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

2026年7月2日 更新者：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.

研究概览

地位

招聘中

条件

干预/治疗

详细说明

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.

研究类型

介入性

注册 (估计的)

60

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习联系方式

学习地点

  • 巴基斯坦
      • Multan、巴基斯坦、59070
        • 招聘中
        • Nishtar Hospital, Burn Unit (NMH), Multan Institute of Cardiology (MIC), Bakhtawar Amin Hospital, Multan, Khawaja Fareed Social Security Hospital
        • 接触：

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

  • 孩子
  • 成人
  • 年长者

接受健康志愿者

是的

描述

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.

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：支持治疗
  • 分配：随机化
  • 介入模型：并行分配
  • 屏蔽：无（打开标签）

武器和干预

参与者组/臂
干预/治疗
实验性的：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.
行为的：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.
无干预：Routine Professional Support
Participants continue receiving routine institutional support and standard professional resources available within the hospital setting.

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
Change in Vicarious Posttraumatic Growth Score
大体时间：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)

次要结果测量

结果测量
措施说明
大体时间
Change in Vicarious Trauma Score
大体时间：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
大体时间：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
大体时间：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
大体时间：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)

其他结果措施

结果测量
措施说明
大体时间
Personality Traits
大体时间：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
大体时间：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
大体时间：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
大体时间：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)

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

Fatima Jinnah Women University

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2026年3月1日

初级完成 (实际的)

2026年6月1日

研究完成 (估计的)

2026年9月1日

研究注册日期

首次提交

2026年6月18日

首先提交符合 QC 标准的

2026年6月24日

首次发布 (实际的)

2026年6月30日

研究记录更新

最后更新发布 (实际的)

2026年7月7日

上次提交的符合 QC 标准的更新

2026年7月2日

最后验证

2026年7月1日

更多信息

与本研究相关的术语

关键字

其他相关的 MeSH 术语

其他研究编号

  • VPTGI-RCT-2026

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)？

不

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

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