Implementing a Resilience Bundle for Emergency Nurses: An Evidence-Based Practice Project

Interventions to promote resilience and passion for work in health settings: A mixed-methods systematic review

Background

Resilience and passion for work are associated with better psychosocial wellbeing and professional quality of life for healthcare workers.

Objective

To evaluate the characteristics and efficacy of interventions to promote resilience and passion for work in health settings.

Methods

A comprehensive search was conducted across six databases (MEDLINE, EMBASE, CINAHL, Web of Science, Scopus, and PsycINFO) for articles published between January 2003 and February 2023. Studies utilizing both quantitative and qualitative methodologies were included. Methodological quality assessment was performed using the Mixed Methods Appraisal Tool. Data from the included studies were analyzed using a convergent mixed methods design.

Results

A total of 33 studies met the inclusion criteria. All reported on interventions designed to enhance resilience for healthcare workers. None reported on interventions to enhance passion for work. Interventions included mindfulness-based programs, psychoeducation workshops, stress management techniques, and professional coaching. Interventions varied widely in terms of delivery modality, format, content, intensity, duration, and outcomes. Of the studies reporting quantitative data, most (21/29) reported statistically significant improvements in resilience. Of the studies reporting qualitative data, all reported a positive impact of the intervention on resilience and psychological well-being.

Conclusions

Overall, interventions designed to enhance resilience in health care settings appear to be effective across a variety of healthcare settings. The diversity of effective intervention approaches, delivery formats, intensity and duration suggest that brief, light-touch or self-directed online interventions may be equally as effective as more intensive, lengthy, in-person or group-based interventions. This provides health care organisations with the opportunity to select and flexibly implement interventions that align with organisational, and staff needs and preferences. Future research needs to explore effective approaches to building passion for work.

Nurses Navigating Mental Health During Uncharted Times: Self, Others, Systems (S.O.S)!

STUDY BACKGROUND

The nursing profession is facing a multiplicity of stressors that have both predated and been exacerbated by the Covid-19 pandemic. The emotional and physical demands entailed in nursing predispose nurses to suboptimal mental health and burnout.

PURPOSE

This paper draws upon the narrative interviews of 53 Canadian nurses as part of a larger pan-Canadian, cross disciplinary study that examined the gendered experiences of mental health, leaves of absence, and return to work of 7 professions.

METHODS

Thorne's interpretive descriptive guided Iterative and thematic analysis which identified three predominant themes within the nursing dataset, this paper focuses on the substantive theme of 'Navigating it Alone,'.

RESULTS

Nurses expressed a profound sense of isolation at 3 particular levels: at home, at work, and in systems - while simultaneously balancing uniquely gendered familial responsibilities and workplace demands.

CONCLUSIONS

These results illuminate instrumental pathways for stakeholders to attenuate the personal and professional pressures that continue to be disproportionately carried by nurses as they navigate these particularly challenging times.

Mediating role of resilience on burnout to well-being for hospital nursing staff in Northeast China: a cross-sectional study

OBJECTIVES

The well-being of nursing staff is closely related to nursing performance and patient safety. It has attracted much attention from nursing managers and researchers. However, the most important influencing factors and their relationships are not fully understood. The purpose of this study is to identify the factors influencing the well-being of nurses and find out the mediating role of resilience of from burnout to well-being of hospital nursing staff.

DESIGN

A descriptive, multicentre cross-sectional study design.

SETTINGS

111 hospitals in Northeast China were randomly selected by the random cluster sampling method.

PARTICIPANTS

An online survey was administered to 11 827 nurses in December 2021, who engaged in clinical, nursing or management work and volunteered to participate.

OUTCOMES MEASURES

The sociodemographic characteristics, general well-being schedule, Maslach burnout inventory and Connor-Davidson resilience scale were used to assess all participants.

RESULTS

There are 15 variables entered into the regression equation, which can jointly predict 57.80% of the variance. There were a number of well-being-related factors identified. The individual factors include age, educational level, exercise, smoke, drinking, general health status, chronic disease, burnout and resilience. The organisational factors include psychological group, participating in psychological group activities, leadership training or communication training, working years, monthly income and night shifts. The results showed that the structural equation model of partial mediating effect of resilience was established. And the partial mediating effect accounted for 16.91% (-0.083/0.488) of the total effect.

CONCLUSIONS

There were a number of well-being-related factors identified, including individual and organisational factors, which provide directions for targeted support and interventions of nurses. It could improve the resilience of hospital nursing staff, reduce burnout and enhance well-being.

Managing the work stress of inpatient nurses during the COVID-19 pandemic: a systematic review of organizational interventions

BACKGROUND

During the coronavirus disease 2019 (COVID-19) pandemic, inpatient nurses faced various work stressors. Little is known about organizational interventions that can mitigate the negative consequences of pandemic-related stressors.

