Resilience Training for Hospital Employees in the Era of COVID-19: A Pilot Study of Promoting Resilience in Stress Management (PRISM) at Work (RP413)

Abstract

Outcomes1. Explain feasibility and acceptability of the PRISM at Work program for healthcare providers2. Explain the preliminary efficacy of the PRISM at Work program for healthcare providers on reducing stress, resilience, and burnoutImportanceHealthcare workers face serious mental health challenges as a result of ongoing work stress. The COVID pandemic exacerbated that stress, highlighting the critical need for evidence-based stress interventions.Objective(s)The goal of this study was to examine feasibility, acceptability, and preliminary efficacy of PRISM at Work, a skill-based program designed to reduce stress and build resilience.Method(s)In response to COVID-19, we translated the Promoting Resilience in Stress Management (PRISM) program, a manualized, skill-based program originally developed for adolescents and young adults with medical illness, to a program that could support healthcare workers. It included 6 weekly 1-hour sessions on Zoom, covering topics including stress management, goal setting, cognitive reframing, and meaning making. Feasibility and acceptability were assessed by enrollment and completion rates and satisfaction surveys. Preliminary efficacy was assessed with pre-post assessments of resilience, stress, anxiety, and burnout. Descriptive statistics were used to summarize feasibility and acceptability outcomes. Linear mixed effects regression models were used to examine the impact of PRISM on outcomes.ResultsOf the 153 participants who enrolled, 92% were female, 46% were ≥40 years old, 87% were White, 53% worked in a clinical role, and 59% were married. Feasibility was demonstrated in that all 15 courses were filled to capacity and 91% completed the program. 91% reported being satisfied with PRISM, and 89% were likely to recommend PRISM to colleagues. Regression analyses demonstrated improvements in resilience (1.74, 95% CI [1.00, 2.47]), anxiety (–2.06, 95% CI [–2.75, –1.36]), stress (–2.43, 95% CI [–3.30, –1.55]), and burnout (–0.37, 95% CI [–0.56, –0.18]) (all ps < .001).Conclusion(s)PRISM at Work is a feasible and acceptable program that shows promise in managing stress, building resilience, and reducing burnout for healthcare workers.ImpactA continuation of this work, beyond the scope of the COVID pandemic, is critical given the historical and ongoing burden and distress prevalent in the healthcare profession.