NCT07703319

Brief Summary

The goal of this quasi-experimental clinical trial is to evaluate the effect of a culturally adapted, six-week resilience-building programme on psychological well-being and clinical performance in emergency nurses working in Palestinian hospitals. The main questions it aims to answer are: Does the six-week resilience-building programme improve the psychological well-being of emergency nurses? Does the intervention enhance their Advanced Life Support (ALS) performance during a simulation-based assessment? Researchers will compare the intervention group receiving the resilience-building programme to a non-equivalent control group to see if the intervention leads to significant improvements in adaptive coping, mental health, and simulated clinical performance. Participants will: Participate in a six-week resilience-building programme integrating cognitive-behavioural techniques, mindfulness, stress inoculation training, and mental rehearsal (intervention group only). Complete validated questionnaires to measure psychological well-being and resilience before and after the study period. Complete a standardized, high-fidelity simulated scenario to assess their Advanced Life Support (ALS) clinical performance.

Trial Health

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Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
140

participants targeted

Target at P50-P75 for not_applicable

Timeline
2mo left

Started Jul 2026

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress34%
Jul 2026Oct 2026

Study Start

First participant enrolled

July 1, 2026

Completed
8 days until next milestone

First Submitted

Initial submission to the registry

July 9, 2026

Completed
5 days until next milestone

First Posted

Study publicly available on registry

July 14, 2026

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2026

Last Updated

July 17, 2026

Status Verified

July 1, 2026

Enrollment Period

3 months

First QC Date

July 9, 2026

Last Update Submit

July 15, 2026

Conditions

Outcome Measures

Primary Outcomes (2)

  • Psychological well-being and resilience score

    Psychological resilience is measured using the Connor-Davidson Resilience Scale (CD-RISC-10). The scale consists of 10 items. The total score is calculated by summing all item scores. The total score ranges from a minimum of 0 to a maximum of 40. Higher scores indicate greater psychological resilience and better adaptive coping.

    Baseline and Week 6

  • Advanced Life Support (ALS) Clinical Performance Percentage

    Clinical performance is assessed during a simulated Pulseless Ventricular Tachycardia scenario using the CPR Performance Assessment Checklist Based on AHA Guidelines. The assessment evaluates 15 critical actions. The total score is calculated as a percentage, ranging from 0% to 100%. Higher scores indicate better clinical performance and adherence to standard protocols, with scores of 90% or above categorized as "Excellent

    Baseline and Week 6

Secondary Outcomes (1)

  • Psychological Distress (Depression, Anxiety, and Stress) Scores

    Baseline and Week 6

Study Arms (2)

Resilience-Building Programme

EXPERIMENTAL

Participants in this arm will receive the culturally adapted, six-week resilience-building programme.

Behavioral: Culturally Adapted Resilience-building Programme

Standard Practice

NO INTERVENTION

Participants in this arm will not receive the resilience-building programme and will continue with their standard practice

Interventions

A six-week programme integrating cognitive-behavioural techniques, mindfulness, stress inoculation training, and mental rehearsal. The programme is specifically adapted for the Palestinian emergency nursing context to enhance adaptive coping mechanisms and psychological well-being.

Resilience-Building Programme

Eligibility Criteria

Age23 Years - 60 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Registered nurses currently employed in the Emergency Department of the selected Palestinian hospitals.
  • Nurses working full-time Willingness to commit to the 6-week intervention program and complete all simulation-based assessments.
  • Provided written informed consent to participate in the study.

You may not qualify if:

  • Nurses who have participated in formal resilience or stress management training programs within the past year.
  • Nurses currently receiving medical or psychological treatment for diagnosed mental health conditions.
  • Nurses with physical or medical conditions that prohibit them from performing Advanced Life Support (ALS) chest compressions during the simulation assessment.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Saqr

Nablus, West Bank, 00970, Palestinian Territories

Location

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
PhD Candidate

Study Record Dates

First Submitted

July 9, 2026

First Posted

July 14, 2026

Study Start

July 1, 2026

Primary Completion (Estimated)

October 1, 2026

Study Completion (Estimated)

October 1, 2026

Last Updated

July 17, 2026

Record last verified: 2026-07

Data Sharing

IPD Sharing
Will not share

Locations