Abstract
Background & Objectives: The COVID–19 pandemic has posed major challenges to health systems worldwide, resulting in psychological stress and workload for healthcare workers. The experience of working on the front lines of the healthcare crisis has been a traumatic experience for healthcare workers. In this regard, psychological resources such as resilience and adaptive defense mechanisms are essential to protect individuals from severe stress and job burnout. Psychological interventions are needed to improve the negative psychological consequences of coronavirus because researchers have shown that the psychological pressure caused by working in the COVID–19 care sector can affect the performance of hospital staff. Many psychological treatments can be effective in this situation, but researchers have found positive group psychotherapy to be effective in resisting and resiliency against psychological pressures and reducing job burnout. Therefore, the present study was conducted to investigate the effectiveness of positive group psychotherapy in increasing the resilience and job burnout of the Coronacare department employees.
Methods: It is a quasi–experimental research with a pretest–posttest design with an experimental group and a control group. The statistical population comprised the hospital staff working in the coronavirus special care units (from September to December 1400) of the referral hospitals (Shariati and Ghaem) for COVID–19 patients in Mashhad City, Iran. A total of 26 people who met the research inclusion criteria were selected and randomly assigned to the positive psychotherapy group (13 people) and the control group (13 people). The inclusion criteria for entering the research were as follows: completion of the research consent form and declaration of consent based on knowledge of the treatment process and meetings, having at least one year of experience of employment in nursing, at least a bachelor's degree in nursing, having a minimum of 22 years of age and a maximum of 50 years of age, non–smoking and participation with continuous attendance in meetings. Also, the exclusion criteria from the study were as follows: not participating in more than two group therapy sessions and contracting COVID–19 while participating in the sessions, or other chronic diseases or psychological disorders. The process of conducting the research was such that after selecting the people of the sample group and before starting the therapeutic intervention, the research tools, which included the Connor–Davidson Resilience Scale (Connor & Davidson, 2003) and the Maslach Burnout Inventory (MBI) (Maslach & Jackson, 1981), were used as a pretest by all contributors completed. Then, the treatment was done in 8 weekly sessions (90 minutes each). The control group did not receive any treatment program during the therapeutic intervention. In the end, the posttest was taken again from both groups. Data analysis was carried out in two parts: descriptive and inferential statistics. Data were analyzed with univariate analysis of covariance (ANCOVA) in SPSS 22 software. The significance level of the tests was considered to be 0.05.
Results: The results showed a significant difference between the average scores of resilience and burnout of the experimental and control groups in the posttest (P<0.001). In other words, positive treatment effectively increased resilience and reduced job burnout of hospital staff working in the Coronacare Department.
Conclusion: According to the results, positive treatment increases resilience and decreases job burnout. Also, this therapeutic intervention can be used to improve the psychological conditions of hospital staff and reduce the level of work stress of hospital staff (especially in the Coronacare Department).
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