Comparative efficacy and acceptability of resilience-focused interventions for nurses: a systematic review and network meta-analysis of randomized controlled trials
Abstract Background The mental health of nurses is deteriorating. Maintaining nurses’ resilience has become a focal point for future nursing development. Objective We aim to rank the effectiveness and acceptability of resilience-focused interventions for nurses. Methods A systematic review and netwo...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-04-01
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| Series: | BMC Nursing |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12912-025-03090-0 |
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| Summary: | Abstract Background The mental health of nurses is deteriorating. Maintaining nurses’ resilience has become a focal point for future nursing development. Objective We aim to rank the effectiveness and acceptability of resilience-focused interventions for nurses. Methods A systematic review and network meta-analysis were conducted, with comprehensive searches across PubMed, Embase, Cochrane Library, Web of Science, and other databases. Frequentist random-effects network meta-analyses were employed, and RoB-2 was used to assess the quality of evidence. Results Resilience-focused interventions were found to significantly enhance nurses’ resilience (95%CI 0.61, 1.41). Offline field interventions (95%CI 0.64, 1.59) outperformed online interventions (95%CI -0.02, 0.45). Both group (95%CI 0.32, 0.87) and individual (95%CI 0.63, 1.59) interventions showed effectiveness. Anger Management Psychoeducation (95%CI 3.65,7.93, SUCRA = 98.2), Emotional Intelligence training (95%CI 3.32,6.51, SUCRA = 95), and Mindfulness-Based Stress Reduction (95%CI 2.60,5.88, SUCRA = 92.4) were the most effective interventions. Conclusion Anger Management Psychoeducation, Mindfulness-Based Stress Reduction, and Emotional Intelligence training are the most effective interventions for enhancing nurses’ resilience. International prospective register of systematic reviews CRD42021289477. Registration of clinical trial and registration identification number Not applicable. |
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| ISSN: | 1472-6955 |