Brief Narrative Writing Program Implemented in a Neurosurgical Intensive Care Unit During the COVID-19 Pandemic.


Journal

American journal of critical care : an official publication, American Association of Critical-Care Nurses
ISSN: 1937-710X
Titre abrégé: Am J Crit Care
Pays: United States
ID NLM: 9211547

Informations de publication

Date de publication:
01 03 2023
Historique:
pubmed: 14 1 2023
medline: 3 3 2023
entrez: 13 1 2023
Statut: ppublish

Résumé

The COVID-19 pandemic has substantially affected health care professionals. Health care professionals have noted increased distress, psychiatric symptoms, and feelings of burnout during this time. Implementation of brief, easy-to-access psychosocial interventions might help health care professionals process stressful events, thus bolstering mental health. One such approach is the narrative expressive writing program, a 5-session cognitive behavioral writing intervention. The narrative expressive writing program was instituted in a neurosurgical intensive care unit during the COVID-19 pandemic. The program was delivered online and guided by a licensed mental health professional. Health care professionals completed measures of anxiety, depression, burnout, resilience, and perceived stress before and after completing the narrative expressive writing program. Fifty-eight health care professionals initiated the program; 31 (53% of initiators) completed it. Health care professionals who completed the narrative expressive writing program experienced significant reductions in depressive symptoms and perceived stress (P < .05). Preliminary data show that narrative expressive writing is an easy-to-access intervention that has the potential to decrease stress and depressive symptoms. Additional research on tailoring or augmenting the narrative expressive writing program may facilitate health care professionals' engagement and address other mental health domains (eg, burnout).

Sections du résumé

BACKGROUND
The COVID-19 pandemic has substantially affected health care professionals. Health care professionals have noted increased distress, psychiatric symptoms, and feelings of burnout during this time. Implementation of brief, easy-to-access psychosocial interventions might help health care professionals process stressful events, thus bolstering mental health. One such approach is the narrative expressive writing program, a 5-session cognitive behavioral writing intervention.
OBJECTIVES
The narrative expressive writing program was instituted in a neurosurgical intensive care unit during the COVID-19 pandemic. The program was delivered online and guided by a licensed mental health professional.
METHODS
Health care professionals completed measures of anxiety, depression, burnout, resilience, and perceived stress before and after completing the narrative expressive writing program. Fifty-eight health care professionals initiated the program; 31 (53% of initiators) completed it.
RESULTS
Health care professionals who completed the narrative expressive writing program experienced significant reductions in depressive symptoms and perceived stress (P < .05).
CONCLUSIONS
Preliminary data show that narrative expressive writing is an easy-to-access intervention that has the potential to decrease stress and depressive symptoms. Additional research on tailoring or augmenting the narrative expressive writing program may facilitate health care professionals' engagement and address other mental health domains (eg, burnout).

Identifiants

pubmed: 36635863
pii: 31954
doi: 10.4037/ajcc2023700
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

131-135

Informations de copyright

©2023 American Association of Critical-Care Nurses.

Auteurs

Ryan Holliday (R)

Ryan Holliday is a clinical research psychologist at the Rocky Mountain Mental Illness Research, Education, and Clinical Center for Suicide Prevention, Aurora, Colorado, and an assistant professor at University of Colorado Anschutz Medical Campus, Aurora, Colorado.

David J Ricke (DJ)

David J. Ricke is a nurse manager at University of Colorado Hospital, Aurora, Colorado.

Claudia Ricklefs (C)

Claudia Ricklefs is program administrative support at University of Colorado Hospital.

Meredith Mealer (M)

Meredith Mealer is a psychiatric mental health nurse practitioner at the Rocky Mountain Mental Illness Research, Education, and Clinical Center for Suicide Prevention and an associate professor at University of Colorado Anschutz Medical Campus.

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