The use of mHealth apps to improve hospital nurses' mental health and well-being: A systematic review.

IF 3.4 2区 医学 Q1 NURSING Worldviews on Evidence-Based Nursing Pub Date : 2024-04-01 Epub Date: 2024-03-15 DOI:10.1111/wvn.12716
Cynthia Moore, Stephanie Kelly, Bernadette Mazurek Melnyk
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Abstract

Background: Nursing well-being has become a heightened focus since the COVID-19 pandemic. Nurses are leaving the profession early in their careers or retiring sooner than expected. Those who remain in the workforce report higher levels of burnout, anxiety, depression, and exhaustion. There is concern that there may be a shortage of at least half a million nurses by 2030.

Aims: This systematic review aimed to investigate the evidence of using a mental health promotion mHealth app to improve the mental health of hospital nurses.

Methods: A systematic search was conducted in CINAHL Plus with Full Text, MEDLINE with Full Text, Professional Development Collection, Psychology and Behavioral Sciences Collection, Sociological Collection, PsycInfo, Embase, and PubMed with search dates of January 2012-November 15, 2022. The mHealth intervention needed to be asynchronously delivered through a smartphone with hospital nurse participants to be included in this review.

Results: Of the 157 articles screened for this review, six were included. Primary outcome variables were anxiety, burnout, coping, depression, self-efficacy, stress, well-being, and work engagement. Intervention types included mindfulness-based interventions (MBIs), cognitive behavioral therapy (CBT), stress inoculation therapy (SIT), psychoeducation, and stress management. Anxiety, depression, well-being, and burnout improved with MBIs; depression improved with CBT; and anxiety and active coping improved with SIT.

Linking evidence to action: This review demonstrated promising findings in using mHealth apps to improve the mental health of hospital nurses. However, more randomized controlled trials with larger sample sizes may reveal which type of mHealth app and how much exposure to the intervention is more effective in improving specific mental health symptoms. Longitudinal follow-up is also recommended to study sustainability of the mental health improvements.

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使用移动医疗应用程序改善医院护士的心理健康和福祉:系统综述。
背景:自 COVID-19 大流行以来,护理福祉已成为一个高度关注的问题。越来越多的护士在职业生涯初期就离开了护理行业,或者比预期更早退休。那些仍在工作的护士则报告了更高程度的职业倦怠、焦虑、抑郁和疲惫。目的:本系统综述旨在调查使用促进心理健康的移动医疗应用程序来改善医院护士心理健康的证据:在 CINAHL Plus(含全文)、MEDLINE(含全文)、专业发展文集、心理学与行为科学文集、社会学文集、PsycInfo、Embase 和 PubMed 中进行了系统检索,检索日期为 2012 年 1 月至 2022 年 11 月 15 日。移动医疗干预需要通过智能手机以异步方式向医院护士参与者提供,才能纳入本综述:结果:在本次综述筛选出的 157 篇文章中,有 6 篇被纳入。主要结果变量包括焦虑、职业倦怠、应对、抑郁、自我效能感、压力、幸福感和工作参与度。干预类型包括正念干预(MBI)、认知行为疗法(CBT)、压力接种疗法(SIT)、心理教育和压力管理。正念干预改善了焦虑、抑郁、幸福感和职业倦怠;认知行为疗法改善了抑郁;压力接种疗法改善了焦虑和积极应对:本综述显示了使用移动医疗应用程序改善医院护士心理健康的良好效果。然而,更多样本量更大的随机对照试验可能会揭示哪种类型的移动医疗应用程序以及接触干预措施的程度对改善特定的心理健康症状更有效。此外,还建议进行纵向跟踪,以研究心理健康改善的可持续性。
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来源期刊
CiteScore
6.10
自引率
11.60%
发文量
72
审稿时长
>12 weeks
期刊介绍: The leading nursing society that has brought you the Journal of Nursing Scholarship is pleased to bring you Worldviews on Evidence-Based Nursing. Now publishing 6 issues per year, this peer-reviewed journal and top information resource from The Honor Society of Nursing, Sigma Theta Tau International, uniquely bridges knowledge and application, taking a global approach in its presentation of research, policy and practice, education and management, and its link to action in real world settings. Worldviews on Evidence-Based Nursing is written especially for: Clinicians Researchers Nurse leaders Managers Administrators Educators Policymakers Worldviews on Evidence­-Based Nursing is a primary source of information for using evidence-based nursing practice to improve patient care by featuring: Knowledge synthesis articles with best practice applications and recommendations for linking evidence to action in real world practice, administra-tive, education and policy settings Original articles and features that present large-scale studies, which challenge and develop the knowledge base about evidence-based practice in nursing and healthcare Special features and columns with information geared to readers’ diverse roles: clinical practice, education, research, policy and administration/leadership Commentaries about current evidence-based practice issues and developments A forum that encourages readers to engage in an ongoing dialogue on critical issues and questions in evidence-based nursing Reviews of the latest publications and resources on evidence-based nursing and healthcare News about professional organizations, conferences and other activities around the world related to evidence-based nursing Links to other global evidence-based nursing resources and organizations.
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