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Efficacy of Vicarious Post-Traumatic Growth Intervention for Nurses in Emergency Units (VPTG-RCT)

2026년 7월 2일 업데이트: Seerat Fatima, Fatima Jinnah Women University

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

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.

연구 개요

상태

모병

정황

개입 / 치료

상세 설명

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.

연구 유형

중재적

등록 (추정된)

60

단계

  • 해당 없음

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

연구 연락처

연구 장소

  • 파키스탄
      • Multan, 파키스탄, 59070
        • 모병
        • Nishtar Hospital, Burn Unit (NMH), Multan Institute of Cardiology (MIC), Bakhtawar Amin Hospital, Multan, Khawaja Fareed Social Security Hospital
        • 연락하다:

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

  • 어린이
  • 성인
  • 고령자

건강한 자원 봉사자를 받아들입니다

예

설명

Inclusion Criteria:

  1. Registered nurses currently employed in emergency departments.
  2. Minimum six months of emergency department work experience.
  3. Able to read and understand English or Urdu.
  4. Willing to provide informed consent.
  5. Available to participate throughout intervention and follow-up assessments.

Exclusion Criteria:

  1. Current diagnosis of severe psychiatric disorder requiring intensive treatment.
  2. Current participation in trauma-focused psychotherapy.
  3. Cognitive impairment affecting study participation.
  4. Planned transfer from emergency unit during study period.
  5. Refusal to provide informed consent.

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 지지 요법
  • 할당: 무작위
  • 중재 모델: 병렬 할당
  • 마스킹: 없음(오픈 라벨)

무기와 개입

참가자 그룹 / 팔
개입 / 치료
실험적: 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.
행동: 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 aims to enhance coping skills, psychological well-being, professional functioning, and post-traumatic growth.
간섭 없음: Routine Professional Support
Participants continue receiving routine institutional support and standard professional resources available within the hospital setting.

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Change in Vicarious Posttraumatic Growth Score
기간: Baseline (Week 0), Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32)

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)

2차 결과 측정

결과 측정
측정값 설명
기간
Change in Vicarious Trauma Score
기간: Baseline (Week 0), Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32)
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).
Baseline (Week 0), Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32)
Change in Resilience Score
기간: Baseline (Week 0), Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32)
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).
Baseline (Week 0), Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32)
Change in Coping Strategies
기간: Baseline (Week 0), Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32)
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.
Baseline (Week 0), Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32)
Change in Psychological Well-being
기간: Baseline (Week 0), Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32)
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.
Baseline (Week 0), Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32)

기타 결과 측정

결과 측정
측정값 설명
기간
Personality Traits
기간: Baseline only (Week 0)
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.
Baseline only (Week 0)
Intervention Adherence
기간: Throughout intervention period (Weeks 1-8)

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)
Intervention Fidelity
기간: During intervention delivery (Weeks 1-8)

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)
Attrition Rate
기간: Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32)
Number and percentage of participants who drop out of the study at each assessment point.
Post-intervention (Week 8), 3-month follow-up (Week 20), 6-month follow-up (Week 32)

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

스폰서

Fatima Jinnah Women University

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작 (실제)

2026년 3월 1일

기본 완료 (실제)

2026년 6월 1일

연구 완료 (추정된)

2026년 9월 1일

연구 등록 날짜

최초 제출

2026년 6월 18일

QC 기준을 충족하는 최초 제출

2026년 6월 24일

처음 게시됨 (실제)

2026년 6월 30일

연구 기록 업데이트

마지막 업데이트 게시됨 (실제)

2026년 7월 7일

QC 기준을 충족하는 마지막 업데이트 제출

2026년 7월 2일

마지막으로 확인됨

2026년 7월 1일

추가 정보

이 연구와 관련된 용어

키워드

추가 관련 MeSH 약관

기타 연구 ID 번호

  • VPTGI-RCT-2026

개별 참가자 데이터(IPD) 계획

개별 참가자 데이터(IPD)를 공유할 계획입니까?

아니요

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아니

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