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. 2022 Jun;31(3):687-696.
doi: 10.1111/inm.12989. Epub 2022 Mar 13.

Protocol for a mixed methods process evaluation of the Promoting Resilience in Nurses (PRiN) trial

Minh Viet Bui  1   2 , Elizabeth McInnes  1   3 , Gary Ennis  2 , Kim Foster  1   2
Affiliations

Protocol for a mixed methods process evaluation of the Promoting Resilience in Nurses (PRiN) trial

Minh Viet Bui et al. Int J Ment Health Nurs. 2022 Jun.

Abstract

Mental health nurses are exposed frequently to occupational stress and can experience a range of negative impacts on their well-being and intention to stay in the nursing workforce. Promoting Resilience in Nurses (PRiN) is a strength-based resilience education programme that incorporates evidence-based cognitive behavioural and interpersonal approaches with post-traumatic growth theory. A partially clustered randomized controlled trial at a large public mental health service will be used to examine the effects of PRiN on mental health nurses' coping self-efficacy, resilience, well-being, mental health, emotional regulation, post-traumatic growth, workplace belonging, and turnover intention as compared to controls. Process evaluations are increasingly used to help understand and interpret trial results for complex interventions. This paper describes the protocol for an embedded mixed methods process evaluation that aims to evaluate the PRiN programme implementation and identify factors that may explain variation in participant outcomes in the trial. Data collection includes a programme participant satisfaction survey; a follow-up semi-structured interview with selected programme participants; a unit/team manager survey on barriers and facilitators to staff recruitment and programme participation; and a fidelity checklist completed by programme facilitators. Normalisation Process Theory will be used to inform data analysis and integration. The findings will provide insights into factors that affect programme implementation, particularly in the context of the COVID-19 pandemic and may help explain differences in participant outcomes. Findings will also inform post-trial programme sustainability as well as potential future upscale and adaptation for implementation across healthcare settings.

Keywords: COVID-19 pandemic; mental health nursing; process evaluation; randomized controlled trial; resilience programme.

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References

    1. Adams, R. , Ryan, T. & Wood, E. (2021). Understanding the factors that affect retention within the mental health nursing workforce: A systematic review and thematic synthesis. International Journal of Mental Health Nursing, 30 (6), 1476–1497. 10.1111/inm.12904 - DOI - PubMed
    1. Al Thobaity, A. & Alshammari, F. (2020). Nurses on the Frontline against the COVID‐19 Pandemic: An integrative review. Dubai Medical Journal, 3 (3), 87–92.
    1. Baker, J.A. , Canvin, K. & Berzins, K. (2019). The relationship between workforce characteristics and perception of quality of care in mental health: A qualitative study. International Journal of Nursing Studies, 100, 103412. - PubMed
    1. Braun, V. & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3 (2), 77–101.
    1. Byng, R. , Norman, I. , Redfern, S. & Jones, R. (2008). Exposing the key functions of a complex intervention for shared care in mental health: Case study of a process evaluation. BMC Health Services Research, 8 (1), 274. - PMC - PubMed

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