Efficacy of Vicarious Post-Traumatic Growth Intervention for Nurses in Emergency Units

Официальное название

Efficacy of Vicarious Post-Traumatic Growth Intervention for Nurses in Emergency Units: A Randomized Controlled Trial

Обзор

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.

Подробное описание

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.

Вмешательства

• Поведенческое Psychoeducational Vicarious Post-Traumatic Growth Intervention
  A structured psychoeducational and behavioral intervention designed to promote vicarious post-traumatic growth and reduce vicarious trauma among emergency nurses. The intervention incorporates cognitive behavioral therapy (CBT) techniques, mindfulness practices, resilience-building exercises, psychoeducation regarding vicarious trauma, stress management strategies, reflective activities, and peer-support components. The program is delivered in scheduled sessions over the intervention period and

Первичные конечные точки

• Change in Vicarious Posttraumatic Growth Score [Срок оценки: Baseline (Week 0), Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32)]

Вторичные конечные точки (4)

• Change in Vicarious Trauma Score [Срок оценки: Baseline (Week 0), Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32)]
• Change in Resilience Score [Срок оценки: Baseline (Week 0), Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32)]
• Change in Coping Strategies [Срок оценки: Baseline (Week 0), Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32)]
• Change in Psychological Well-being [Срок оценки: Baseline (Week 0), Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32)]

Критерии участия

Критерии включения

• 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.

Критерии исключения

• 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.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Поддерживающая терапия

Центры проведения

Пакистан · 1 центр

• Nishtar Hospital, Burn Unit (NMH), Multan Institute of Cardiology (MIC), Bakhtawar Amin Ho — Multan

Идентификаторы

NCT: NCT07677527 · VPTGI-RCT-2026

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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