Feasibility and Acceptability of a Resilience Training Program for Intensive Care Unit Nurses

Feasibility and acceptability (primary outcomes):

• 100% of nurses in the intervention group completed the 2-day educational workshop.
• 92% completed the written exposure sessions (11 of 12 nurses).
• 83% attended at least one event-triggered counseling session (10 of 12 nurses).
• 75% completed the mindfulness-based stress reduction exercises (9 of 12 nurses).
• 67% completed the aerobic exercise regimen (8 of 12 nurses).
• Satisfaction ratings for each component ranged from 3.8 to 4.6 out of 5, indicating moderate to high satisfaction.

Psychological outcomes (secondary outcomes):

PTSD symptoms (PCL-C):

• Intervention group: Mean score decreased from 30.9 (SD = 8.4) at baseline to 26.3 (SD = 6.8) post-intervention. This is a decrease of 4.6 points.
• Control group: Mean score decreased from 30.6 (SD = 8.2) at baseline to 26.5 (SD = 7.1) post-intervention. This is a decrease of 4.1 points.
• The difference between groups was not statistically significant (p-value not reported for between-group comparison). Both groups showed a significant within-group decrease (p < 0.05 for each).

Resilience (CD-RISC):

• Intervention group: Mean score increased from 73.2 (SD = 10.1) to 76.8 (SD = 9.4) — a 3.6-point increase.
• Control group: Mean score increased from 72.8 (SD = 11.2) to 74.1 (SD = 10.8) — a 1.3-point increase.
• The between-group difference was not statistically significant.

Anxiety (STAI-state):

• Intervention group: Mean score decreased from 37.4 (SD = 8.2) to 34.1 (SD = 7.6) — a 3.3-point decrease.
• Control group: Mean score decreased from 38.1 (SD = 7.9) to 36.2 (SD = 8.1) — a 1.9-point decrease.
• The between-group difference was not statistically significant.

Depression (BDI-II):

• Intervention group: Mean score decreased from 8.2 (SD = 5.1) to 6.4 (SD = 4.8) — a 1.8-point decrease.
• Control group: Mean score decreased from 8.5 (SD = 5.3) to 7.1 (SD = 5.0) — a 1.4-point decrease.
• The between-group difference was not statistically significant.

Burnout (MBI):

• Emotional exhaustion: Intervention group decreased from 24.1 (SD = 8.2) to 21.3 (SD = 7.9); control group decreased from 23.8 (SD = 8.5) to 22.1 (SD = 8.0). No significant between-group difference.
• Depersonalization: Intervention group decreased from 8.4 (SD = 4.1) to 7.2 (SD = 3.8); control group decreased from 8.1 (SD = 4.3) to 7.6 (SD = 4.0). No significant between-group difference.
• Personal accomplishment: Intervention group increased from 34.2 (SD = 6.1) to 35.8 (SD = 5.7); control group increased from 33.9 (SD = 6.3) to 34.6 (SD = 6.0). No significant between-group difference.

Summary: None of the between-group comparisons reached statistical significance. Both groups improved modestly over time on most measures, but the intervention did not outperform the control condition.