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Community Resiliency Model Training in Rural Nurse Leaders: A Pretest/Posttest Pilot Intervention Study
Asiah Ruffin1, Andres Azuero, Katherine A Meese
1Author Affiliations: Postdoctoral Fellow (Dr Ruffin), Professor and Director of Statistics and Methodology (Dr Azuero), Dean and Professor (Dr Shirey), and Professor and Rachel Z. Booth Endowed Chair (Dr Patrician), School of Nursing; Assistant Professor (Dr Meese), School of Health Professions; and Scientist II (Dr Montgomery), School of Public Health, The University of Alabama at Birmingham; and Associate Vice President for Nursing Quality and Clinical Excellence (Dr Stewart), University of Alabama at Birmingham Hospital.
Objective:
The aim of this study was to test the feasibility of implementing a wellness intervention known as the Community Resiliency Model (CRM) training for nurse leaders. This pilot study also explores the effect of CRM on nurse leader well-being, resilience, and burnout levels in rural settings.
Background:
Nurse leaders report lower levels of well-being than direct care nurses, yet interventions to improve well-being remain unexplored for nurse leaders in rural settings.
Methods:
A pretest-posttest pilot intervention study design was used for this study, involving a 1-hour CRM training for rural nurse leaders.
Results:
Implementation of CRM training faced numerous feasibility challenges, including recruitment and follow-up. Slight improvements in well-being and burnout scores were observed, although resilience scores were slightly worse at follow-up.
Conclusions:
More robust recruitment and retention strategies are essential for successful implementation of CRM training. Despite feasibility issues, a significant proportion of participants would recommend CRM training to others, highlighting its perceived value. Future efforts should focus on not only broadening the reach of CRM training but also implementing systems to measure its long-term effects on participant outcomes and organizational performance.
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