Introducing a Resiliency Bundle for Home Care Nurses

Area of Science:

• Nursing
• Healthcare Management
• Occupational Health

Background:

• Home healthcare (HHC) nurses experience significant stress and burnout.
• High workloads, job isolation, and COVID-19 restrictions exacerbate these issues.
• Existing literature suggests interventions can build resilience and decrease moral distress in nurses.

Purpose of the Study:

• To implement and evaluate a resiliency bundle aimed at improving resilience and reducing burnout risk in HHC nurses.
• To assess the effectiveness of specific interventions: gratitude strategies, coworker connection, storytelling, and resiliency training.
• To frame the project using Duffy's Quality-Caring Model and Neal's Theory of Home Health Nursing Practice.

Main Methods:

• An evidence-based project implemented a resiliency bundle in a pediatric hospital's HHC department.
• Interventions included gratitude strategies, coworker connection, storytelling, and resiliency training.
• Outcomes were measured using pre- and post-implementation surveys assessing resiliency and burnout via Likert scale.

Main Results:

• No statistically significant changes in nurse resiliency or burnout were observed post-implementation.
• Nurses indicated a desire to continue using components of the resiliency bundle.
• Gratitude strategies, connecting with coworkers, and storytelling were particularly favored by participants.

Conclusions:

• While the resiliency bundle did not yield statistically significant reductions in burnout, its components were well-received by HHC nurses.
• Healthcare leadership must prioritize addressing burnout risk in HHC nurses.
• Innovative strategies are needed to effectively promote resilience within this population.