ACT-based Stress Management Training Aimed at Improving Workers’ Mental Health in an Intensive Care Unit: A Mixed Methods Study
- Luis M. Blanco-Donoso 1
- Carlos Garcia-Rubio 13
- Juan A. Gallardo 2
- Gladis Pereira 1
- María L. Rodríguez de la Pinta 3
- Juan J. Rubio
- Eva Garrosa 1
-
1
Universidad Autónoma de Madrid
info
-
2
Universidad Nacional Autónoma de México
info
-
3
Hospital Universitario Puerta de Hierro
info
ISSN: 1130-5274
Year of publication: 2021
Volume: 32
Issue: 3
Pages: 111-117
Type: Article
More publications in: Clínica y salud: Investigación Empírica en Psicología
Abstract
Este estudio tiene como objetivo explorar si un enfoque de aceptación y compromiso (TAC) para el entrenamiento en el manejo del estrés mejora los niveles de depresión, ansiedad y estrés en un grupo de 22 profesionales de la salud de una unidad de cuidados intensivos. Los cuestionarios se administraron antes y después del entrenamiento y el seguimiento se llevó a cabo un mes después del mismo, incluyendo entrevistas semiestructuradas con 9 de los participantes. Los resultados reflejaron que el grupo cuasiexperimental redujo sus niveles de depresión y estrés significativamente y mejoró el estrés durante el seguimiento. Un análisis temático cualitativo de las entrevistas mostró que los profesionales de enfermería buscaban una herramienta que les ayudara a hacer frente más eficazmente a las situaciones de estrés aumentando el conocimiento en su manejo. Los comentarios de los profesionales reflejaban mejoras específicas en su salud, bienestar, relaciones y procesos psicológicos. En conclusión, los entrenamientos basados en TAC ofrecen un posible marco para mejorar la salud mental en las organizaciones de atención médica.
Funding information
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).Bibliographic References
- 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