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Research Article| Volume 68, ISSUE 3, P324-336, May 2020

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The Community Resiliency Model® to promote nurse well-being

Published:November 15, 2019DOI:https://doi.org/10.1016/j.outlook.2019.11.002

      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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