Highlights
- •Burnout and secondary traumatic stress are widespread among nurses.
- •We report on a randomized controlled trial of a new sensory mindfulness model.
- •Over 1/3 of nurses had high rates of poor mental health, secondary stress, and burnout.
- •The intervention group showed improved well-being, resiliency, and secondary stress.
- •Healthcare organizations must support institutional and individual resiliency.
Abstract
Background
Rising rates of secondary traumatic stress and burnout among nurses signal a crisis
in healthcare. There is a lack of evidence regarding effective interventions to improve
nurse well-being and resiliency.
Purpose
This study used a randomized controlled trial parallel design to test the effectiveness
of a 3-hour Community Resiliency Model® (CRM) training, a novel set of sensory awareness
techniques to improve emotional balance.
Methods
Registered nurses in two urban tertiary-care hospitals were invited to participate,
which entailed attending a single 3-hour “Nurse Wellness and Well-being” class; 196
nurses consented and were randomized into the CRM intervention or nutrition education
control group to determine if the CRM group would demonstrate improvement in well-being
and resiliency, secondary traumatic stress, burnout, and physical symptoms.
Findings
Pre/post data were analyzed for 40 CRM and 37 nutrition group members. Moderate-to-large
effect sizes were demonstrated in the CRM group for improved well-being, resiliency,
secondary traumatic stress, and physical symptoms. Participants reported using CRM
techniques for self-stabilization during stressful work events.
Discussion
CRM shows promise as a brief resiliency training for hospital-based nurses.
Keywords
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Article info
Publication history
Published online: November 15, 2019
Accepted:
November 10,
2019
Received in revised form:
October 28,
2019
Received:
June 19,
2019
Footnotes
Funding: Sigma Theta Tau and the Mundito Foundation.
Identification
Copyright
© 2019 Elsevier Inc. All rights reserved.
