感恩的力量──提升護理人員心理健康與留任的關鍵

The Power of Gratitude: A Key to Enhance Mental Health in Nurses and Improve Retention

本文探討「感恩」對護理師心理健康與職業穩定性的影響，分析相關介入措施及挑戰。回顧文獻顯示感恩作為一種積極心理資源，能有效減少壓力、提升心理韌性及幸福感，同時改善職場氣氛，降低離職意向。感恩的核心在於體認他人善意並回應，通過練習可培養為心理特質，進一步提升護理人員工作滿意度與職業認同。感恩介入措施如感恩日誌、信件、團隊活動及冥想，已證實對減輕職業倦怠與壓力具顯著效果；每日記錄三件感恩事件或參與感恩集會，有助改善人際關係與增強團隊凝聚力。感恩介入的研究實施過程中參與的研究對象流失率高、形式單一及資源需求過大等都是亟待克服的挑戰。為克服這些限制，建議採用多樣化活動形式，如感恩散步或感恩牆，並調整介入設計以適應文化背景及工作特性。感恩介入能改善護理人員的心理健康，促進工作滿意度與留任意願。未來可持續推廣感恩教育及其實踐，優化介入措施，助力醫療機構改善人力短缺問題。

The impact of gratitude on mental health and job stability in nurses is explored in this article, with a focus on relevant challenges and potential interventions. Based on a review of the literature, gratitude is a positive psychological resource that may effectively reduce stress, enhance psychological resilience and well-being, improve the workplace atmosphere, and reduce turnover intention. Gratitude, which encapsulates the recognition and response of an individual to the goodwill of others, may be cultivated through practice in nurses to further enhance job satisfaction and professional identity. Gratitude-related interventions such as keeping gratitude journals, writing letters, engaging in team activities, and practicing meditation have been shown to significantly reduce occupational burnout and stress. For example, recording three things one is grateful for each day or participating regularly in gratitude gatherings can improve interpersonal relationships and strengthen team cohesion. However, challenges such as high drop-out rates, limited intervention formats, and significant resource demands hinder organizations from fully implementing these interventions. Various measures to overcome these challenges, including taking regular gratitude walks and establishing gratitude walls, should be implemented while also ensuring that intervention designs are adequately adapted both culturally and contextually. In summary, gratitude interventions have the potential to significantly enhance the mental health of nursing staff while promoting their job satisfaction and retention. Future efforts should concentrate on advancing gratitude education and practices, optimizing intervention methods, and helping healthcare institutions address workforce shortages.