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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Stress Resiliency Practices in Neonatal Nurses
Lisa M Pannell1, Lynn Rowe, Salena Tully
1Neonatal Intensive Care, Florida Hospital for Children, Orlando (Ms Pannell); and Clinical Excellence and Research Department, Florida Hospital, Maitland (Dr Rowe and Dr Tully).
Neonatal intensive care unit (NICU) nurses experienced stress from environmental changes. Interventions targeting interpretive styles, not just skill, may improve stress coping and change management for these nurses.
Area of Science:
- Nursing Science
- Occupational Health Psychology
- Healthcare Management
Background:
- Environmental changes in a large level III neonatal intensive care unit (NICU) led to perceived work-related stress.
- This stress resulted in high nurse turnover, decreased engagement, and reduced job satisfaction.
Purpose of the Study:
- To measure perceived stress resiliency and interpretive styles in neonatal bedside registered nurses.
- The study focused on nurses facing changes in their physical practice environment.
Main Methods:
- A descriptive, cross-sectional, correlational design was employed.
- The Stress Resiliency Profile (SRP) questionnaire assessed stress resiliency and three interpretive styles: deficiency focusing, necessitating, and skill recognition.
- Data from 48 neonatal bedside nurses were analyzed for associations between age, experience, and resiliency.
Main Results:
- Skill recognition was significantly lower in nurses aged 40 and older.
- Nurses with over 5 years of NICU experience showed low to moderate resiliency levels.
Conclusions:
- Skill alone may not mitigate work-related stress perception in nurses.
- Interventions focused on interpretive styles can enhance resiliency, improve coping, and manage change effectively.
- Baseline resiliency data are crucial for managing challenges in evolving NICU environments.
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