Resilience Training for Nurses

Zhai, Xiaofang; Ren, Li-Na; Yan, Liu; Liu, Chao-Jun; Su, Xiaoguang; Feng, Bai-E

doi:10.1097/njh.0000000000000791

Cited by 23 publications

(22 citation statements)

References 46 publications

(108 reference statements)

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“…This contrasts past research showing that stress management and resiliency training and interventions can improve subjective happiness and burnout scores according in all burnout subcategories (PB, WRB, and CRB) (Magtibay et al, 2017). A recent meta-analysis also provides evidence that resilience interventions for nurses both improved resilience for nurses and interventions were associated with reducing nurses' depression, anxiety and burnout a (Zhai et al, 2021). Additionally, a recent systematic review of randomized controlled trials concluded that healthcare systems should promote evidence-based interventions for nurses and physicians to improve health and quality of the care they provide (MeInyk et al, 2021).…”

Section: Variablesmentioning

confidence: 99%

Contributing to a Healthier World: Exploring the Impact of Wellbeing on Nursing Burnout

Sanders

Burke

Muzyk

2022

JOHAH

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Nursing burnout is a challenge for both the nursing profession and healthcare organizations. While research on burnout in healthcare is robust, including its contribution to the absence of wellbeing, e.g., depression and anxiety; little is known about its association with positive dimensions of wellbeing, e.g., engagement and life meaning, which is what the current research aimed to address. A total of 146 practising nurses, mostly female (98%), aged M= 45.03, SD= 13.31 residing in the United States completed an online survey assessing their burnout on the Copenhagen Burnout Inventory and wellbeing on the Mental Health Continuum and Workplace PERMA Profiler. Hierarchical multiple regression showed that after controlling for physical health, (1) wellbeing constructs explained various types of burnouts differently, (2) wellbeing, as measured by mental health continuum, did not predict work-related and client-related burnout, (3) the presence of positive emotions predicted lower levels of personal and work-related burnout; however, engagement was instrumental in predicting client-related burnout. The results highlight the need to measure positive outcomes using flourishing models of wellbeing. Furthermore, given that not all positive outcomes showed association with burnout, the research identified the need for nuanced approach to addressing burnout in nurses when using flourishing models. These findings can assist researchers and practitioners in further understanding of the impact of burnout on wellbeing and become a springboard for exploring the application of positive psychology interventions for reducing and preventing burnout and enhancing wellbeing.

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Section: Variablesmentioning

confidence: 99%

Contributing to a Healthier World: Exploring the Impact of Wellbeing on Nursing Burnout

Sanders

Burke

Muzyk

2022

JOHAH

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“…Reviews measuring the effectiveness of resilience based interventions have tended to focus on health care workers in general with each recommending that interventions be tailored to specific context and populations [ 7 , 17 , 28 , 29 ]. Only two reviews were found relating to the effectiveness of interventions specific to nursing [ 30 , 31 ]. A mixture of mindfulness, yoga, cognitive reframing exercises, and problem solving exercises formed the basis of resilience interventions.…”

Section: Introductionmentioning

confidence: 99%

“…A mixture of mindfulness, yoga, cognitive reframing exercises, and problem solving exercises formed the basis of resilience interventions. Teaching on how to improve knowledge and response to stress were also significant factors [ 30 , 31 ]. A meta-analysis of resilience training interventions aiming to influence nurse resilience demonstrated that resilience training increased resilience scores but variations in assessment tools and a variety of outcome measures negated any generalisation of effect [ 31 ].…”

Section: Introductionmentioning

confidence: 99%

“…Teaching on how to improve knowledge and response to stress were also significant factors [ 30 , 31 ]. A meta-analysis of resilience training interventions aiming to influence nurse resilience demonstrated that resilience training increased resilience scores but variations in assessment tools and a variety of outcome measures negated any generalisation of effect [ 31 ]. Kunzler et al extracted studies focusing on nurses from a Cochrane review of psychological intervention to build resilience in health care professionals [ 17 , 30 ].…”

Section: Introductionmentioning

confidence: 99%

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A rapid review of evaluated interventions to inform the development of a resource to support the resilience of care home nurses

