Resilience training: Effects on occupational stress and resilience of critical care nurses

Babanataj, Reihaneh; Mazdarani, Shahrzad; Hesamzadeh, Ali; Gorji, Mohammadali Heidari; Cherati, Jamshid Yazdani

doi:10.1111/ijn.12697

Cited by 78 publications

(102 citation statements)

References 20 publications

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“…Two studies were excluded because the outcomes of these studies were not occupational stress . Finally, a total of 12 studies met the inclusion criteria . Figure presents a flowchart of the searching and selecting process.…”

Section: Resultsmentioning

confidence: 99%

“…The 12 included studies were published between 2011 and 2019; 7 (58.33%) of them were published after 2015. Of all these 12 included studies, 2 used a Randomized Controlled Trial (RCT) design, and 5 used single‐group pre‐post intervention design with no comparison condition . A further five studies used quasi‐experimental design with non‐random allocation of participants to groups, which was typically based on nurse availability to participate in intervention activities …”

Section: Resultsmentioning

confidence: 99%

“…The length of the intervention period ranged from 4 to 24 weeks; however, most studies delivered interventions for 6 weeks or less ( n = 8), with only one neuro‐linguistic intervention lasting 24 weeks . Furthermore, two studies did not report the length of the intervention period; however, they reported only the total hours of the intervention …”

Section: Resultsmentioning

confidence: 99%

“…All 12 included studies assessed stress via validated measures. The ENSS and PSS were mostly used as a stress assessment. Scales such as the PSS were included even though they do not specifically assess occupational stress but general stress.…”

Section: Resultsmentioning

confidence: 99%

“…Nowadays, there has been growing interest in assessing the effectiveness of SMIs among intensive and critical care nurses, such as cognitive‐behavioural skills training, MBI, yoga, and massage . Although many studies have assessed the effectiveness of SMIs among intensive and critical care nurses, the methodological quality of these studies remains unclear.…”

Section: Introductionmentioning

confidence: 99%

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Stress management interventions for intensive and critical care nurses: A systematic review

Alkhawaldeh

Soh

Mukhtar

et al. 2019

Nursing in Critical Care

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Background The level of occupational stress of nurses working in intensive and critical care units is high. Although many studies have assessed the effectiveness of stress management interventions among intensive and critical care nurses, the methodological quality of these studies remains unclear. Purpose The purpose of this review was to summarize and appraise the methodological quality of primary studies on interventions for management of occupational stress among intensive and critical care nurses. Methods This review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines. A comprehensive literature search was conducted to identify primary studies that assessed the effectiveness of interventions in managing occupational stress among intensive and critical care nurses using multiple databases from January 2009 to June 2019. Results Twelve studies published between 2011 and 2019 were eligible for inclusion. These included studies were classified as being of good or fair quality. The consensus across the included studies was that, compared with control condition, cognitive‐behavioural skills training and mindfulness‐based intervention were more effective in reducing occupational stress among intensive and critical care unit nurses. Conclusion Further research should focus on methodologically strong studies by blinding the outcome assessors, using Randomized Controlled Trial (RCT) design with an active control group, using standardized assessment tools, and reporting enough details about the stress management intervention‐related adverse events. Relevance to clinical practice This review demonstrates the need for high methodological quality studies to rigorously evaluate the effectiveness of stress management interventions before it can be recommended for use in clinical practice to reduce stress in intensive and critical care unit nurses. In addition, attention should be given to developing research protocols that place more emphasis on interventions aimed at the organization level to address the growing problem of occupational stress among intensive and critical care nurses.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Stress management interventions for intensive and critical care nurses: A systematic review

Alkhawaldeh

Soh

Mukhtar

et al. 2019

Nursing in Critical Care

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Assessment of resilience levels among Sri Lankan nurses: Is there room for improvement?

Walpita

Arambepola

2022

Health Planning & Management

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Background: Developing resilience at work is an effective primary preventive measure for occupational stress. The study aimed to adopt a tool and measure current resilience levels and determine the association of work-related characteristics on resilience among Sri Lankan nurses. Methods: Translated, culturally adapted and validatedResilience at Work Scale-Sinhala version (RAW-S) was used to measure resilience levels in a sample of 855 government nurses from a health district. The mean RAW-S scores were calculated and appropriate cut off points were used to determine the prevalence of 'high', 'moderate' and 'low' resilience.Chi square test was used to determine the associations.Results: The overall mean RAW-S score was 69.6 (95% CI = 68.9-70.3) and the scores ranged from 28.5 to 90.3. Only 28.4% (95% CI = 25.4-31.6) of nurses showed 'high' level of resilience at work, while 55.6% (95% CI = 52.1-58.9) & 16.0% (95% CI = 13.7-18.7) had shown 'moderate' and 'low' levels of resilience respectively. The resilience levels differed significantly (p < 0.05) by type of ward that they work and by work experience.Conclusions: This was the first study that examined the resilience levels in any health care worker category in Sri Lanka. The need of targeted, well-designed resilience building programme for ever burdened government sector nurses is clearly shown from the results, as more than two thirds of nurses had 'moderate' or 'low' level of resilience, which may not be good enough to combat the constant work stress they face on daily basis.

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Identifying the risk features for occupational stress in medical workers: a cross-sectional study

Sun

Zhang

et al. 2021

Int Arch Occup Environ Health

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Objective Occupational stress is considered a worldwide epidemic experienced by a large proportion of the working population. The identification of characteristics that place people at high risk for occupational stress is the basis of managing and intervening in this condition. In this study, we aimed to identify and validate the risk features for occupational stress among medical workers using a risk model and nomogram. Methods This cross-sectional study included 1988 eligible participants from Henan Province in China. Occupational stress and worker-occupation fit were measured with the Depression, Anxiety and Stress Scales (DASS-21) and Worker-Occupation Fit Inventory (WOFI). The identification of risk features was achieved through constructing multiple logistic regression model, and the risk features were used to develop the risk model and nomogram. Receiver operating characteristic (ROC) curves and calibration plots were generated to assess the effectiveness and calibration of the risk model. Results Among 1988 participants in our study, there were 42.5% (845/1988) medical workers experienced occupational stress. The risk features for occupational stress included poor work-occupation fit (WOF score < 25, expected risk: 77.3%), nurse population (expected risk: 63.1%), male sex (expected risk: 67.2%), work experience duration of 11–19 years (expected risk: 54.5%), experience of a traumatic event (expected risk: 65.3%) and the lack of a regular exercise habit (expected risk: 60.2%). For medical workers who have these risk features, the expected risk probability of occupational stress would be 90.2%. Conclusion The current data can be used to identify medical workers at risk of developing occupational stress. Identifying risk features for occupational stress and the work-occupation fit can support hierarchical stress management in hospitals. Supplementary Information The online version contains supplementary material available at 10.1007/s00420-021-01762-3.

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Resilience training: Effects on occupational stress and resilience of critical care nurses

Cited by 78 publications

References 20 publications

Stress management interventions for intensive and critical care nurses: A systematic review

Stress management interventions for intensive and critical care nurses: A systematic review

Assessment of resilience levels among Sri Lankan nurses: Is there room for improvement?

Identifying the risk features for occupational stress in medical workers: a cross-sectional study

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