初級注冊護理學生的自我護理實踐.pdf

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1、Learner Disclosures1 Provider Statement:Assessment Technologies Institute,LLC(ATI Nursing Education)is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Centers Commission on Accreditation Criteria for Successful Completion:To obtain credit

2、for this activity,the participants must:Attend 100%of the session Complete activity by 07/31/2023 and submit the online evaluationExpires 7/31/20232 All information included in National Nurse Educator Summit presentations is the copyrighted property of ATI or the individual presenters.You may not re

3、cord this presentation or copy and/or distribute any of the handout materials.Self-Care Practices of Entry Level Registered Nursing StudentsStephanie Kelly,PhD,RNStacey Nseir,PhD,RN,CNEBetty Parisek,Ed.D,MSN,RN3Upon completion,participants will be able to4 Discuss general findings of mental health i

4、n nursing students including background,Covid-19 impact,importance of self-care,and resilience.Explain the relationship between self-care,stress,mental health,and burnout in nursing.Describe how self-care is threaded throughout a Bachelor of Science program.Self-Care Practices of Entry Level Registe

5、red Nursing StudentsBackgroundCurriculumBaseline FindingsToday5How are Nursing Students doing?6COVID-19 Current literatureDepressionAnxietyDr.Stacey NseirBurnout Rates7Nursing Students approximately 1/4Nurses approximately 1/3InterventionsWhat Can We Do to Help?8Visual meditation Online laughter the

6、rapyOnline resilience training programWhat is self-care?9 Coping with daily stressors Staying physically and emotionally healthy Compassion towards self Wellness Cultivating appreciation for selfMeditative Moment10Why is Self-Care Important?11ANA Code of Ethics for Nurses with Interpretive Statement

7、s Provision#5“The nurse owes the same duties to self as to others,including the responsibility to promote health and safety,preserve wholeness of character and integrity,maintain competence,and continue personal and professional growth”(2015).Resilience12Learning cognitive and social skillsReframing

8、Positive attitude13BSN-IH Program History Dr.Betty Parisek14Nursing from An Integrative Health Perspective Human beings are whole systems inseparable from their(environment).Human beings have the innate capacity for health and wellbeing.(change)Nature has healing and restorative properties that cont

9、ribute to health and wellbeing.Integrative nursing is person-centered and relationship-based.(caring)Integrative nursing is informed by evidence and uses the full range of therapeutic modalities to support/augment the healing process,moving from least intensive and invasive to more,depending on need

10、 and context.Integrative nursing focuses on the health and wellbeing of caregivers as well as those they serve.(self-care)Koithan,M.&Kreitzer,MJ(2019)Integrative Nursing.Oxford University Press.BSN-IH CurriculumLevel 1 Well child/well adultIntroduction to Adults with Common ConditionsSelf CareLevel

11、2OBPediatricsAdults with Common ConditionsSelf CareScaffoldingLevel 3Adults with Complex ConditionsBehavioral HealthSelf CareLevel 4LeadershipCommunityTransition to Practice(moved from 12 12-hr TTP shifts to 12 10-hr TTP shifts)Self CareThreading Integrative ModalitiesFirst Semester-Start with the e

12、nd in mind Mindfulness ReflectionsManaging StressMindfulness without JudgementCommunicationImplementing Self CareThreading Integrative ModalitiesSecond semester Strategies the Nurse Can Use in PracticeUse of meditation and yoga poses to enhance students mindful presence during clinical labAlternate

13、therapies(essential oils,hand massage)for symptom management19Threading Integrative Modalities-Third semester 20Principle 1:Human beings are whole systems inseparable from their environments.Principle 2:Human beings have the innate capacity for health and wellbeing.Principle 3:Nature has healing and

14、 restorative properties that contribute to health and wellbeing.Principle 4:Integrative nursing is person-centered,and relationship based.Principle 5:Integrative nursing practice is informed by evidence using a full range of therapeutic modalities,from least invasive to more.Principle 6:Integrative

15、nursing focuses on the health and wellbeing of caregivers as well as those they serve.Discuss the importance of environmental factors and its influence on wellbeing.How does hospitalization and acute illness affect homeostasis?How ethical dilemmas affect nurses ability to provide wholistic care?Disc

