Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2022 Jan 6;19(2):649.
doi: 10.3390/ijerph19020649.

A Group Intervention to Promote Resilience in Nursing Professionals: A Randomised Controlled Trial

Gesche Janzarik  1 , Daniel Wollschläger  2 , Michèle Wessa  1   3 , Klaus Lieb  1   4
Affiliations
Randomized Controlled Trial

A Group Intervention to Promote Resilience in Nursing Professionals: A Randomised Controlled Trial

Gesche Janzarik et al. Int J Environ Res Public Health. .

Abstract

In this study, a new group intervention program to foster resilience in nursing professionals was tested for efficacy. In total, 72 nurses were recruited and randomised to either an intervention condition or to a wait list control condition. The study had a pre-test, post-test, follow-up design. The eight-week program targeted six resilience factors: cognitive flexibility, coping, self-efficacy, self-esteem, self-care, and mindfulness. Compared to the control group, the intervention group reported a significant improvement in the primary outcome mental health (measured with the General Health Questionnaire) from pre-test (M = 20.79; SD = 9.85) to post-test (M = 15.81; SD = 7.13) with an estimated medium effect size (p = 0.03, η2 = 0.08) at post-test. Further significant improvements were found for resilience and other resilience related outcomes measures. The individual stressor load of the subjects was queried retrospectively in each measurement. Stress levels had a significant influence on mental health. The intervention effect was evident even though the stress level in both groups did not change significantly between the measurements. Follow-up data suggest that the effects were sustained for up to six months after intervention. The resilience intervention reduced mental burden in nurses and also positively affected several additional psychological outcomes.

Keywords: coping; mental health; nursing; occupational stress; psychotherapy; randomised controlled trial; resilience.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure A1
Figure A1
Relationship between stressor load and mental health at t1.
Figure A2
Figure A2
Trend lines for the mental health outcome separately for both groups.
Figure A3
Figure A3
Distribution of the stressor load for the five measurements.
Figure 1
Figure 1
Flowchart of the study.
See this image and copyright information in PMC

References

    1. Hart P.L., Brannan J.D., De Chesnay M. Resilience in nurses: An integrative review. J. Nurs. Manag. 2014;22:720–734. doi: 10.1111/j.1365-2834.2012.01485.x. - DOI - PubMed
    1. World Health Organisation Nursing and Midwifery: Fact Sheet. [(accessed on 14 November 2021)]. Available online: https://www.who.int/news-room/fact-sheets/detail/nursing-and-midwifery.
    1. Keller S.M., Berryman P., Lukes E. Effects of extended work shifts and shift work on patient safety, productivity, and employee health. Aaohn J. 2009;57:497–504. doi: 10.1177/216507990905701204. - DOI - PubMed
    1. Lo W.Y., Chien L.Y., Hwang F.M., Huang N., Chiou S.T. From job stress to intention to leave among hospital nurses: A structural equation modelling approach. J. Adv. Nurs. 2018;74:677–688. doi: 10.1111/jan.13481. - DOI - PubMed
    1. Li H., Cheng B., Zhu X.P. Quantification of burnout in emergency nurses: A systematic review and meta-analysis. Int. Emerg. Nurs. 2018;39:46–54. doi: 10.1016/j.ienj.2017.12.005. - DOI - PubMed

Publication types

LinkOut - more resources