The goal of this quasi-experimental clinical trial is to evaluate the effect of a culturally adapted, six-week resilience-building programme on psychological well-being and clinical performance in emergency nurses working in Palestinian hospitals. The main questions it aims to answer are:
Does the six-week resilience-building programme improve the psychological well-being of emergency nurses? Does the intervention enhance their Advanced Life Support (ALS) performance during a simulation-based assessment? Researchers will compare the intervention group receiving the resilience-building programme to a non-equivalent control group to see if the intervention leads to significant improvements in adaptive coping, mental health, and simulated clinical performance.
Participants will:
Participate in a six-week resilience-building programme integrating cognitive-behavioural techniques, mindfulness, stress inoculation training, and mental rehearsal (intervention group only).
Complete validated questionnaires to measure psychological well-being and resilience before and after the study period.
Complete a standardized, high-fidelity simulated scenario to assess their Advanced Life Support (ALS) clinical performance.
None
Nurses who have participated in formal resilience or stress management training programs within the past year.
Parallel
Culturally Adapted Resilience-building Programme
BehavioralA six-week programme integrating cognitive-behavioural techniques, mindfulness, stress inoculation training, and mental rehearsal. The programme is specifically adapted for the Palestinian emergency nursing context to enhance adaptive coping mechanisms and psychological well-being.
Psychological well-being and resilience score
Psychological resilience is measured using the Connor-Davidson Resilience Scale (CD-RISC-10). The scale consists of 10 items. The total score is calculated by summing all item scores. The total score ranges from a minimum of 0 to a maximum of 40. Higher scores indicate greater psychological resilience and better adaptive coping.
Advanced Life Support (ALS) Clinical Performance Percentage
Clinical performance is assessed during a simulated Pulseless Ventricular Tachycardia scenario using the CPR Performance Assessment Checklist Based on AHA Guidelines. The assessment evaluates 15 critical actions. The total score is calculated as a percentage, ranging from 0% to 100%. Higher scores indicate better clinical performance and adherence to standard protocols, with scores of 90% or above categorized as "Excellent
Psychological Distress (Depression, Anxiety, and Stress) Scores
Psychological distress is measured using the Depression, Anxiety and Stress Scale (DASS-21). The scale evaluates three subscales: Depression (7 items), Anxiety (7 items), and Stress (7 items). The score for each subscale is calculated by summing the specific items and multiplying the sum by 2. Each of the three subscale scores ranges from a minimum of 0 to a maximum of 42. Higher scores indicate greater levels of depression, anxiety, and stress, reflecting poorer psychological well-being.
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