TY - JOUR
T1 - THE MINDFUL ETHICAL PRACTICE AND RESILIENCE ACADEMY
T2 - SUSTAINABILITY OF IMPACT
AU - Rushton, Cynda Hylton
AU - Swoboda, Sandra M.
AU - Reimer, Teresa
AU - Boyce, Danielle
AU - Hanson, Ginger C.
N1 - Funding Information:
FINANCIAL DISCLOSURES The MEPRA team received philanthropic support from Patricia Davidson, Dean of Johns Hopkins University School of Nursing, to develop the program through a Dean’s Award and funding for its dissemination from Sibley Memorial Hospital and a Nurse Support Program I grant from the Johns Hopkins Hospital, funded through the Maryland Health Services Cost Review Commission.
Publisher Copyright:
© 2023 American Association of Critical-Care Nurses.
PY - 2023/5/1
Y1 - 2023/5/1
N2 - Background Nurses face many ethical challenges, placing them at risk for moral distress and burnout and challeng-ing their ability to provide safe, high-quality patient care. Little is known about the sustainability of interventions to address this problem. Objective To determine the long-term impact on acute care nurses of a 6-session experiential educational program called the Mindful Ethical Practice and Resilience Academy (MEPRA). Methods MEPRA includes facilitated discussion, role play, guided mindfulness and reflective practices, case studies, and high-fidelity simulation training to improve nurses’ skills in mindfulness, resilience, and competence in confronting ethical challenges. A prospective, longitu-dinal study was conducted on the impact of the MEPRA curriculum at 2 hospitals in a large academic medical system. The study involved surveys of 245 nurses at baseline, immediately after the intervention, and 3 and 6 months after the intervention. Results The results of the intervention were generally sustained for months afterward. The most robust improvements were in ethical confidence, moral competence, resilience, work engagement, mindfulness, emotional exhaustion, depression, and anger. Some outcomes were not improved immediately after the intervention but were significantly improved at 3 months, including anxiety and empathy. Depersonalization and turnover intentions were initially reduced, but these improvements were not sustained at 6 months. Conclusions Many MEPRA results were sustained at 3 and 6 months after conclusion of the initial foundational program. Some outcomes such as depersonalization and turnover intentions may benefit from boosters of the intervention or efforts to supplement the training by mak-ing organizational changes to the work environment.
AB - Background Nurses face many ethical challenges, placing them at risk for moral distress and burnout and challeng-ing their ability to provide safe, high-quality patient care. Little is known about the sustainability of interventions to address this problem. Objective To determine the long-term impact on acute care nurses of a 6-session experiential educational program called the Mindful Ethical Practice and Resilience Academy (MEPRA). Methods MEPRA includes facilitated discussion, role play, guided mindfulness and reflective practices, case studies, and high-fidelity simulation training to improve nurses’ skills in mindfulness, resilience, and competence in confronting ethical challenges. A prospective, longitu-dinal study was conducted on the impact of the MEPRA curriculum at 2 hospitals in a large academic medical system. The study involved surveys of 245 nurses at baseline, immediately after the intervention, and 3 and 6 months after the intervention. Results The results of the intervention were generally sustained for months afterward. The most robust improvements were in ethical confidence, moral competence, resilience, work engagement, mindfulness, emotional exhaustion, depression, and anger. Some outcomes were not improved immediately after the intervention but were significantly improved at 3 months, including anxiety and empathy. Depersonalization and turnover intentions were initially reduced, but these improvements were not sustained at 6 months. Conclusions Many MEPRA results were sustained at 3 and 6 months after conclusion of the initial foundational program. Some outcomes such as depersonalization and turnover intentions may benefit from boosters of the intervention or efforts to supplement the training by mak-ing organizational changes to the work environment.
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U2 - 10.4037/ajcc2023236
DO - 10.4037/ajcc2023236
M3 - Article
C2 - 37121900
AN - SCOPUS:85156249085
SN - 1062-3264
VL - 32
SP - 184
EP - 194
JO - American Journal of Critical Care
JF - American Journal of Critical Care
IS - 3
ER -