Self-compassion training for certified nurse assistants in nursing homes. 2021

Karen Bluth, and Christine Lathren, and Johanna V T Silbersack Hickey, and Sheryl Zimmerman, and Christopher J Wretman, and Philip D Sloane
Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States.

Certified nursing assistants (CNAs) who work in nursing homes (NHs) face significant work and personal stress. Self-compassion training has been shown to decrease stress postintervention in previous studies among healthcare providers and those in helping professions. This study examines the feasibility, acceptability, and preliminary outcomes of self-compassion training to address CNA stress and well-being. Pre-post intervention. Three mid-size, nonprofit NHs in North Carolina. Thirty CNAs, with a mean age of 49, 96% of whom were female, and 83% black/African American. In one NH, participants received an 8-week, 2.5-h/session (20 h total) group intervention. At the time of recruitment for NHs 2 and 3, a briefer format (6-week, 1-h/session; 6 h total) became available and was preferred by CNAs, thus both NHs 2 and 3 participants received a 6-h group intervention. All interventions occurred in meeting rooms within participating NHs during shift changes. Intervention attendance, retention, and acceptability; self-compassion, stress, burnout, depression, and attitudes toward residents with dementia, and job satisfaction pre-, post-, 3-month post-, and 6-month postintervention were assessed. Attendance and program satisfaction were high, and attrition was low for both training formats. Self-compassion was significantly improved at all time periods (p < 0.001), and stress and depression improved significantly through 3 months (p < 0.05), but not 6 months. No statistically significant change in job satisfaction was noted. Self-compassion interventions are feasible and acceptable for CNAs working in NHs and show promise for managing stress and improving well-being and compassion toward residents. The briefer 6-h format may maximize participation, while still providing benefits.

UI MeSH Term Description Entries
D007318 Inservice Training On the job training programs for personnel carried out within an institution or agency. It includes orientation programs. Employee Orientation Programs,Orientation Programs, Employee,On-the-Job Training,Training, Inservice,Employee Orientation Program,On the Job Training,Orientation Program, Employee,Program, Employee Orientation,Programs, Employee Orientation,Training, On-the-Job
D008297 Male Males
D009657 North Carolina State bounded on the north by Virginia, on the east and Southeast by the Atlantic Ocean, on the south by Georgia and South Carolina, and on the west by Tennessee.
D009728 Nursing Assistants Nurse Aide,Nurses' Aides,Nursing Auxiliaries,Aide, Nurse,Aides, Nurse,Aides, Nurses',Assistant, Nursing,Assistants, Nursing,Auxiliaries, Nursing,Auxiliary, Nursing,Nurse Aides,Nurse's Aides,Nurses Aides,Nurses' Aide,Nursing Assistant,Nursing Auxiliary
D009735 Nursing Homes Facilities which provide nursing supervision and limited medical care to persons who do not require hospitalization. Homes, Nursing,Nursing Home
D010549 Personal Satisfaction The individual's experience of a sense of fulfillment of a need or want and the quality or state of being satisfied. Life Satisfaction,Satisfaction,Life Satisfactions,Satisfaction, Life,Satisfaction, Personal,Satisfactions, Life
D011613 Psychotherapy A generic term for the treatment of mental illness or emotional disturbances primarily by verbal or nonverbal communication. Psychotherapies
D004645 Empathy An individual's objective and insightful awareness of the feelings and behavior of another person. It should be distinguished from sympathy, which is usually nonobjective and noncritical. It includes caring, which is the demonstration of an awareness of and a concern for the good of others. (From Bioethics Thesaurus, 1992) Caring,Compassion
D005240 Feasibility Studies Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project. Feasibility Study,Studies, Feasibility,Study, Feasibility
D005260 Female Females

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