اثربخشي درمان مبتني بر پذيرش و تعهد در محيط كار بر تعارض بين‌فردي و تجربه بي‌نزاكتي در پرستاران بيمارستان‌هاي شهر اهواز

Effectiveness of Acceptance and Commitment Therapy at the workplace on interpersonal Conflict and Experience of Incivility in Ahvaz Hospitals’ Nurses

پژوهش حاضر به ‌منظور بررسي اثربخشي درمان مبتني بر پذيرش و تعهد در كاهش تعارض بين‌فردي و تجربه بي‌نزاكتي در پرستاران انجام شد. طرح پژوهش حاضر نيمه‌آزمايشي و از نوع پيش‌آزمون-پس‌آزمون با گروه كنترل بود. جامعه آماري پژوهش حاضر شامل كليه پرستاران شاغل در بيمارستان‌هاي شهر اهواز در سال 1397 بود. در اين مطالعه با استفاده از روش نمونه‌گيري تصادفي چندمرحله‌اي تعداد 40 نفر از پرستاران با در نظر گرفتن معيارهاي ورود به مطالعه، انتخاب و به‌صورت تصادفي در دو گروه آزمايش و كنترل قرار گرفتند. ابزار مورداستفاده در اين پژوهش شامل مقياس تعارض بين‌فردي در محيط كار و مقياس بي‌نزاكتي در محيط كار بود. در مورد گروه آزمايش، مداخله درماني شامل 3 جلسه آموزش مبتني بر درمان پذيرش و تعهد در محيط كار بود، درحالي‌كه اعضاي گروه كنترل مداخله‌اي دريافت نكردند. جهت تجزيه‌وتحليل داده‌ها از روش تحليل كوواريانس چندمتغيري استفاده شد. نتايج نشان داد كه بين دو گروه ازلحاظ تعارض بين‌فردي (F=160.426, P=0.001) و تجربه بي‌نزاكتي (F = 164.485, P= 0.001) تفاوت معني‌داري وجود دارد. لذا مي‌توان نتيجه گرفت كه درمان مبتني بر پذيرش و تعهد موجب كاهش تعارض بين‌فردي و تجربه بي‌نزاكتي شده است.

Introduction There are numerous stressors in nurse’s workplace including interpersonal conflict and incivility, their adverse effects on physical and psychological health, productivity and quality of nurse’s work reveals the need to identify and find effective solutions to reduce occupational stressors and improve nurse’s health status. Thus the aim of present study was to examine the effectiveness of acceptance and commitment therapy on interpersonal conflict and experience of incivility in Ahvaz hospitals’ nurses. Method This research was a semi-experimental study with pre-test, post-test and control group. The statistical population of this study included all nurses in Ahvaz hospitals. The research sample was selected by multi-stage random sampling method. In this research, 40 nurses were randomly selected with regarding inclusion criteria and randomly assigned into experimental and control groups. In this research, interpersonal conflict at work scale (Spector & Jex, 1998) and workplace incivility scale (Cortina et al., 2001) were used for data collection. The intervention performed on experimental group consisted of three sessions of acceptance and commitment therapy based workplace training program (second session a week after first session, and third session a month after second session). Multivariate analysis of covariance (MANCOVA) used for data analysis. Results Theresults of data analysis showed that there was a significant difference between the control and experimental groups in terms of interpersonal conflict (F=160.426, P=0.001) and incivility (F = 164.485, P= 0.001) with pre-test control. Therefore, the results showed that acceptance and commitment based therapy in the workplace reduces interpersonal conflict and incivility in nurses. Discussion Based on the findings, it seems that acceptance and commitment therapy improved the interpersonal conflict and experience of incivility; finally it can be said that this approach can be used to reduce interpersonal conflict and incivility in nurses. While reducing stress or avoiding stress in the workplace may not always be possible for nurses, some strategies for managing it better can be taught to nurses and provide an important opportunity to maintain well-being and increase their effectiveness.