16、uss effects of acute illness on emotional and spiritual wellbeing.Affects of spiritual care on the innate capacity and wellbeing.Discuss how use of natural lighting can affect health and wellbeing.How does natural lighting contribute to prevention of delirium?Describe how caregivers and family membe

17、rs influence patient recovery and health management.How does family presence in critical care setting affects patient outcomes and communication among health care team members?Provide examples on how various integrative modalities can be incorporated in the plan of care.Introduce mindfulness activit

18、y and discuss its effects on caregiver wellbeing.Threading Integrative ModalitiesFourth Semester Putting the Pieces TogetherIntegrative Health CapstoneSelf Care Reflections revisited from L1Guided Imagery22Dr.Stephanie KellyBaseline Data23Demographics24Current program at the College of NursingnPerce

19、ntBSN-traditional1014.5BSN-IH3043.5MEPN-Phoenix811.6MEPN-Tucson2130.4Total69100American Indian/Alaska Native22.9Asian American/Pacific Islander34.3White,not of Hispanic origin4260.9Hispanic/Latino1826.1Multiracial22.9Other(please specify)22.9Total69100Demographics-225GendernPercentMale1014.5Female59

20、85.5Total69100Age in YearsnMeanSDBSN-traditional1021.12.7BSN-IH2823.45.4MEPN-Phoenix728.03.1MEPN-Tucson1831.58.0Baseline Health26Measures27PHQ-2GAD-2Connor Davidson Resiliency ScalePerceived Stress Scale-4Mindful Self-Care Scaleo Physical Careo Supportive Relationshipso Self-compassion and Purposeo

21、Supportive Structureo Clinicalo GeneralBaseline Means28NMinMaxMeanSDGAD266062.81.9PSS4660155.83.3PHQ266061.31.5Resilience65134028.06.7Mindful Physical Care671.134.382.70.6Mindful Supportive Relationships682.254.10.7Mindful Self-Compassion&Purpose661.6753.30.9Mindful Supportive Structure651.553.91.0M

22、indful Clinical6683019.04.6Mindful General663157.73.4Mindful Self-Care Scale29Physical CareI drank at least 6 to 8 cups of waterI ate a variety of nutritious foods(e.g.,vegetables,protein,fruits,and grains)I planned my meals and snacksI exercised at least 30 to 60 minutesI took part in sports,dance

23、or other scheduled physical activities(e.g.,sports teams,dance classes)I did sedentary activities instead of exercising(e.g.,watched tv,worked on the computer)-reversed scoreI planned/scheduled my exercise for the dayI practiced yoga or another mind/body practice(e.g.,Tae Kwon Do,Tai Chi)Mindful Sel

24、f-Care Scale30Supportive RelationshipsI spent time with people who are good to me(e.g.,support,encourage,and believe in me)I felt supported by people in my lifeI felt that I had someone who would listen to me if I became upset(e.g.,friend,counselor,group)I felt confident that people in my life would

25、 respect my choice if I said“no”I scheduled/planned time to be with people who are special to meMindful Self-Care Scale31Self-Compassion and PurposeI kindly acknowledged my own challenges and difficultiesI engaged in supportive and comforting self-talk(e.g.,“My effort is valuable and meaningful”)I r

26、eminded myself that failure and challenge are part of the human experienceI gave myself permission to feel my feelings(e.g.,allowed myself to cry)I experienced meaning and/or a larger purpose in my work/school life(e.g.,for a cause)I experienced meaning and/or larger purpose in my private/personal l

27、ife(e.g.,for a cause)Mindful Self-Care Scale32Supportive StructureI kept my work/schoolwork area organized to support my work/school tasksI maintained a manageable scheduleI maintained balance between the demands of others and what is important to meI maintained a comforting and pleasing living envi

28、ronmentMindful Self-Care Scale33ClinicalI took time to acknowledge the things for which I am gratefulI planned/scheduled pleasant activities that were not work or school relatedI used deep breathing to relaxI meditated in some form(e.g.,sitting meditation,walking meditation,prayer)I rested when I ne

29、eded to(e.g.,when not feeling well,after a long work out or effort)I got enough sleep to feel rested and restored when I woke upMindful Self-Care Scale34GeneralI engaged in a variety of self-care strategiesI planned my self-careI explored new ways to bring self-care into my lifeCorrelations Anxiety3

