Vogt K S, Grange A, Johnson J, Marran J, Budworth L, Coleman R, Simms-Ellis R
Bradford Institute for Health Research, Bradford Royal Infirmary, Temple Bank House, Duckworth Lane, Bradford, BD9 6RJ, UK.
Department of Psychology, University of Leeds, Leeds, LS2 9JT, UK.
Pilot Feasibility Stud. 2022 Mar 17;8(1):63. doi: 10.1186/s40814-022-01014-2.
Critical care nurses (CCNs) are routinely exposed to highly stressful events, exacerbated during the COVID-19 pandemic. Supporting resilience and wellbeing of CCNs is therefore crucial to prevent burnout. One approach for delivering this support is by preparing critical care nurses for situations they may encounter, drawing on evidence-based techniques to strengthen relevant psychological coping strategies. As such, the current study seeks to tailor a Resilience-boosting psychological coaching programme [Reboot] for CCNs, based on cognitive behavioural therapy (CBT) principles and the Bi-Dimensional Resilience Framework (BDF), and (1) to assess the feasibility of delivering Reboot via online, remote delivery to CCNs, and (2) to provide a preliminary assessment of whether Reboot could increase resilience and confidence in coping with adverse events.
Eighty CCNs (n=80) will be recruited to the 8-week Reboot programme, comprised of two group workshops and two individual coaching calls. The study uses a single-arm before-after feasibility study design and will be evaluated with a mixed-methods approach, using online questionnaires (all participants) and telephone interviews (25% of participants). Primary outcomes will be confidence in coping with adverse events (the Confidence scale) and resilience (the Brief Resilience Scale) measured at four time points.
Results will determine whether it is feasible to deliver and evaluate a remote version of the Reboot coaching programme to CCNs, and will indicate whether participating in the programme is associated with increases in confidence in coping with adverse events, resilience and wellbeing (as indicated by levels of depression).
重症监护护士（CCN）经常面临高度紧张的事件，在新冠疫情期间这种情况更加恶化。因此，支持CCN的恢复力和幸福感对于预防职业倦怠至关重要。提供这种支持的一种方法是让重症监护护士为可能遇到的情况做好准备，借鉴循证技术来加强相关的心理应对策略。因此，本研究旨在基于认知行为疗法（CBT）原则和二维恢复力框架（BDF），为CCN量身定制一个增强恢复力的心理辅导项目[重启]，并且（1）评估通过在线远程方式向CCN提供“重启”项目的可行性，以及（2）对“重启”项目是否能增强应对不良事件的恢复力和信心进行初步评估。
80名CCN将被招募参加为期8周的“重启”项目，该项目包括两次小组研讨会和两次个人辅导电话。本研究采用单组前后可行性研究设计，并将采用混合方法进行评估，使用在线问卷（所有参与者）和电话访谈（25%的参与者）。主要结果将是在四个时间点测量的应对不良事件的信心（信心量表）和恢复力（简短恢复力量表）。
研究结果将确定向CCN提供和评估远程版“重启”辅导项目是否可行，并将表明参与该项目是否与应对不良事件的信心、恢复力和幸福感（以抑郁水平表示）的提高有关。