Mallon¹,

Mitchell²,

Carter³

et al. 2023

BMC Geriatr

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Backgound Nurses working in care homes face significant challenges that are unique to that context. The importance of effective resilience building interventions as a strategy to enable recovery and growth in these times of uncertainty have been advocated. The aim of this rapid review was to inform the development of a resource to support the resilience of care home nurses. We explored existing empirical evidence as to the efficacy of resilience building interventions. undertaken with nurses. Methods We undertook a rapid review using quantitative studies published in peer reviewed journals that reported resilience scores using a valid and reliable scale before and after an intervention aimed at supporting nurse resilience. The databases; Cumulative Index to Nursing and Allied Health Literature, Medline and PsychInfo. and the Cochrane Library were searched. The searches were restricted to studies published between January 2011 and October 2021 in the English language. Only studies that reported using a validated tool to measure resilience before and after the interventions were included. Results Fifteen studies were included in this rapid review with over half of the studies taking place in the USA. No studies reported on an intervention to support resilience with care home nurses. The interventions focused primarily on hospital-based nurses in general and specialist contexts. The interventions varied in duration content and mode of delivery, with interventions incorporating mindfulness techniques, cognitive reframing and holistic approaches to building and sustaining resilience. Thirteen of the fifteen studies selected demonstrated an increase in resilience scores as measured by validated and reliable scales. Those studies incorporating ‘on the job,’ easily accessible practices that promote self-awareness and increase sense of control reported significant differences in pre and post intervention resilience scores. Conclusion Nurses continue to face significant challenges, their capacity to face these challenges can be nurtured through interventions focused on strengthening individual resources. The content, duration, and mode of delivery of interventions to support resilience should be tailored through co-design processes to ensure they are both meaningful and responsive to differing contexts and populations.

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“…Interventions addressing clinician well-being and resilience in hospitals range from the institution of chief wellness officers, well-being rooms on units, code lavender offerings, mindfulness-based stress reduction interventions, to mandating safe/sufficient RN staffing ratios as a means to reduce burnout [ 1 , 16 , 17 , 18 , 19 , 20 , 21 ]. A meta-analysis of 13 RN resilience intervention studies consisting of mind-body exercises, in-person discussions, and web-based programs by Zhai and colleagues (2021) found improvements in resilience, stress, anxiety, and depression compared to RNs who did not participate [ 22 ]. Mindfulness, the act of paying attention to thoughts, sensations, personal and interpersonal interactions in the moment in a non-judgmental way, is an accessible well-being intervention commonly implemented in health care work environments [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

“Room to Reflect”: A Pilot Workplace Resiliency Intervention for Nurses

Muir

Webb-Jones²,

Farish³

et al. 2022

IJERPH

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Rising workload demands for nurses necessitate the implementation of easily accessible and innovative clinician well-being resources on health care units. This pre/post pilot study sought to measure the impact of a mobile workplace intervention, “Room to Reflect” on staff nurse and nurse manager resilience. A mobile toolbox with a sound machine, Virtual Reality headset, and associated Quick Response code audio/video offerings, and a paper Pocket Guide of mindful restoration practices were provided to 7 health care units for a 3 month period. Pre/post questionnaires assessed perceived resilience using the Connor-Davidson Resilience scale, and intervention feasibility (ease of use), accessibility (spaces used), and effectiveness (restoration). Data analysis consisted of descriptive statistics, paired and independent samples t-tests, and Wilcoxon Signed Rank tests. From the pre (n = 97) to post (n = 57) intervention period, there was a significant difference in resilience for Clinician 3 staff nurses. A mean increase in resilience was noted among nurse managers following participation in the intervention, z = −2.03, p < 0.05. The Pocket Guide was the easiest offering to use, while VR offerings were accessed the most through Quick Response code. Space and time were the most common barriers to Room to Reflect use. Staff nurses felt supported by managers to use the program, and managers perceived that the program improved nurse job satisfaction.

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Resilience Training for Nurses

Abstract: Supplemental digital content is available in the text.

Cited by 23 publications

References 46 publications

Contributing to a Healthier World: Exploring the Impact of Wellbeing on Nursing Burnout

Contributing to a Healthier World: Exploring the Impact of Wellbeing on Nursing Burnout

A rapid review of evaluated interventions to inform the development of a resource to support the resilience of care home nurses

“Room to Reflect”: A Pilot Workplace Resiliency Intervention for Nurses

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