ACT-based Stress Management Training Aimed at Improving Workers’ Mental Health in an Intensive Care Unit: A Mixed Methods Study

  1. Luis M. Blanco-Donoso 1
  2. Carlos Garcia-Rubio 13
  3. Juan A. Gallardo 2
  4. Gladis Pereira 1
  5. María L. Rodríguez de la Pinta 3
  6. Juan J. Rubio
  7. Eva Garrosa 1
  1. 1 Universidad Autónoma de Madrid
    info

    Universidad Autónoma de Madrid

    Madrid, España

    ROR https://ror.org/01cby8j38

  2. 2 Universidad Nacional Autónoma de México
    info

    Universidad Nacional Autónoma de México

    Ciudad de México, México

    ROR https://ror.org/01tmp8f25

  3. 3 Hospital Universitario Puerta de Hierro
    info

    Hospital Universitario Puerta de Hierro

    Madrid, España

    ROR https://ror.org/01e57nb43

Mostrar afiliaciones +
Revista:
Clínica y salud: Investigación Empírica en Psicología

ISSN: 1130-5274

Año de publicación: 2021

Volumen: 32

Número: 3

Páginas: 111-117

Tipo: Artículo

DOI: 10.5093/CLYSA2021A12 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Clínica y salud: Investigación Empírica en Psicología

Resumen

This study aimed to explore whether an acceptance and commitment (ACT) approach to stress management training improved the levels of depression, anxiety, and stress among a group of twenty-two health professionals from an intensive care unit. Questionnaires were administered before and after training, and follow-up was carried out one month after training, including semi-structured interviews with nine participants. The results reflected that the quasi-experimental group reduced their depression and stress levels significantly and showed improvements in stress in the follow-up. A qualitative thematic analysis of interviews showed that nurses were seeking a tool that would help them to cope more effectively with stressful situations and increase their knowledge of stress management. The themes in the professionals’ comments claimed specific improvements in their health, well-being, relationships, and psychological processes. In conclusion, ACT-based trainings offer a possible framework for mental health promotion in health care organizations.

€ Ver financiación

Información de financiación

Cite this article as: Blanco-Donoso, L. M., Garcia-Rubio, C., Gallardo, J. A., Pereira, G., Rodríguez de la Pinta, M. L., Rubio, J. J., and Garrosa, E. (2021). ACT-based stress management training aimed at improving workers’mental health in an intensive care unit: A mixed methods study. Clínica y Salud, 32(3), 111-117. https://doi.org/10.5093/clysa2021a12 Funding: This work was supported by I+D+I National Project of the Ministerio de Ciencia e Innovación (PID2019-106368GB-I00) AEI/10.13039/501100011033. Correspondence: luismanuel.blanco@uam.es. (L. M. Blanco-Donoso).

