Authentic Connections Groups: A Pilot Test of an Intervention Aimed at Enhancing Resilience Among Nurse Leader Mothers.


Journal

Worldviews on evidence-based nursing
ISSN: 1741-6787
Titre abrégé: Worldviews Evid Based Nurs
Pays: United States
ID NLM: 101185267

Informations de publication

Date de publication:
Feb 2020
Historique:
accepted: 10 12 2019
entrez: 5 2 2020
pubmed: 6 2 2020
medline: 30 9 2020
Statut: ppublish

Résumé

Nurse leaders who are mothers are at significant risk for experiencing stress, burnout, and occupational fatigue. Authentic Connections (AC) Groups is an intervention shown to be effective for fostering resilience among at-risk moms, including physicians; however, it has not previously been tested with nurse leaders. Our aims were to test the feasibility and acceptability of the AC Groups intervention with nurse leader mothers and examine its effects on participant resilience, as measured by increased self-compassion and decreased distress, depression, perceived stress, and burnout. A randomized controlled trial design was employed for this pilot study, with 36 nurse leaders at Mayo Clinic. AC participants attended group sessions for an hour per week for 12 weeks. Control group members were provided 1 hr per week of free time over 12 weeks. Multiple self-report psychological measures were completed at baseline, post-intervention, and 3-month follow-up. The AC Groups intervention was feasible and well-received by nurse leaders. Session attendance rates averaged 92%. Despite the small n's, repeated measures of Analysis of Variance showed significantly greater improvements (p < .05) for participants in the AC Groups than control condition for depression, self-compassion, and perceived stress, with large effect sizes ( The AC intervention shows promise as a feasible intervention for mitigating nurse leader mothers' stress by positively impacting indices of well-being, including depression, self-compassion, and perceived stress. Given, the prevalence of stress and burnout among nurse leaders, the effectiveness of the AC intervention in fostering resilience in this population has significant implications for research and practice. Further research is warranted with larger numbers from multiple sites, longer follow-up periods, and biomarker measures of stress.

Sections du résumé

BACKGROUND BACKGROUND
Nurse leaders who are mothers are at significant risk for experiencing stress, burnout, and occupational fatigue. Authentic Connections (AC) Groups is an intervention shown to be effective for fostering resilience among at-risk moms, including physicians; however, it has not previously been tested with nurse leaders.
AIMS OBJECTIVE
Our aims were to test the feasibility and acceptability of the AC Groups intervention with nurse leader mothers and examine its effects on participant resilience, as measured by increased self-compassion and decreased distress, depression, perceived stress, and burnout.
METHODS METHODS
A randomized controlled trial design was employed for this pilot study, with 36 nurse leaders at Mayo Clinic. AC participants attended group sessions for an hour per week for 12 weeks. Control group members were provided 1 hr per week of free time over 12 weeks. Multiple self-report psychological measures were completed at baseline, post-intervention, and 3-month follow-up.
RESULTS RESULTS
The AC Groups intervention was feasible and well-received by nurse leaders. Session attendance rates averaged 92%. Despite the small n's, repeated measures of Analysis of Variance showed significantly greater improvements (p < .05) for participants in the AC Groups than control condition for depression, self-compassion, and perceived stress, with large effect sizes (
LINKING EVIDENCE TO ACTION CONCLUSIONS
The AC intervention shows promise as a feasible intervention for mitigating nurse leader mothers' stress by positively impacting indices of well-being, including depression, self-compassion, and perceived stress. Given, the prevalence of stress and burnout among nurse leaders, the effectiveness of the AC intervention in fostering resilience in this population has significant implications for research and practice. Further research is warranted with larger numbers from multiple sites, longer follow-up periods, and biomarker measures of stress.

Identifiants

pubmed: 32017436
doi: 10.1111/wvn.12420
doi:

Types de publication

Journal Article Randomized Controlled Trial

Langues

eng

Sous-ensembles de citation

IM

Pagination

39-48

Subventions

Organisme : Elizabeth C. Bonner Endowment Fund
Organisme : Authentic Connections

Informations de copyright

© 2020 Sigma Theta Tau International.

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Auteurs

Sherry S Chesak (SS)

Division of Nursing Research, Department of Nursing, Mayo Clinic, Rochester, MN, USA.

Anjali Bhagra (A)

Division of General Internal Medicine, Section of Integrative Medicine and Health, Mayo Clinic, Rochester, MN, USA.

Susanne Cutshall (S)

Division of General Internal Medicine, Section of Integrative Medicine and Health, Mayo Clinic, Rochester, MN, USA.

Alexandra Ingram (A)

Arizona State University, Tempe, AZ, USA.

Renee Benoit (R)

Arizona State University, Tempe, AZ, USA.

Jose R Medina-Inojosa (JR)

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.

Sharonne N Hayes (SN)

Department of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.

Bridget J Carolan (BJ)

Department of Nursing, Mayo Clinic, Rochester, MN, USA.

Suniya Luthar (S)

Arizona State University, Tempe, AZ, USA.
Authentic Connections, Cambridge, MA, USA.
Teachers College, Columbia University, New York City, NY, USA.

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