32-3 Reality Therapy Groups: It's Effect on the Stress Reactions and Coping Strategies of Female Nurses in the Critical Care Units

Wei-Hsiu Wang Yuan-Yu Ting
National Kaohsiung Normal University

The study was designed to examine how Reality Therapy affected the stress of the ER/ICU nurses in critical care units, and to develop suitable medical treatments in accordance with the research findings. Applying the one-group pretest-posttest design, seven participants who matched the criteria were selected from a regional teaching hospital located at the central region of Taiwan. Participants received Reality Therapy two hours a week for eight weeks. Quantitative data were collected by using the Working Pressures Sheet and the Stress reactions Sheet in the pre-test and the Coping Methods Sheet and the Stress reactions Sheet in the post-test. We conducted wilcoxon matched-pairs signed-rank test to explore parts of research findings. Also, using the Focus Group approachwas used to collect qualitative data on the perceptions of participation in the academic research, which helps to demonstrate the effectiveness of the Reality Therapy in reducing participants' occupational stress. The results showed that the Reality Therapy had positive effects either to stress of the ER/ICU nurses in critical care units or the corresponding strategies. Furthermore, four pillars of the consultative subjects which include love and belonging, fun, total behavior and self-evaluation may be serve as valuable auxiliaries when putting the Reality Therapy into practice. Recommendations based on the results were addressed for future research.

Keywords
coping strategies、nurses in the critical care units、reality therapy groups、stress reactions

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