Effect Of Cognitive Behavioral Therapy In Group On The Quality Of Nurse's Working Life In The Inpatient Room Of RSUD. Dr. Pirngadi City Of Medan

by ADMIN 145 views

Improve the quality of nurses' work life: the role of cognitive behavior therapy in group

The quality of nursing services in hospitals is often affected by the quality of nurses' work life. This study investigated the effect of Cognitive Behavioral Therapy (CBT) in Group on the quality of work of nurses in the inpatient room of Dr. Pirngadi City of Medan. Cognitive Behavioral Therapy (CBT) is a therapeutic approach that focuses on the relationship between thoughts, feelings, and behavior. In this context, CBT in Group helps nurses identify negative mindsets that affect the quality of their work life, such as stress, fatigue, and lack of support.

This study uses a quasi-experimental design by involving 64 nurses divided into control groups and intervention groups (32 nurses each). Data was collected through a simple random sampling technique, and analyzed using a paired sample t-test statistical test and independent t-test. The results showed a significant difference in the quality of nurses' work life after being given CBT in Group interventions in the control group and the intervention group (p = 0.027). The dimensions of the most affected quality of work life are "Work Context" with a significance value p = 0.031. That is, there are significant differences in the perception of nurses to their work context after being given CBT in Group interventions.

What is Cognitive Behavioral Therapy (CBT)?

CBT is a therapeutic approach that focuses on the relationship between thoughts, feelings, and behavior. In this context, CBT in Group helps nurses identify negative mindsets that affect the quality of their work life, such as stress, fatigue, and lack of support. Through group training and discussions, nurses are taught strategies to manage stress, improve communication skills, and build more positive work relationships. CBT in Group is a cost-effective and efficient way to provide mental health services to nurses, especially in hospitals where resources are limited.

Why Work Context becomes an important dimension?

The work context of nurses includes factors such as workload, work environment, support from coworkers, and relationships with superiors. Less optimal working conditions can cause stress, fatigue, and feelings of dissatisfaction. CBT in Group helps nurses to understand and manage these factors, so as to create a more positive and supportive work context. A positive work context is essential for nurses to provide high-quality care to patients. When nurses feel supported and valued, they are more likely to provide compassionate and effective care.

Benefits of this research

This study shows that CBT in Group can be an effective intervention to improve the quality of nurses' work life. The implementation of CBT in groups in hospitals is expected to be able to:

Improving the welfare of nurses:

By reducing stress and increasing job satisfaction, nurses can have a better quality of life. Nurses who are happy and fulfilled are more likely to provide high-quality care to patients. They are also more likely to stay in their jobs and provide continuity of care to patients.

Improving the quality of nursing services:

Nurses who feel happier and fulfilled in their work will provide more quality services to patients. Quality nursing services are essential for patient outcomes. When nurses are happy and fulfilled, they are more likely to provide compassionate and effective care.

Increasing nurse retention:

Positive work environment and adequate support can prevent nurses from burnout and increase nurses' retention in hospitals. Nurse retention is essential for hospitals to provide continuity of care to patients. When nurses stay in their jobs, they are more likely to provide high-quality care to patients.

Conclusion

This study shows the great potential of CBT in Group in improving the quality of nurses' work life. By applying this intervention, hospitals can create a healthier and more supportive work environment, which in turn will have a positive impact on the welfare of nurses and the quality of health services. CBT in Group is a cost-effective and efficient way to provide mental health services to nurses, especially in hospitals where resources are limited. By investing in CBT in Group, hospitals can improve the quality of nursing services and increase nurse retention.

Recommendations

Based on the findings of this study, the following recommendations are made:

  • Hospitals should implement CBT in Group as a regular intervention to improve the quality of nurses' work life.
  • Nurses should be encouraged to participate in CBT in Group to improve their mental health and well-being.
  • Hospitals should provide a positive and supportive work environment to prevent nurses from burnout and increase nurse retention.

Limitations of the study

This study has several limitations. The sample size was small, and the study was conducted in one hospital. Future studies should be conducted in multiple hospitals to generalize the findings. Additionally, the study only measured the effect of CBT in Group on the quality of nurses' work life. Future studies should measure the effect of CBT in Group on patient outcomes.

