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A Mixed Methods Process Evaluation of the Promoting Resilience in Nurses Randomised Controlled Trial
Minh Viet Bui1,2, Elizabeth Mcinnes2,3, Kim Foster2
1School of Health Sciences, The University of Melbourne, Parkville, Victoria, Australia.
Journal of Advanced Nursing
|July 23, 2026
Summary
This study found that high program fidelity and skill-building in the Promoting Resilience in Nurses program led to better nurse outcomes. Addressing workload and staffing issues is key for successful implementation.
Area of Science:
- Nursing
- Mental Health
- Healthcare Management
Background:
- Nurse wellbeing and resilience are critical for effective healthcare delivery.
- Existing resilience programs require evaluation to understand implementation factors and outcome variations.
- The Promoting Resilience in Nurses program aimed to enhance nurses' coping mechanisms and mental health.
Purpose of the Study:
- To explore factors influencing the implementation of the Promoting Resilience in Nurses program.
- To explain variations in outcomes between intervention and control groups in a randomized controlled trial.
- To identify barriers and facilitators for wider program adoption.
Main Methods:
- A convergent mixed-methods process evaluation was conducted alongside a randomized controlled trial.
- Data included participant satisfaction surveys, interviews, manager surveys, and program fidelity assessments.
- Quantitative and qualitative data were analyzed and integrated with trial outcomes for meta-inferences.
Main Results:
- Nurses reported high satisfaction, valuing the program and supporting its expansion.
- High program fidelity (95% full delivery) and the provision of self-regulatory, stress management, and interpersonal skills were linked to positive nurse outcomes.
- Key implementation barriers included heavy workloads and staff shortages.
Conclusions:
- Successful implementation of resilience programs requires stakeholder support to overcome barriers.
- Embedding resilience programs into standard professional development is essential for sustainability.
- This evaluation provides insights into factors influencing nurse resilience program effectiveness and implementation.
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