Efficacy of Vicarious Post-Traumatic Growth Intervention for Nurses in Emergency Units: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Change in Vicarious Posttraumatic Growth Score
研究概览
简要总结
This randomized controlled trial aims to evaluate the efficacy of a Vicarious Post-Traumatic Growth (VPTG) Intervention among nurses working in emergency units. Emergency nurses are frequently exposed to traumatic events through patient care, which may contribute to vicarious trauma and psychological distress. The intervention is designed to facilitate positive psychological growth, resilience, adaptive coping, and psychological well-being while reducing the adverse impact of indirect trauma exposure. Participants will be randomly assigned to intervention and control groups. Outcomes will be assessed at baseline, post-intervention, and follow-up periods to determine the effectiveness of the intervention in promoting vicarious post-traumatic growth and reducing vicarious trauma among emergency nurses.
详细描述
Emergency nurses regularly encounter critically ill, injured, and dying patients, exposing them to repeated indirect traumatic experiences. Such exposure can lead to vicarious trauma, emotional exhaustion, and psychological distress. However, exposure to trauma may also contribute to positive psychological changes referred to as vicarious post-traumatic growth.
This study evaluates the efficacy of a structured Vicarious Post-Traumatic Growth Intervention developed specifically for nurses working in emergency units. The intervention integrates psychoeducation, cognitive behavioral techniques, mindfulness practices, resilience enhancement strategies, emotional regulation skills, stress management techniques, and peer support activities.
A randomized controlled trial design will be employed. Eligible nurses will be randomly assigned to either an intervention group or a control group. Participants will complete baseline assessments before intervention implementation. Outcome measures will be reassessed immediately after completion of the intervention and during follow-up assessments.
Primary outcomes include reduction in vicarious trauma and enhancement of vicarious post-traumatic growth. Secondary outcomes include resilience, coping strategies, psychological well-being, and occupational functioning. Findings may contribute to the development of evidence-based psychological support programs for nurses working in high-stress healthcare settings.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Registered nurses currently employed in emergency departments.
- •Minimum six months of emergency department work experience.
- •Able to read and understand English or Urdu.
- •Willing to provide informed consent.
- •Available to participate throughout intervention and follow-up assessments.
排除标准
- •Current diagnosis of severe psychiatric disorder requiring intensive treatment.
- •Current participation in trauma-focused psychotherapy.
- •Cognitive impairment affecting study participation.
- •Planned transfer from emergency unit during study period.
- •Refusal to provide informed consent.
研究组 & 干预措施
Routine Professional Support
Participants continue receiving routine institutional support and standard professional resources available within the hospital setting.
Vicarious Post-Traumatic Growth Intervention
Participants receive a structured psychoeducational intervention consisting of trauma education, cognitive behavioral techniques, mindfulness exercises, resilience-building activities, stress management training, emotional regulation skills, and peer support sessions.
干预措施: Psychoeducational Vicarious Post-Traumatic Growth Intervention (Behavioral)
结局指标
主要结局
Change in Vicarious Posttraumatic Growth Score
时间窗: Baseline (Week 0), Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32)
This outcome measures change in vicarious posttraumatic growth among emergency unit nurses exposed to the intervention. Vicarious posttraumatic growth will be assessed using the Vicarious Posttraumatic Growth Inventory (VPTGI; Deaton, 2020), a self-report questionnaire. The total score will be calculated by summing item responses. Higher scores indicate greater vicarious posttraumatic growth (better psychological outcome).
次要结局
- Change in Vicarious Trauma Score(Baseline (Week 0), Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32))
- Change in Resilience Score(Baseline (Week 0), Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32))
- Change in Coping Strategies(Baseline (Week 0), Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32))
- Change in Psychological Well-being(Baseline (Week 0), Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32))
研究者
Seerat Fatima
PhD Candidate and Principal Investigator
Fatima Jinnah Women University