A Mixed Methods Evaluation of a Resilience Intervention With Psychoeducational Sessions for Critical Care Nurses

The ongoing nursing shortage in the U.S health care system is a multifaceted issue. One
factor leading to the nursing shortage is high turnover, particularly among critical care
nurses due to their experiences with stressful work environments, ethical dilemmas, and high
rates of patient morbidity and mortality. There is also a high prevalence of psychological
disorders, such as anxiety, depression, and Post Traumatic Stress Disorder (PTSD) among
critical care nurses. Consequences of turnover and low nurse staffing include lower quality
of care, lower patient satisfaction, increased medical errors, increased rates of health care
associated infections, and higher 30-day mortality rates.

Resilience is defined as "the ability to adapt to life's ever-changing landscape and recover
quickly from the stressors and potential stressors". It is a learned psychological
characteristic that can be used to bounce back after disruption and successfully adapt to
stressful work experiences in a positive manner.

The Corporate Athlete® Resilience (CAR) Training Program is a 1-day training program that
uses a holistic approach that focuses on moving between stress and strategic recovery to help
build resilience and enable higher performance.

Inclusion Criteria:

1. Adult ≥ 18 years old.

2. Employed as a critical care nurse at Florida Hospital in an adult ICU, PICU, PCVICU,
or Level 3 NICU.

3. Able to speak, read, and understand English fluently.

4. Able to provide informed consent.

5. Receive a high score of ≥ 27 on the Emotional Exhaustion domain and/or a high score of
≥ 13 on the Depersonalization domain of the Maslach Burnout Inventory (MBI) as part of
Florida Hospital IRBNet #1234568.

6. Willing to attend a full-day training program at HPI on the designated training date.

7. Willing and able to comply with all study procedures and requirements for the duration
of the study.

Exclusion Criteria:

1. At imminent risk of harm to themselves or others