Bock Lotte, Westemeyer Lara, Moschner Nadine, Rana Majeed, Rana Madiha
Leuphana University of Lüneburg, Lüneburg, Germany.
Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
J Clin Psychol Med Settings. 2025 Jun 22. doi: 10.1007/s10880-025-10085-1.
Nursing and direct care staff face significant psychological and physical challenges, including high workloads, emotional labour, and staff shortages, which increase the risk of burnout and stress-related conditions. Resilience is a protective factor that mitigates these effects. This study evaluated the efficacy of a 28-day digital resilience training programme tailored to the needs of nursing and direct care staff. One hundred twenty participants working in German healthcare settings were randomly assigned to an experimental group or a waitlist control group. Experimental group participants received a programme consisting of twice-daily video-based exercises, reflections, and relaxation activities over four weeks. Outcomes were assessed at baseline (T1), post-intervention (T2), and three months follow-up (T3). Resilience (primary outcome) was measured using the Resilience Scale, and perceived stress (secondary outcome) was measured using the Perceived Stress Questionnaire (PSQ). Compared to the control group, experimental group participants demonstrated significant improvements in resilience from T1 to T3 (p < .001, d = 0.6) and substantial reductions in percieved stress (PSQ total score, p < .001, d = - 1.4). No significant changes were observed in the control group. The digital programme effectively enhanced resilience and reduced the perception of stress, aligning with prior research on resilience training in healthcare. Despite stress reduction showing a larger effect size, resilience remained the theoretically grounded primary outcome. The flexible, scalable design of the digital programme accommodates challenges like shift work, offering a practical solution for improving nurse staff's mental health. Clinical Trial Registration: German Clinical Trials Register (DRKS), Identifier: DRKS00030973.
护理和直接护理人员面临着重大的心理和身体挑战，包括高工作量、情感劳动和人员短缺，这些都增加了职业倦怠和与压力相关疾病的风险。心理韧性是一种减轻这些影响的保护因素。本研究评估了一项为期28天、根据护理和直接护理人员需求量身定制的数字心理韧性训练计划的效果。120名在德国医疗环境中工作的参与者被随机分配到实验组或候补对照组。实验组参与者在四周内接受了一个由每日两次的视频练习、反思和放松活动组成的计划。在基线（T1）、干预后（T2）和三个月随访（T3）时评估结果。使用心理韧性量表测量心理韧性（主要结果），使用感知压力问卷（PSQ）测量感知压力（次要结果）。与对照组相比，实验组参与者从T1到T3的心理韧性有显著改善（p < .001，d = 0.6），感知压力大幅降低（PSQ总分，p < .001，d = -1.4）。对照组未观察到显著变化。该数字计划有效地增强了心理韧性并降低了压力感知，这与先前关于医疗保健领域心理韧性训练的研究一致。尽管压力降低显示出更大的效应量，但心理韧性仍然是理论基础上的主要结果。该数字计划灵活、可扩展的设计适应了轮班工作等挑战，为改善护士心理健康提供了一个切实可行的解决方案。临床试验注册：德国临床试验注册中心（DRKS），标识符：DRKS00030973。
