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Promoting resilience in mental health nurses : A partially clustered randomised controlled trial
Foster, Kim Shochet, Ian Shakespeare-Finch, Jane Maybery, Darryl Bui, Minh Viet Gordon, Ian Bagot, Kathleen L. Roche, Michael
Foster, Kim
Shochet, Ian
Shakespeare-Finch, Jane
Maybery, Darryl
Bui, Minh Viet
Gordon, Ian
Bagot, Kathleen L.
Roche, Michael
Abstract
Background
There is a critical global shortage of nurses in mental health, with workforce attrition due in large part to workplace stressors. Proactive strengths-based interventions to strengthen nurses' capacity to manage stress and improve mental health, wellbeing and resilience may also support workforce retention.
Objective
To determine the effects of a resilience-building programme on mental health nurses' coping self-efficacy (primary outcome), and psychological distress, wellbeing, resilience, posttraumatic growth, emotional intelligence behaviours, workplace belonging, and turnover intention (secondary outcomes).
Design
Partially clustered randomised controlled trial.
Setting
Large tertiary metropolitan mental health service in Australia.
Participants
A total of 144 registered and enrolled nurses working clinically ≥ 0.6 full-time equivalent (73/intervention, 71/control), with 122 completing 3-month follow-up.
Methods
The Promoting Resilience in Nurses programme is an evidence-based workplace intervention delivered by trained facilitators across two workshops. Surveys were administered online upon registration and prior to randomisation (Time 1) into Intervention or Control (no intervention) arms, and immediately after the final workshop (Time 2), and at three months follow-up (Time 3). Linear mixed models for outcome measures were fitted to Time 2 and 3 responses.
Results
There were seven intervention groups, with seven to 13 participants per group. Coping self-efficacy improved at Time 2 (estimated intervention effect 21.2 units, 95 % Confidence Intervals: 13.3 to 29.0) and Time 3 (12.1 units, 4.7 to 19.6), as well as wellbeing (Time 2: 9.2 units, 5.0 to 13.4), resilience (Time 2: 0.24 units, 0.01 to 0.46) and posttraumatic growth (Time 2: 16.1 units, 7.0 to 25.3). Psychological distress reduced (Time 2: − 3.7 units, − 6.2 to − 1.31). All were sustained at three months. Emotional intelligence behaviours were improved (Time 2: 3.5 units, 0.6 to 6.5) but not sustained. Workplace belonging improved at Time 3 (0.34 units, 0.02 to 0.65) only. No statistically significant effects for turnover intention.
Conclusions
Despite major contextual challenges, the Promoting Resilience in Nurses programme achieved the aims of promoting nurses' efficacy to cope with stress and regulate their emotions and improving mental health and wellbeing. The findings support the programme as a feasible and successful intervention for nurses across other settings and contexts.
Trial registration
Australian New Zealand Clinical Trials Registry (ACTRN12620001052921). Registered 15/10/2020. First recruitment 04/02/2021.
Tweetable abstract
Promoting Resilience in Nurses intervention improved coping self-efficacy, wellbeing, resilience, posttraumatic growth, emotional intelligence and psychological distress.
Keywords
emotional regulation, mental health nursing, occupational stress, self-efficacy, emotional intelligence, psychological distress, posttraumatic growth, randomised controlled trial, resilience
Date
2024
Type
Journal article
Journal
International Journal of Nursing Studies
Book
Volume
159
Issue
Page Range
1-10
Article Number
Article 104865
ACU Department
School of Nursing, Midwifery and Paramedicine
Faculty of Health Sciences
Faculty of Health Sciences
Relation URI
Source URL
Event URL
Open Access Status
Published as ‘gold’ (paid) open access
License
CC BY-NC-ND 4.0
File Access
Open
Notes
© 2024 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).