Efficacy of Vicarious Post-Traumatic Growth Intervention for Nurses in Emergency Units (VPTG-RCT)
Efficacy of Vicarious Post-Traumatic Growth Intervention for Nurses in Emergency Units: A Randomized Controlled Trial
調査の概要
状態
詳細な説明
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.
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前：SEERAT FATIMA
- 電話番号：+923066605577
- メール：seeratfatima554@gmail.com
研究場所
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Multan、パキスタン、59070
- 募集
- Nishtar Hospital, Burn Unit (NMH), Multan Institute of Cardiology (MIC), Bakhtawar Amin Hospital, Multan, Khawaja Fareed Social Security Hospital
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コンタクト：
- SEERAT FATIMA
- 電話番号：03066605577
- メール：seeratfatima554@gmail.com
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-
参加基準
適格基準
就学可能な年齢
- 子
- 大人
- 高齢者
健康ボランティアの受け入れ
説明
Inclusion Criteria:
- 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.
Exclusion Criteria:
- 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.
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：支持療法
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
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実験的：Vicarious Post-Traumatic Growth Intervention
Participants receive a structured psychoeducational intervention consisting of trauma education, cognitive behavioral techniques, mindfulness exercises, resilience-building activities, stress management training, emotional regulation skills, and peer support sessions.
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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 aims to enhance coping skills, psychological well-being, professional functioning, and post-traumatic growth.
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介入なし：Routine Professional Support
Participants continue receiving routine institutional support and standard professional resources available within the hospital setting.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Change in Vicarious Posttraumatic Growth Score
時間枠：Baseline (Week 0), Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32)
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This outcome measures change in vicarious posttraumatic growth among emergency unit nurses exposed to the intervention. Vicarious posttraumatic growth will be assessed using the Vicarious Posttraumatic Growth Inventory (VPTGI; Deaton, 2020), a self-report questionnaire. The total score will be calculated by summing item responses. Higher scores indicate greater vicarious posttraumatic growth (better psychological outcome). |
Baseline (Week 0), Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32)
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Change in Vicarious Trauma Score
時間枠：Baseline (Week 0), Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32)
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This outcome measures vicarious trauma symptoms among emergency nurses.
The Vicarious Trauma Scale (VTS; Vrklevski & Franklin, 2008) will be used.
The total score is obtained by summing item responses.
Higher scores indicate greater vicarious trauma (worse psychological outcome).
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Baseline (Week 0), Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32)
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Change in Resilience Score
時間枠：Baseline (Week 0), Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32)
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Resilience will be assessed using the Brief Resilience Scale (BRS), which measures the ability to recover from stress.
Scores are calculated as the mean of all items.
Higher scores indicate greater resilience (better outcome).
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Baseline (Week 0), Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32)
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Change in Coping Strategies
時間枠：Baseline (Week 0), Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32)
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Coping strategies will be assessed using the CSI-SF, measuring both adaptive and maladaptive coping styles.
Scores will be reported as subscale and total scores.
Higher adaptive coping scores indicate better coping outcomes.
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Baseline (Week 0), Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32)
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Change in Psychological Well-being
時間枠：Baseline (Week 0), Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32)
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Psychological well-being will be assessed using the 18-item Psychological Well-being Scale.
Total scores will be computed by summing item responses.
Higher scores indicate better psychological well-being.
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Baseline (Week 0), Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32)
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その他の成果指標
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Personality Traits
時間枠：Baseline only (Week 0)
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Personality traits (Big Five dimensions) will be assessed using the Ten-Item Personality Inventory (TIPI).
Scores will be calculated for each trait dimension.
This measure will be used as a baseline covariate and moderator, not as an intervention outcome.
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Baseline only (Week 0)
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Intervention Adherence
時間枠：Throughout intervention period (Weeks 1-8)
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Measured as the percentage of attended intervention sessions (CBT, mindfulness, psychoeducation, peer support). Reported as percentage (%) of completed sessions per participant. |
Throughout intervention period (Weeks 1-8)
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Intervention Fidelity
時間枠：During intervention delivery (Weeks 1-8)
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Assessed using a structured fidelity checklist completed by supervisors to ensure protocol adherence. Reported as percentage of protocol components delivered correctly. |
During intervention delivery (Weeks 1-8)
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Attrition Rate
時間枠：Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32)
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Number and percentage of participants who drop out of the study at each assessment point.
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Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32)
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協力者と研究者
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
- VPTGI-RCT-2026
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