiness education on hardiness and burnout on registered nurses. Nursing Economics. 2015; 33(4):204–209.

5. Hersch RK, Cook RF, Deitz DK, Kaplan S, Hughes D, Friesen MA, et al. Reducing nurses' stress: a randomized controlled trial of a web-based stress management program for nurses. Applied Nursing Research. 2016;32:18–25. https://doi.org/10.1016/j.apnr.2016.04.003

6. Jang OJ, Ryu UJ, Song HJ. The effects of a group art therapy on job stress and burnout among clinical nurses in oncology units. Journal of Korean Clinical Nursing Research. 2015;21 (3):366–376.

7. Ji HH, Jo HS. Effects of music therapy on subjective stress response, salivary cortisol, and fatigue for intensive care nurses. Korean Journal of Health Promotion. 2017;17(2):119–127. https://doi.org/10.15384/kjhp.2017.17.2.119

8. Kubota Y, Okuyama T, Uchida M, Umezawa S, Nakaguchi T, Sugano K, et al. Effectiveness of a psycho oncology training program for oncology nurses: a randomized controlled trial. Psycho-Oncology. 2016;25(6):712–718. https://doi.org/10.1002/pon.4000

9. Lan HK, Subramanian P, Rahmat N, Kar PC. The effects of mindfulness training program on reducing stress and promoting well-being among nurses in critical care units. Australian Journal of Advanced Nursing. 2014;31(3):22–31.

10. Lee YS, Park HK, Kim HS, Jung YH. Effects of foot bath therapy on operating room nurses' lower extremities edema, stress, and fatigue. Journal of Korean Clinical Nursing Research. 2014; 20(1):102–112.

11. Magtibay DL, Chesak SS, Coughlin K, Sood A. Decreasing stress and burnout in nurses: efficacy of blended learning with stress management and resilience training program. The Journal of Nursing Administration. 2017;47(7–8):391–395. https://doi.org/10.1097/NNA.0000000000000501

12. Riemer HC, Mates J, Ryan L, Schleder BJ. Decreased stress levels in nurses: a benefit of quiet time. American Journal of Critical Care. 2015;24(5):396–402. https://doi.org/10.4037/ajcc2015706

13. Seo MJ, Hong SM. Effect of the group art therapy to be concerned in the job stress and the emotional expression of psychiatric ward nurse. The Korean Journal of Arts Therapy. 2015;15(1):93–115. https://doi.org/10.18253/kart.2015.15.1.06

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