Financiadores

Referencias bibliográficas

  • Blanco-Donoso, L. M., García-Rubio, C., Moreno-Jiménez, B., de la Pinta, M., Aldea, S. M., & Garrosa, E. (2017). Intervención breve sobre la base de ACT y la atención: estudio piloto con el personal de enfermería en la unidad de cuidados intensivos y servicios de emergencia. International Journal of Psychology and Psychological Therapy, 17(1), 57-63.
  • Bond, F. W., Flaxman, P. E., van Veldhoven, M. J. P. M., & Biron, M. (2010). The impact of psychological flexibility and acceptance and commitment therapy (ACT) on health and productivity at work. In J. Houdmont & S. Leka (Eds.), Contemporary occupational health psychology. Global perspectives on research and practice (pp. 296-313). John Wiley & Son Ltd.
  • Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. https://doi. org/10.1191/1478088706qp063oa
  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Lawrence Erlbaum Associates.
  • Daza, P., Novy, D. M., Stanley, M. A., & Averill, P. (2002). The depression anxiety stress scale-21: Spanish translation and validation with a Hispanic sample. Journal of Psychopathology and Behavioral Assessment, 24(3), 195-205.
  • Flaxman, P. E., & Bond, F. W. (2010). A randomised worksite comparison of acceptance and commitment therapy and stress inoculation training. Behaviour Research and Therapy, 48(8), 816-820. https://doi. org/10.1016/j.brat.2010.05.004
  • Flaxman, P., Bond, F., & Livheim, F. (2013). The mindful and effective employee: An acceptance and commitment therapy training manual for improving well-being and performance. New Harbinger.
  • Frögéli, E., Djordjevic, A., Rudman, A., Livheim, F., & Gustavsson, P. (2016) A randomized controlled pilot trial of acceptance and commitment training (ACT) for preventing stress-related ill health among future nurses. Anxiety, Stress, & Coping, 29(2), 202-218. https://doi.org/10.1 080/10615806.2015.1025765
  • García, R. M., Ferrer, J. M., Ayora, A. A., Herrero, M. A., Amutio, A., & Ferrer, R. (2018). Aplicación de un programa de mindfulness en profesionales de un servicio de medicina intensiva. Efecto sobre el burnout, la empatía y la autocompasión. Medicina Intensiva, 43(4), 207-216. https://doi. org/10.1016/j. medin.2018.02.005
  • Gómez-Martínez, S., Ballester-Arnal, R., Gil-Juliá, B., & Abizanda-Campos, R. (2015). Anxiety, depression and emotional distress in the intensive care units health professionals. Anales de Psicología/Annals of Psychology, 31(2), 743-750. https://doi.org/10.6018/analesps.31.2.158501
  • Grossman, P., & Van Dam, N. T. (2011). Mindfulness, by any other name… trials and tribulations of sati in western psychology and science. Contemporary Buddhism, 12(1), 219-239. https://doi.org/10.1080/146 39947.2011.564841
  • Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2012). Acceptance and commitment therapy. Guilford Press.
  • Kinser, P., Braun, S., Deeb, G., Carrico, C., & Dow, A. (2016). “Awareness is the first step”: An interprofessional course on mindfulness & mindfulmovement for healthcare professionals and students. Complementary Therapies in Clinical Practice, 25, 18-25. https://doi.org/10.1016/j. ctcp.2016.08.003
  • Lloyd, J., Bond, F. W., & Flaxman, P. E. (2013). The value of psychological flexibility: Examining psychological mechanisms underpinning a cognitive behavioural therapy intervention for burnout. Work & Stress, 27(2), 181-199. https://doi.org/10.1080/02678373.2013.782157
  • Macías, J., Valero-Aguayo, L., Bond, F., & Blanca, M. J. (2019). The efficacy of functional-analytic psychotherapy and acceptance and commitment therapy (FACT) for public employees. Psicothema, 31(1), 24-29.
  • McConachie, D. A. J., McKenzie, K., Morris, P. G., & Walley, R. M. (2014). Acceptance and mindfulness-based stress management for support staff caring for individuals with intellectual disabilities. Research in Developmental Disabilities, 35(6), 1216-1227. https://doi.org/10.1016/j. ridd.2014.03.005
  • Olejnik, S., & Algina, J. (2000). Measures of effect size for comparative studies: Applications, interpretations, and limitations. Contemporary Educational Psychology, 25(3), 241-286. https://doi.org/10.1006/ ceps.2000.1040
  • Ortega, C. R., López, F. R., & Gómez, S. (2008). Intervención psicológica sobre el desgaste profesional de los profesionales sanitarios de la Unidad de Cuidados Paliativos del Hospital Universitario Gregorio Marañón. Medicina Paliativa, 15(2), 93-97.
  • Öst, L. G. (2014). The efficacy of acceptance and commitment therapy: an updated systematic review and meta-analysis. Behaviour Research and Therapy, 61, 105-121. https://doi.org/10.1016/j.brat.2014.07.018
  • Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40(3), 879-891. https://doi. org/10.3758/BRM.40.3.879
  • Resnicoff, M., & Julliard, K. (2018). Brief mindfulness meditation with night nursing unit staff: A qualitative study. Holistic Nursing Practice, 32(6), 307-315. https://doi.org/10.1097/HNP.0000000000000293
  • Rise, M. B., Gismervik, S. Ø., Johnsen, R., & Fimland, M. S. (2015). Sick-listed persons’ experiences with taking part in an in-patient occupational rehabilitation program based on acceptance and commitment therapy: A qualitative focus group interview study. BMC Health Services Research, 15(526) 1-12. https://doi.org/10.1186/s12913-015-1190-8
  • Ruiz, F. J., Herrera, Á. I., Luciano, C., Cangas, A. J., & Beltrán, I. (2013). Measuring experiential avoidance and psychological inflexibility: The Spanish version of the Acceptance and Action Questionnaire-II. Psicothema, 25(1), 123-129. https://doi.org/10.7334/psicothema2011.239
  • Tetrick, L. E., & Winslow, C. J. (2015). Workplace stress management interventions and health promotion. Annual Review of Organizational Psychology and Organizational Behavior, 2(1), 583-603. https://doi. org/10.1146/annurev-orgpsych-032414-111341
  • Van der Klink, J. J., Blonk, R. W., Schene, A. H., & Van Dijk, F. J. (2001). The benefits of interventions for work-related stress. American Journal of Public Health, 91(2), 270-276. https://doi.org/10.2105/ajph.91.2.270
  • van Mol, M. M., Kompanje, E. J., Benoit, D. D., Bakker, J., & Nijkamp, M. D. (2015). The prevalence of compassion fatigue and burnout among healthcare professionals in intensive care units: a systematic review. PloS One, 10(8), e0136955. https://doi.org/10.1371/journal. pone.0136955
  • Waters, C. S., Frude, N., Flaxman, P. E., & Boyd, J. (2018). Acceptance and commitment therapy (ACT) for clinically distressed health care workers: Waitlist-controlled evaluation of an ACT workshop in a routine practice setting. British Journal of Clinical Psychology, 57(1), 82-98. https://doi.org/10.1111/bjc.12155
Fuente de los datos: Dialnet