Investigating the impact of the RENEW program on enhancing nurses' resilience: a randomized controlled trial
Tooba Hoseini Azizi1, Nahid Dehghan Nayeri2, Alun C Jackson3
1Department of Critical Care Nursing, School of Nursing and Midwifery, North Khorasan University of Medical Sciences, Bojnurd, Iran.
BMC Psychology
|January 30, 2026
Summary
The RENEW online program significantly boosted nurses' resilience during the COVID-19 pandemic. This intervention improved mental health outcomes for frontline healthcare workers.
Area of Science:
- Healthcare Management
- Nursing Education
- Mental Health Interventions
Background:
- The COVID-19 pandemic severely impacted healthcare systems globally, leading to significant psychological distress among frontline nurses.
- High levels of burnout necessitate interventions focused on enhancing nurse resilience.
- The study was conducted at Imam Hassan (AS) Hospital in Bojnurd, Iran.
Purpose of the Study:
- To evaluate the effectiveness of the RENEW online educational program in improving the resilience of nurses.
- To assess the program's impact on nurses experiencing high levels of psychological distress.
Main Methods:
- A randomized clinical trial involving 86 nurses with resilience scores ≤75 was conducted in 2023.
- Participants were assigned to the intervention (RENEW program) or control group.
- The RENEW program comprised six weekly online sessions, with data collected using the Connor-Davidson Resilience Scale and Kessler Psychological Distress Scale.
Main Results:
- The RENEW program led to a significant increase in resilience scores in the intervention group compared to the control group (P < 0.001).
- Sustained program effectiveness was observed at the six-month follow-up.
- A significant interaction effect between time and group (P = 0.019) confirmed the program's lasting impact.
Conclusions:
- The RENEW educational program is effective in significantly enhancing nurse resilience.
- Structured interventions tailored to nurses' work environments are crucial for improving their mental health and well-being.
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