Healing Touch: A Strategy for Acute Care Nurses' Stress Reduction.

IF 2 Q2 NURSING Journal of Holistic Nursing Pub Date : 2023-12-01 Epub Date: 2023-01-30 DOI:10.1177/08980101221142193
Randy L Rosamond, Gloria Giarratano, Susan Orlando, Jane Sumner, Diedre Devier, Lee S McDaniel, Diane Wind Wardell
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Abstract

The purpose of the study is to determine whether administering healing touch (HT) is more effective than deep breathing (DB) for reducing acute care nurses' stress during a shift. A randomized cluster trial assessed 150 nurses' vital signs and Visual Analog Scale for Stress (VASS) levels pre, post, and at follow-up to achieve a power of .7 and medium affect size. Open-ended questions following the intervention enriched quantitative findings describing the experience, facilitators, and barriers to potential use in nursing. The generalized estimating equation 1 (GEE1) comparisons of mean change over time, found that nurses in the HT intervention, had significantly lower VASS stress scores at posttreatment (-0.95, p  =  .0002) and at follow-up (-0.73, p  =  .0144) than the DB group, and the respiratory rate (RR) rate differences were nearly significant at post-intervention and significant at follow-up, respectively (1.36, p  =  .0568 and -2.28, p  =  .0011), indicating lower RR after HT. These findings support the use of HT as an effective stress reduction strategy as a relevant strategy to sustain a viable nurse work force post-COVID-19.

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疗愈触摸:急症护理护士减压策略。
本研究的目的是确定治疗触摸(HT)是否比深呼吸(DB)更有效地减少轮班期间急症护理护士的压力。一项随机聚类试验评估了150名护士的生命体征和视觉模拟压力量表(VASS)在随访前、随访后和随访时的水平,以达到0.7的权数和中等影响大小。干预后的开放式问题丰富了定量调查结果,描述了护理中潜在使用的经验、促进因素和障碍。通过广义估计方程1 (GEE1)均值随时间变化的比较,发现HT干预组护士在治疗后(-0.95,p = 0.0002)和随访时(-0.73,p = 0.0144)的VASS应激评分均显著低于DB组,且呼吸频率(RR)率在干预后和随访时的差异均接近显著(1.36,p = 0.0144)。0568和-2.28,p = .0011),表明HT后RR降低。这些发现支持将HT作为一种有效的减压策略,作为在covid -19后维持可行的护士队伍的相关策略。
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来源期刊
CiteScore
4.30
自引率
10.00%
发文量
39
期刊介绍: Manuscripts are solicited that deal with the processes of knowledge development and application including research, concept analysis and theory development, practical applications of research and theory, clinical case studies and analysis, practice applications in general, educational approaches and evaluation, and aesthetic expressions of holistic knowledge. While the journal seeks to support work grounded in evidence, the editorial philosophy suggests that there are many diverse sources of “evidence” beyond the realm of what is called “empirical” and that many methods are appropriate for discovering evidence and generating knowledge.
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