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      Improving mental health of student and novice nurses to prevent dropout: A systematic review Translated title: 改善学生和新手护士的心理健康,防止辍学:系统评估

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          Abstract

          Aims

          To provide: (a) an overview of interventions aimed at improving mental health of student or novice nurses; and (b) an evaluation of their effectiveness on dropout‐related outcomes.

          Design

          Systematic review.

          Data sources

          Research papers published between January 1971–February 2019 were identified from the following databases: Embase, Medline, PsycInfo, CINAHL, ERIC, the Cochrane Library, Web of Science, and Google Scholar.

          Review methods

          We followed the procedures recommended by the Editorial Board of the Cochrane Collaboration Back Review Group. We included peer‐reviewed articles with a quantitative research design, examining interventions aimed at improving mental health of student and novice nurses and their effect on dropout‐related outcomes. The large variation in studies prohibited statistical pooling and a synthesis without meta‐analysis of studies was performed.

          Results

          We identified 21 studies with three areas of focus: managing stress or stressors ( N = 4); facilitating the transition to nursing practice ( N = 14); and a combined approach ( N = 3). Five studies showed a statistically significant effect on dropout‐related outcomes. The overall risk of bias was high.

          Conclusion

          A wide range of interventions are available, but the evidence for their effectiveness is limited. There is a need for high‐quality studies in this field, preferably with a randomized controlled design.

          Translated abstract

          目的

          提供:(a)旨在改善学生或新手护士心理健康的干预措施概述;(b)评估其对辍学相关结果的有效性。

          设计

          系统评估。

          数据源

          1971年1月至2019年2月之间发表的研究论文来自以下数据库:Embase、Medline、PsycInfo、CINAHL、ERIC、科克伦图书馆(Cochrane Library),科学网(Web of Science)和谷歌学术(Google Scholar)。

          评估方法

          我们遵循了科克伦协作回顾评述小组(Cochrane Collaboration Back Review Group)编辑委员会推荐的程序。我们纳入了具有定量研究设计的同行评审文章,研究了旨在改善学生和新手护士心理健康及其对辍学相关结果影响的干预措施。研究中的巨大差异无法进行统计汇总,采用了无荟萃分析研究的综合。

          结果

          我们确定了21个研究,重点关注三个领域:管理压力或压力源( N = 4);促进向护理实践的过渡( N = 14);以及组合方法( N = 3)。五项研究表明,与辍学相关的结果在统计上具有显著影响。总体偏倚风险很高。

          结论

          干预措施的种类很多,但其有效性的证据有限。这一领域需要高质量的研究,最好采用随机对照设计。

          Related collections

          Most cited references62

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          Burnout prevention: a review of intervention programs.

          To evaluate the effectiveness of intervention programs at the workplace or elsewhere aimed at preventing burnout, a leading cause of work related mental health impairment. A systematic search of burnout intervention studies was conducted in the databases Medline, PsycINFO and PSYNDEX from 1995 to 2007. Data was also extracted from papers found through a hand search. A total of 25 primary intervention studies were reviewed. Seventeen (68%) were person-directed interventions, 2 (8%) were organization-directed and 6 (24%) were a combination of both interventions types. Eighty percent of all programs led to a reduction in burnout. Person-directed interventions reduced burnout in the short term (6 months or less), while a combination of both person- and organization-directed interventions had longer lasting positive effects (12 months and over). In all cases, positive intervention effects diminished in the course of time. Intervention programs against burnout are beneficial and can be enhanced with refresher courses. Better implemented programs including both person- and organization-directed measures should be offered and evaluated. A combination of both intervention types should be further investigated, optimized and practiced. Institutions should recognize the need for and make burnout intervention programs available to employees. Copyright 2009 Elsevier Ireland Ltd. All rights reserved.
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            Cultivating mindfulness in health care professionals: a review of empirical studies of mindfulness-based stress reduction (MBSR).