30、5Stress.753*Depression.519*Resilience-.573*Mindful Self-care Physical Care-0.303*Mindful Self-care Supportive Relationships-.368*Mindful Self-care Self-Compassion-.298*Mindful Self-care Supportive Structures-.497*Mindful Self-careClinical-.426*Mindful Self-care General-.187small.1-.3medium.3-.5large

31、.5-1.0*Correlation is significant at the 0.01 level(2-tailed)*Correlation is significant at the 0.05 level(2-tailed)Correlations Depression36Stress.606*Resilience-.544*Mindful Self-care Physical Care-.373*Mindful Self-care Supportive Relationships-.445*Mindful Self-care Self-Compassion-.290Mindful S

32、elf-care Supportive Structures-.477*Mindful Self-careClinical-.428*Mindful Self-care General-.340*small.1-.3medium.3-.5large.5-1.0*Correlation is significant at the 0.01 level(2-tailed)*Correlation is significant at the 0.05 level(2-tailed)Correlations Resilience37Anxiety-.573*Depression-.544*Mindfu

33、l Self-care Physical Care.378*Mindful Self-care Supportive Relationships.182Mindful Self-care Self-Compassion.451*Mindful Self-care Supportive Structures.528*Mindful Self-careClinical.623*Mindful Self-care General.438*small.1-.3medium.3-.5large.5-1.0*Correlation is significant at the 0.01 level(2-ta

34、iled)*Correlation is significant at the 0.05 level(2-tailed)Correlations Stress38small.1-.3medium.3-.5large.5-1.0*Correlation is significant at the 0.01 level(2-tailed)*Correlation is significant at the 0.05 level(2-tailed)Resilience-.661*Anxiety.753*Depression.606*Mindful Self-care Physical Care-.2

35、93*Mindful Self-care Supportive Relationships-.324*Mindful Self-care Self-Compassion-.374*Mindful Self-care Supportive Structures-.593*Mindful Self-careClinical-.549*Mindful Self-care General-.217*Gratitude Reflection 39Conclusion 40Tai Chi EasyQuestions41References 42American Nurses Association(ANA

36、).(2015).Code of ethics for nurses with interpretive statements.https:/www.nursingworld.org/practice-policy/nursing-excellence/ethics/code-of-ethics-for-nurses/idem A.,&Duygu A.(2023).The effects of visualization meditation on the depression,anxiety,stress and achievement motivation levels of nursin

37、g students.Nurse Education Today,120,1-6,https:/doi.org/10.1016/j.nedt.2022.105618.Getty Images iStock https:/ Mathis,K.(2023).Influence of COVID19 on the next generation of nurses in the United States.Journal of Clinical Nursing(John Wiley&Sons,Inc.),32(3/4),359367.https:/doi-org.ezproxy3.library.a

38、rizona.edu/10.1111/jocn.16202Kong,L.-N.,Yao,Y.,Chen,S.-Z.,&Zhu,J.-L.(2023).Prevalence and associated factors of burnout among nursing students:A systematic review and meta-analysis.Nurse Education Today,121,N.PAG.https:/doi-org.ezproxy1.library.arizona.edu/10.1016/j.nedt.2022.105706McLeish,A.C.,Walk

39、er,K.L.,&Hart,J.L.(2022).Changes in internalizing symptoms and anxiety sensitivity among college students during the COVID-19 pandemic.Journal of Psychopathology&Behavioral Assessment,44(4),10211028.https:/doi-org.ezproxy1.library.arizona.edu/10.1007/s10862-022-09990-8Ozturk,F.O.,&Tekkas-Kerman,K.(2

40、022).The effect of online laughter therapy on depression,anxiety,stress,and loneliness among nursing students during the Covid-19 pandemic.Archives of Psychiatric Nursing,41,271276.https:/doi-org.ezproxy3.library.arizona.edu/10.1016/j.apnu.2022.09.006Skillman,D.&Toms,R.(2022).Factors influencing nur

41、se intent to leave acute care hospitals.JONA:The Journal of Nursing Administration,52(12),640-645.doi:10.1097/NNA.0000000000001225.Stoliker,B.E.,Vaughan,A.D.,Collins,J.,Black,M.,&Anderson,G.S.(2022).Building Personal Resilience following an Online Resilience Training Program for BScN Students.Western Journal of Nursing Research,44(8),755764.https:/doi-org.ezproxy3.library.arizona.edu/10.1177/01939459211017240