Implementation and evaluation of a wellness resource for resiliency amongst emergency nurses in a rural Newfoundland site

Background: Emergency department (ED) nurses are at high risk of compassion fatigue (CF) because of repeated exposures to traumatic experiences of others. Due to the fast-paced nature of the ED, brief interventions are needed to help improve nurses’ resiliency. A wellness resource (Higdon, 2022), sp...

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Bibliographic Details
Main Author: Griffiths, Vanessa
Format: Report
Language:English
Published: Memorial University of Newfoundland 2023
Subjects:
Online Access:https://research.library.mun.ca/16024/
https://research.library.mun.ca/16024/1/GriffithsVA_FinalPracticumReport.pdf
Description
Summary:Background: Emergency department (ED) nurses are at high risk of compassion fatigue (CF) because of repeated exposures to traumatic experiences of others. Due to the fast-paced nature of the ED, brief interventions are needed to help improve nurses’ resiliency. A wellness resource (Higdon, 2022), specifically developed for oncology staff at an urban hospital in NL was found to have supportive interventions that were potentially transferable to ED staff. Purpose: To implement a wellness resource with emergency nurses in a rural NL site and evaluate its impact on their resilience and wellbeing. Methods: Permission was granted by the original author to use this resource. The following steps were completed: a literature review helped to determine that the same interventions (e.g., self-care and debriefing) were effective for ED nursing staff as those originally provided for oncology staff, and identified appropriate methods of implementation and evaluation; consultations with four key stakeholders (including the clinical educator, unit manager, and two unit nurses), provided insight into staff needs and potential issues with fostering resiliency at this site; an environmental scan found relevant resources within the health authority and other organizations; and a needs assessment that explored participants’ years working as an ED nurse, preferred methods of education delivery, and appropriate timing for education sessions. Higdon’s (2022) PowerPoint presentation was adapted to include self-care methods, debriefing resources, and additional information pertinent to ED nursing and was delivered to ED nursing staff at the rural site. The Qualtrics software platform was used to distribute the Professional Quality of Life Score (ProQOL) instrument and the Connor Davidson Resiliency Scale (CD-RISC) to determine baseline and follow-up scores for participating nursing staff. Results: The most commonly used and effective interventions reported by participants included education regarding self-care, mindfulness-based stress ...