Abstract
Psychiatric ward (PW) nurses are at a higher risk to encounter workplace violence than are other healthcare providers, and many interventions have been developed to improve their mental health. We compared the effectiveness of biofeedback training (BT) and smartphone-delivered BT (SDBT) interventions on occupational stress, depressive symptoms, resilience, heart rate variability, and respiration rate in a sample of abused PW nurses. This was a quasi-experimental study. Structured questionnaires were administered before and six weeks after the intervention. Data were collected from April 2017 to October 2017. A total of 159 abused PW nurses were randomly assigned to BT, SDBT, and control groups, and 135 of them completed all processes of our protocol, with the study consisting of 119 females (88.1%) and 16 males (11.9%) and their age range being from 22 to 59 with the mean age of 35.61 and a standard deviation of 8.16. Compared to the controls, both the BT and the SDBT intervention groups experienced significant improvements in depressive symptoms, resilience, and respiration rate; and the SDBT group experienced significant reductions in occupational stress. Considering the cost, accessibility, restrictions time and space, SDBT be used as an effective intervention in people with resilience or occupational stress.
Highlights
Workplace violence (WPV) is a global issue
The aim of this study was to compare the effectiveness of a biofeedback training (BT) and a smartphone-delivered BT (SDBT) intervention on the occupational stress, depressive symptoms, resilience, heart rate variability (HRV), and respiration rate of abused psychiatric ward (PW) nurses
Abused PW nurses require effective interventions for improving depressive symptoms, and we found that both the BT and SDBT groups had a greater reduction of depressive symptoms than did the control group, with significant difference
Summary
Workplace violence (WPV) is a global issue. The World Health Organisation [1] reported thatWPV affects healthcare providers, which requires the attention of all medical institutions. Workplace violence (WPV) is a global issue. The World Health Organisation [1] reported that. WPV affects healthcare providers, which requires the attention of all medical institutions. The. International Council of Nurses [2] issued a position statement in which they condemn any form of violence against nurses. Healthcare professionals are at a higher risk of WPV than other workers [1,3]. 8% to 38% of healthcare providers experience WPV, and even more nurses are threatened or exposed to verbal aggression [1]. One study found that up to 99% of psychiatric ward (PW) healthcare providers reported that they had experienced verbal violence from patients or their families, and approximately 70% had been
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