OBJECTIVE

The aim was to provide a synopsis of the literature concerning the types and outcomes of organizational interventions performed during the COVID-19 pandemic that directly (re)organized the work structures of inpatient nurses to address pandemic-related work stressors or to increase nurses' ability to cope.

METHODS

Within this preregistered systematic literature review, we searched four databases (PubMed, PsycINFO, PsycARTICLES, CINAHL) and two preprint databases (MedRxiv, PsyArXiv) for interventional studies of organizational interventions published between 01/2020 and 03/2023 (k = 990 records). We included 12 primary studies after title-abstract and full-text screening. A synthesis of results without meta-analysis was conducted. Risk of bias was assessed with the Cochrane risk-of-bias tool for randomized trials - version 2 (RoB-2) and Risk Of Bias In Non-randomized Studies - of Interventions (ROBINS-I) tool.

RESULTS

All interventions were implemented in hospitals. The reasons given for implementation included pandemic-related work stressors such as a high workload, understaffing, and a lack of medical resources. To respond to the various work stressors, half of the studies took a multilevel approach combining organizational and person-oriented interventions (k = 6). Most studies (k = 8) took a secondary prevention approach, focusing on the organization of rest breaks (k = 5). With respect to outcomes, the studies examined nurse-related stress and resilience, turnover intention, job satisfaction, and other factors. Risk-of-bias analyses revealed that conclusions about the effectiveness of the interventions are limited due to confounding factors and self-selection.

CONCLUSIONS

The identified interventions provide a basis for future research to draw conclusions on the effectiveness of organizational interventions during pandemics. The promotion of adequate work breaks could be useful if the work stressors associated with strain and negative consequences cannot be changed directly. However, the same stressors (e.g., high workload) can hinder nurses from participating in offered interventions. This emphasizes the importance of directly addressing inpatient nurses' work stressors.

REGISTRATION

Prospero-ID CRD42023364807 (March 2023).

Promoting Well-being: A Scoping Review of Strategies Implemented During the COVID-19 Pandemic to Enhance the Well-being of the Nursing Workforce

Background

The nursing workforce faces significant stressors every day that can lead to exhaustion and burnout. The unprecedented challenges that were faced during the Covid-19 pandemic, placed an added burden on nurses who were already under pressure. Nurses were at the frontline of care provision, and nursing leaders had to rapidly implement strategies to support and maintain staff safety, short and long-term well-being.

Objective

A scoping review of strategies nurse leaders and organisations initiated to enhance the well-being of their colleagues during the Covid-19 pandemic was undertaken. Experiences from around the globe have been collated to provide an insight into well-being initiatives that can inform future practice to sustain and retain the nursing workforce.

Design

A scoping review of strategies nurse leaders and organisations initiated to enhance the well-being of their colleagues during the Covid-19 pandemic was undertaken.

Method

A search of key electronic databases identified articles published between January 2020 and February 2023. 21 pieces of original research that met the inclusion criteria were reviewed.

Results

Well-being interventions evaluated in the literature included: dedicated well-being spaces, peer debriefing, psychological support, online resources and education, introduction of well-being strategies and resources, and meditations. There were six broad themes identified that enhanced the success of well-being strategies including: Education and Communication, Tailored or Adaptable Strategies, Support from Leadership, Sharing Experiences and Peer Support, and Feeling appreciated and heard. There were also barriers to accessing well-being interventions that have been identified.

Conclusion

The Covid 19 pandemic highlighted how imperative strong nursing leadership is for supporting nurses at every level. Practical strategies provided psychological support essential for maintaining the health and well-being of the nursing workforce. The strategies identified demonstrate the creativity and adaptability of nursing leadership to look after colleagues to maintain and sustain our nursing workforce.

Tweetable

Strategies implemented during the COVID-19 pandemic can be used to guide ongoing initiatives to enhance wellbeing for the nursing workforce.

Using Serenity Rooms and Similar Tools to Improve the Workplace during COVID-19: A Rapid Review

This manuscript examines using serenity rooms and similar tools to improve the workplace during COVID-19 for nurses and other practitioners. A rapid review of the literature was conducted and completed from four different databases, including PubMed, CINAHL, Science Direct, and Academic Search Complete. The literature review was completed with the use of a single-string Boolean search to maximize the number of articles returned. The resulting 14 germane articles yielded six facilitator themes and four barrier themes. Facilitator themes included: benefits, assistive adjuncts, places of relaxation, leadership required, availability, and other effects. Barrier themes included: lacking leadership, concerns regarding lack of space, holistic concerns, and negative perceptions. There is a significant lack of research in the literature in this area. Most of the literature reviewed showed widely positive results for institutions that utilized serenity rooms or similar tools for decreasing nurse and practitioner stress and burnout. The use of these tools improved nurse and practitioner compassion, retention, and resiliency.