“宁静休息室”可减轻护士的压力、焦虑和倦怠

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A new Cedars-Sinai study shows that "Serenity Lounges"–break rooms equipped with massage chairs and other relaxation tools–reduced feelings of stress, anxiety and burnout among nurses.

The study, co-authored by Cedars-Sinai nurse investigators Florida Pagador, MSN; Melanie Barone, MSN; Mana Manoukian, MSN, RN; Wenrui Xu, MPH; and Linda Kim, PhD, MSN, RN, PHN, found that use of a massage chair in a quiet room for as little as 10 minutes provided nurses mental and emotional relief, allowing them to return to patient care better equipped to handle the stress. The study appears this month in the American Journal of Nursing.

"We know that our nurses can't pour from an empty cup," said David Marshall, JD, DNP, RN, senior vice president, chief nursing executive and the James R. Klinenberg, MD, and Lynn Klinenberg Linkin Chair in Nursing in honor of Linda Burnes Bolton. "This study highlights the critical importance of caring for our nurses so they can provide the best care at the bedside, and demonstrates the widespread impact our nurse researchers can have on the worldwide medical community."

For the study, nurses were asked to fill out quick surveys before utilizing the quiet, calm break spaces, and then again after exiting. Surveys asked respondents to report levels of six feelings, including "worn out," "frustrated," "stressed," and "anxious." The investigators collected 67 paired responses.

Compared with participants who used the massage chair for less than 10 minutes, those who used the chair for 10 to 20 minutes had significantly lower levels of emotional exhaustion, weariness and anxiety. Anxiety was reduced even further among participants who used the massage chair for longer than 20 minutes.

Historically, studies have shown that nurses' wellbeing affects job satisfaction and performance, along with the quality of care we can provide to patients."

Melanie Barone, Cedars-Sinai nurse investigator

Co-author Pagador had the initial idea for the lounges pre-pandemic, when she was looking for a place to sit and relax during breaks. She figured that other nurses would appreciate such a space as well.

"Being at the bedside can be mentally, emotionally and physically exhausting," she said. "I needed a place to relax and recharge."

She brought the idea to Barone, at the time her manager, who helped Pagador find an underutilized locker room that could be transformed into a space they dubbed a Serenity Lounge.

Nurses in the unit came together to furnish the room with donated items from their homes, like aromatherapy oils and their own artwork. They agreed on ground rules for the space–no cell phone conversations, no loud music, no crowding.

"It's meant to be a serene and relaxing room where you can go and really recharge your batteries," Barone said.

Only a few months after the first Serenity Lounge was established, the COVID-19 pandemic began, stretching hospital resources worldwide to their limit. The topic of nurse burnout came into sharp focus.

"When the COVID-19 pandemic hit, I know that, personally, I hadn't seen that many people pass away in a long time," Barone said. "For many of us, it was just very challenging and emotionally exhausting seeing so many families struggle. Just knowing the Serenity Lounge was there if I needed it was important."

A total of 10 units have carved out spaces to transform into Serenity Lounges, which can accommodate two to three people at a time. Pagador said most nurses use the space during the second half of their lunch break, after they've eaten.

"We didn't expect that it was going to be such a huge sensation," Pagador said.

"I always look for silver linings," Barone said. "The silver lining of COVID-19 is that we've been able to bring this initiative to more units, because there's been even more of a focus on reducing burnout and exhaustion."

Barone said that top-down support is what helped make one nurse's dream a reality.

"It was very much supported at the leadership level from the very beginning," Barone said. "We didn't have to beg to make this happen. Instead, our leaders came to us and asked, 'What can we do?' They've established a culture where it is OK to take a moment for yourself."

全文翻译（仅供参考）

一项新的 Cedars-Sinai 研究表明，“宁静休息室”——配备按摩椅和其他放松工具的休息室——减少了护士的压力、焦虑和倦怠感。

该研究由 Cedars-Sinai 护士调查员 Florida Pagador, MSN 合着；梅兰妮·巴龙，MSN；法力 Manoukian，MSN，RN；徐文瑞，公共卫生硕士；和 Linda Kim 博士、MSN、RN、PHN 发现，在安静的房间里使用按摩椅只需 10 分钟，就可以让护士精神和情绪得到缓解，让他们能够更好地回到病人护理中心来应对压力。这项研究发表在本月的美国护理杂志上。

“我们知道我们的护士不能从空杯子里倒出来，”法学博士、注册护士、高级副总裁、首席护理执行官、医学博士 James R. Klinenberg 和 Lynn Klinenberg Linkin 护理学主席 David Marshall 说。琳达伯恩斯博尔顿的荣誉。“这项研究强调了照顾我们的护士的重要性，这样他们才能在床边提供最好的护理，并展示了我们的护士研究人员可以对全球医学界产生的广泛影响。”

在这项研究中，护士被要求在使用安静、平静的休息空间之前填写快速调查，然后在离开后再次填写。调查要求受访者报告六种感觉的水平，包括“疲惫”、“沮丧”、“压力”和“焦虑”。研究人员收集了 67 个配对反应。

与使用按摩椅少于 10 分钟的参与者相比，使用按摩椅 10 至 20 分钟的参与者的情绪疲惫、疲倦和焦虑水平显着降低。使用按摩椅超过 20 分钟的参与者的焦虑感进一步降低。

从历史上看，研究表明护士的幸福感会影响工作满意度和绩效，以及我们可以为患者提供的护理质量。”

Melanie Barone，Cedars-Sinai 护士调查员

合著者帕加多尔在大流行前对休息室产生了最初的想法，当时她正在寻找休息时间坐下来放松的地方。她认为其他护士也会喜欢这样的空间。

“在床边可能会在精神上、情感上和身体上都很累，”她说。“我需要一个放松和充电的地方。”

她把这个想法带给了当时她的经理 Barone，后者帮助 Pagador 找到了一个未被充分利用的更衣室，可以将其改造成他们称之为宁静休息室的空间。

单位里的护士们聚在一起，用他们家捐赠的物品来装饰房间，比如香薰油和他们自己的艺术品。他们就该空间的基本规则达成了一致——禁止手机通话、禁止喧闹的音乐、禁止拥挤。

“这应该是一个宁静而轻松的房间，你可以去那里真正为你的电池充电，”巴罗内说。

第一个 Serenity Lounge 成立仅几个月后，COVID-19 大流行就开始了，全球医院资源已达到极限。护士倦怠的话题成为焦点。

“当 COVID-19 大流行爆发时，我个人知道，我已经很长时间没有看到这么多人去世了，”巴罗内说。“对于我们中的许多人来说，看到这么多家庭在挣扎，这非常具有挑战性，而且在情绪上也很疲惫。如果我需要，只要知道 Serenity Lounge 就在那里，这很重要。”

共有 10 个单位开辟了空间，改造成宁静休息室，一次可容纳两到三个人。帕加多尔说，大多数护士在午休的后半段，在他们吃完饭后，都会使用这个空间。

“我们没想到会引起如此巨大的轰动，”帕加多尔说。

“我总是在寻找一线希望，”巴罗内说。“COVID-19 的一线希望是，我们能够将这一举措推广到更多单位，因为人们更加关注减少倦怠和疲惫。”

Barone 说，自上而下的支持有助于使一名护士的梦想成为现实。

“从一开始，它就得到了领导层的大力支持，”巴罗内说。“我们不必乞求实现这一目标。相反，我们的领导人来找我们问，'我们能做什么？' 他们已经建立了一种文化，可以为自己花点时间。”

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