Improve Mental Health



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Improve Mental Health

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DiscussionOverall, the evidence leads to further questions to explore. Implementing resilience training will require support and involvement from administrative leaders, educators, and managers. Even though the scope of this paper is directed towards nurses, there is realistically no limit to the potential audience that can benefit from some sort of resiliency training. This has been demonstrated in an article by Leitch et al. (2009), where a resiliency building class was introduced to a social services agency and remained open to any willing volunteers. According to numerous self-reported responses from research participants, resilience training has consistently helped reduce stress, enhance wellbeing, and teach effective coping strategies (Flarity et al., 2013; Grabbe et al., 2020; Van Agteren et al., 2018). Furthermore, because the participants from a number of studies had the motivation to actively explore methods to strengthen their 
resilience by enrolling into the treatment group, this may play a biased role in falsely suggesting that resiliency training is beneficial to mental health.For future research, instead of relying on the participants desire to be a part of the treatment group in a study, the research should be completely randomized. More importantly though, self-reported data has limitations because it is subjective. Using ordinal scales to rate
ones level of stress is going to vary among each individual, since resiliency itself is different for everyone. Instead of self-reported data, objective data should be measured in order to determine if resilience training is effective. An example of this could be a research study that measures the participants stress hormone levels, cortisol. There is no doubt that self-reported data is valuable given the area of interest. It would be interesting to determine if there was a correlation between decreased cortisol levels and the participants perceived stress level. The research study design could follow similar suits to what has already been conducted, but using randomized control trials instead to further strengthen the evidence in the findings. Some studies, like Grabbe et al. (2020) or Van Agteren et al. (2018), also have a smaller sample size of 40 participants. Clearly, the more participants there are in a study, the more consistent the data becomes. Suggesting that further research could be explored to objectively confirm the effectiveness of resiliency training should not take place of implementing these types of classes in healthcare settings. As mentioned before, self-reported data is valuable, for it is the individuals that determine if the resiliency workshops were worthwhile for them. The issue of nursing burnout, especially in times of crisis, can and should be dealt with the tools that have been 
shown to be effective already, which is resiliency training. Therefore, training classes can be implemented and evaluated; while a team of researchers continue to study how resiliency training influences other areas of measurements.In order to put resilience building classes into practice, it is important to identify the reason for it. Gathering data from past research, surveys, and employment may reveal effective treatment methods, turnover rates, and the nurses self-perception of their mental health. Assembling a team of nurses, educators, and administrators to analyze the data and understand
10 that the burnout issue warrants an intervention is the next step. After forming a team, initiate the resilience program to be taught by trained educators for interested nurses. Assessment of the data allows for evaluation of the programs effectiveness, and if not effective, can provide a direction for where change may be needed.
ArgumentWhen analyzing the available literature, it becomes apparent that nurses who participate in resiliency workshop programs experience decreased negative mental health outcomes while working during acute crises. This is crucial to recognize because nursing burnout and compassion fatigue is a public health issue that requires attention. The studies reviewed demonstrate the effectiveness of holding seminars or classes to provide participants with skills that promote well-being (Flarity et al., Grabbe et al., Maunder et al., Van Agteren et al.). Each study mentioned here all had respectable sample sizes to assist in delivering consistent and reliable data. An important variable to note is that there were no identical repeating interventions. This means that each study conducted their own research by testing their own resiliency training course. Nevertheless, all interventions were built around similar concepts of building resilience and developing healthy coping mechanisms. Since there are many factors that influence resiliency, it is important to realize that not every intervention taught through the training program will be effective for each individual. Still, there are a large portion of available studies that suggest the effectiveness of offering workshops to help nurses build resilience. Many of the literatures data were based on self-reporting by the participants. Baseline measurements of burnout, compassion fatigue, resiliency, and well-being were taken prior to interventions and results were measured after various time frames depending on the study. In one particular study by Leitch et al. (2009), the treatment group experienced a 90-minute
psychoeducation session. Researchers found significant improvements reported as participants reported less psychological distress and PTSD symptoms, as well as greater resiliency (Leitch et al., 2009). This reoccurring theme of improving wellness through building resilience will reveal the importance in implementing a similar training program in every health organization. In a different study, Flarity et al. (2013) conducted a research with 73 participating nurses and found positive improvements in all three areas of interest, compassion satisfaction, burnout, and secondary traumatic stress. After coordinating a class to build resiliency for the treatment group, results revealed that 10% of participants reported greater compassion satisfaction, 19% reported fewer secondary traumatic stress symptoms, and 34% reported fewer burnout symptoms (Flarity et al., 2013). These numbers are reinforced by the participants stating that they have learned how to better cope with compassion fatigue in healthy manners and they have the ability to build resilience to combat future exposure to compassion fatigue. Reducing stress and burnout is just as important as preventing it. In another study, researchers were interested in finding the result of implementing resilience training prior to a crisis event, such as a pandemic (Aiello et al., 2011). After experiencing the SARS outbreak in 2003, researchers were wary of the devastating impact a pandemic can inflict on healthcare workers, so a training program was developed within the hospital to prepare for a future pandemic.



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