Future directions

Future studies should investigate the effect of CBT in Group on patient outcomes. Additionally, future studies should investigate the effect of CBT in Group on other dimensions of nurses' work life, such as job satisfaction and burnout. By investigating the effect of CBT in Group on multiple dimensions of nurses' work life, hospitals can create a healthier and more supportive work environment, which in turn will have a positive impact on the welfare of nurses and the quality of health services.

Q: What is Cognitive Behavioral Therapy (CBT) in Group?

A: CBT in Group is a therapeutic approach that focuses on the relationship between thoughts, feelings, and behavior. In this context, CBT in Group helps nurses identify negative mindsets that affect the quality of their work life, such as stress, fatigue, and lack of support. Through group training and discussions, nurses are taught strategies to manage stress, improve communication skills, and build more positive work relationships.

Q: What are the benefits of CBT in Group for nurses?

A: The benefits of CBT in Group for nurses include:

  • Reducing stress and increasing job satisfaction
  • Improving communication skills and building more positive work relationships
  • Creating a more positive and supportive work environment
  • Increasing nurse retention and reducing burnout
  • Improving the quality of nursing services and patient outcomes

Q: How does CBT in Group differ from individual therapy?

A: CBT in Group differs from individual therapy in that it involves a group of nurses working together to identify and manage negative mindsets and behaviors. This approach allows nurses to share their experiences and learn from one another, creating a sense of community and support.

Q: What is the typical format of a CBT in Group session?

A: A typical CBT in Group session may include:

  • Introduction and icebreaker activities to establish a sense of community and trust
  • Group discussions and exercises to identify and challenge negative thoughts and behaviors
  • Education and training on coping skills and stress management techniques
  • Group activities and role-playing to practice new skills and behaviors
  • Conclusion and homework assignments to reinforce new skills and behaviors

Q: How long does a CBT in Group program typically last?

A: A CBT in Group program typically lasts for 6-12 weeks, with each session lasting 60-90 minutes. The length and frequency of the program may vary depending on the needs and goals of the nurses participating.

Q: Who is eligible to participate in a CBT in Group program?

A: Any nurse who is experiencing stress, burnout, or other negative emotions related to their work may be eligible to participate in a CBT in Group program. Nurses who are experiencing physical or mental health problems may also be eligible to participate.

Q: How can nurses access a CBT in Group program?

A: Nurses can access a CBT in Group program through their hospital or healthcare organization. Many hospitals and healthcare organizations offer CBT in Group programs as a benefit to their employees. Nurses can also seek out private CBT in Group programs or online resources.

Q: What are the costs associated with a CBT in Group program?

A: The costs associated with a CBT in Group program may vary depending on the provider and the location. Some CBT in Group programs may be covered by insurance, while others may require out-of-pocket payment. Nurses should check with their insurance provider or employer to determine the costs associated with a CBT in Group program.

Q: What are the outcomes of a CBT in Group program?

A: The outcomes of a CBT in Group program may include:

  • Reduced stress and anxiety
  • Improved job satisfaction and engagement
  • Improved communication skills and relationships with colleagues and patients
  • Increased sense of community and support among nurses
  • Improved physical and mental health outcomes

Q: How can nurses maintain the benefits of a CBT in Group program after the program is completed?

A: Nurses can maintain the benefits of a CBT in Group program by:

  • Continuing to practice new skills and behaviors learned in the program
  • Seeking out additional support and resources as needed
  • Staying connected with other nurses who participated in the program
  • Continuing to prioritize self-care and stress management

Q: What are the potential risks or limitations of a CBT in Group program?

A: The potential risks or limitations of a CBT in Group program may include:

  • Limited availability of programs in certain locations
  • Limited access to programs for nurses with certain health conditions or needs
  • Potential for group dynamics to impact the effectiveness of the program
  • Potential for nurses to experience emotional distress or discomfort during the program

Q: How can nurses find a qualified CBT in Group provider?

A: Nurses can find a qualified CBT in Group provider by:

  • Checking with their hospital or healthcare organization for recommendations
  • Searching online for CBT in Group providers in their area
  • Checking with professional organizations, such as the American Nurses Association, for recommendations
  • Asking for referrals from colleagues or friends who have participated in a CBT in Group program.