The effectiveness of interventions to improve resilience among health professionals: A systematic review

Cleary, Michelle; Kornhaber, Rachel; Thapa, Deependra Kaji; West, Sancia; Visentin, Denis

doi:10.1016/j.nedt.2018.10.002

Cited by 127 publications

(114 citation statements)

References 47 publications

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“…46 Most resilience interventions in healthcare workers are based on mindfulness training or cognitive behavioral therapy. 47 Studies of resilience training in EM have shown mixed results. [48][49] While personal resilience is important to prevent burnout and PTSD, a recent systematic review and metaanalysis of programs to reduce burnout in physicians suggests that focusing on adaptations to the work environment are more effective than interventions that target individual providers.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Post-Traumatic Stress Disorder in Emergency Physicians in the United States

Delucia

Bitter

Fitzgerald

et al. 2019

WestJEM

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There is increasing concern about the effects of occupational stressors on the wellness of healthcare providers. Given high patient acuity, circadian rhythm disruption, and other workplace stressors, emergency physicians (EP) would be predicted to have high rates of occupational stress. We conducted this study to assess the prevalence of post-traumatic stress disorder (PTSD) in attending EPs practicing in the United States. Methods: A link to an electronic questionnaire was distributed through the emergency medicinecentric publication Emergency Medicine News. We compared the prevalence of PTSD in EPs to the general population using a chi-square goodness of fit test, and performed logistic regression to assess for significance of risk factors. Results: We received survey responses from 526 persons. In this study, EPs had a PTSD point prevalence of 15.8%. Being a victim of a prior trauma or abuse is the primary predictor of PTSD (odds ratio [OR] [95% confidence interval {CI}, 2.16 (1.21-3.86)], p = 0.009) and PTSD severity score (OR [95% CI, 1.16 (1.07-1.26)], p <0.001). Conclusion: Emergency physicians have a substantial burden of PTSD, potentially jeopardizing their own health and career longevity. Future studies should focus on identifying subgroups at higher risk for PTSD and modifiable risk factors. Prevention and treatment strategies should be developed and tested in healthcare providers. [

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Section: Discussionmentioning

confidence: 99%

Prevalence of Post-Traumatic Stress Disorder in Emergency Physicians in the United States

Delucia

Bitter

Fitzgerald

et al. 2019

WestJEM

View full text Add to dashboard Cite

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“…A recent systematic review examined the effect of interventions to increase resilience in health professionals (Cleary, Kornhaber, Thapa, West, & Visentin, 2018); approximately 70% of resilience interventions, which included mindfulness-based interventions, stress management and resiliency training, and cognitive behavioural therapy, reported significant improvement in participants' resilience scores. Some studies showed significant promotion in scores for relaxation, stress, positive and negative affect, self-efficacy and flourishing (Cleary et al, 2018). A comprehensive systematic review examining strategies to improve coping and resilience in nurses caring for cancer patients (Gillman et al, 2015) noted that strategies were needed to better prepare nurses for practice and to be responsible for developing personal strategies to promote resilience, institutional strategies are integral in equipping individuals to manage work-related difficulties (Gillman et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

Factors influencing well‐being in clinical nurses: A path analysis using a multi‐mediation model

Kim

Park

Kim

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To test a hypothetical path model estimating the influence of resilience and gratitude disposition on well‐being in Korean clinical nurses and to verify the mediating effects of burnout, compassion satisfaction and job satisfaction using a multi‐mediation model. Background To improve the well‐being of nurses, it is necessary to consider their personal and work‐related characteristics comprehensively. Design A descriptive cross‐sectional design was used. Methods A total of 310 clinical nurses participated in this study. A structured questionnaire was used to collect data. A path analysis using a multi‐mediation model was performed using AMOS 23.0 to test the hypothetical path model. This study adhered to the STROBE guideline. Results The model's fit indices were adequate. Resilience and gratitude disposition both had significant direct effects on well‐being. Resilience and gratitude disposition had significant indirect effects on well‐being through the effect of burnout, compassion satisfaction and job satisfaction. Resilience, gratitude disposition, burnout, compassion satisfaction and job satisfaction explained 68.3% of the total variance of well‐being. Conclusions Intervention programmes considering these factors may be useful to improve nurses’ well‐being. Relevance to clinical practice Nurses’ well‐being should be assessed along with resilience, gratitude disposition, burnout, compassion satisfaction and job satisfaction. To improve the well‐being of clinical nurses, systematic and integrated intervention programmes need to be developed and applied, with consideration for a variety of factors related to well‐being.

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“…How to incorporate strategies for building their own resilience can also be taught directly to personnel prior to deployment, rather than acquired by experience. Research examining resilience in other similar areas, such as among healthcare professionals, has found a role for training interventions in creating self‐awareness and understanding of the need for resilience (Cleary, Kornhaber, Thapa, West, & Visentin, ). Such interventions can be easily modified and applied to the emergency services setting.…”

Section: Pre‐empting Trauma In Emergency Services Personnelmentioning

confidence: 99%

Forging, protecting, and repairing community resilience informed by the 2019–2020 Australian bushfires

West

Visentin

Neil

et al. 2020

Journal of Advanced Nursing

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The effectiveness of interventions to improve resilience among health professionals: A systematic review

Cited by 127 publications

References 47 publications

Prevalence of Post-Traumatic Stress Disorder in Emergency Physicians in the United States

Prevalence of Post-Traumatic Stress Disorder in Emergency Physicians in the United States

Factors influencing well‐being in clinical nurses: A path analysis using a multi‐mediation model

Forging, protecting, and repairing community resilience informed by the 2019–2020 Australian bushfires

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