            Demands faced by health care professionals include heavy caseloads, limited control over the work environment, long hours, as well as organizational structures and systems in transition. Such conditions have been directly linked to increased stress and symptoms of burnout, which in turn, have adverse consequences for clinicians and the quality of care that is provided to patients. Consequently, there exists an impetus for the development of curriculum aimed at fostering wellness and the necessary self-care skills for clinicians. This review will examine the potential benefits of mindfulness-based stress reduction (MBSR) programs aimed at enhancing well-being and coping with stress in this population. Empirical evidence indicates that participation in MBSR yields benefits for clinicians in the domains of physical and mental health. Conceptual and methodological limitations of the existing studies and suggestions for future research are discussed.
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              Reducing work related psychological ill health and sickness absence: a systematic literature review.

              A literature review revealed the following: key work factors associated with psychological ill health and sickness absence in staff were long hours worked, work overload and pressure, and the effects of these on personal lives; lack of control over work; lack of participation in decision making; poor social support; and unclear management and work role. There was some evidence that sickness absence was associated with poor management style. Successful interventions that improved psychological health and levels of sickness absence used training and organisational approaches to increase participation in decision making and problem solving, increase support and feedback, and improve communication. It is concluded that many of the work related variables associated with high levels of psychological ill health are potentially amenable to change. This is shown in intervention studies that have successfully improved psychological health and reduced sickness absence.
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                Author and article information

                Contributors
                Role: PhD candidatee.j.m.bakker@hr.nl , @ejmbakker
                Role: PhD candidate@joskox
                Role: Full Professor
                Role: Full Professor@FranckeA
                Role: Full Professor
                Role: Assistant Professor@pepijn_roelofs
                Journal
                J Adv Nurs
                J Adv Nurs
                10.1111/(ISSN)1365-2648
                JAN
                Journal of Advanced Nursing
                John Wiley and Sons Inc. (Hoboken )
                0309-2402
                1365-2648
                15 July 2020
                October 2020
                : 76
                : 10 ( doiID: 10.1111/jan.v76.10 )
                : 2494-2509
                Affiliations
                [ 1 ] Research Centre Innovations in Care Rotterdam University of Applied Sciences Rotterdam The Netherlands
                [ 2 ] Department of Public and Occupational Health Amsterdam Public Health Research Institute Amsterdam UMC Vrije Universiteit Amsterdam Amsterdam The Netherlands
                [ 3 ] NIVEL Netherlands Institute for Health Services Research Utrecht The Netherlands
                [ 4 ] Department of General Practice Erasmus University Medical Centre Rotterdam The Netherlands
                [ 5 ] Behavioural Science Institute Radboud University Nijmegen Nijmegen The Netherlands
                [ 6 ] Department of Health Sciences, Community and Occupational Medicine University of Groningen University Medical Center Groningen Groningen The Netherlands
                Author notes
                [*] [* ] Correspondence

                Ellen Bakker, Rotterdam University of Applied Sciences, Research Centre Innovations in Care, P.O. Box 25035, 3001 HA Rotterdam, The Netherlands.

                Email: e.j.m.bakker@ 123456hr.nl

                Author information
                https://orcid.org/0000-0002-5706-8220
                Article
                JAN14453
                10.1111/jan.14453
                7540364
                32538480
                f10b66d8-1290-4b66-9c6c-6a673872d2e5
                © 2020 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

                History
                : 14 September 2019
                : 07 May 2020
                : 15 May 2020
                Page count
                Figures: 2, Tables: 3, Pages: 16, Words: 10675
                Funding
                Funded by: Rotterdam University of applied sciences
                Funded by: Nationaal Regieorgaan Praktijkgericht Onderzoek SIA (Regieorgaan SIA)
                Award ID: 2014‐01‐31 PRO
                Funded by: Ministry of Education , open-funder-registry 10.13039/100009950;
                Funded by: Netherlands Organisation for Scientific Research , open-funder-registry 10.13039/501100003246;
                Categories
                Review
                Evidence Synthesis
                Review Papers
                Custom metadata
                2.0
                October 2020
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.9.2 mode:remove_FC converted:07.10.2020

                Nursing
                attrition,dropout,mental health,novice nurse,nursing,student nurse,systematic review,turnover
                Nursing
                attrition, dropout, mental health, novice nurse, nursing, student nurse, systematic review, turnover

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