- read the writting bellow responses may be brief (2 to 4 thoughts per question), Be as specific as possible.
Question 1: What do you like about the Literature Review section of this paper?
Question 2: What do you think could be improved in the Literature Review?
Question 3: What specific feedback would you give this writer? Consider, the writer’s ability to communicate ideas clearly and the paper format (grammar, spelling, APA).
First off, it is important to recognize that each individual will have their own innate
baseline resilience and wellbeing levels. Analysis of the literature suggested that with
interventions aimed at improving wellness and resilience, those who scored low values on a
standardized wellness and resilience scale, would see the most benefit. (Van Agteren, 2018). The researchers put together a two day resiliency workshop course that was open for participation from any interested staff working in a major public healthcare provider. This resiliency training
intervention revolved around professional trainers teaching a variety of skills that are known for
improving wellbeing and positive psychology.
The researchers resiliency training was adopted from TechWerks Resilience Training
Program. Over two days, trainers taught the participants mindfulness, values-based goals, and
baseline resilience and wellbeing levels. Analysis of the literature suggested that with
interventions aimed at improving wellness and resilience, those who scored low values on a
standardized wellness and resilience scale, would see the most benefit. (Van Agteren, 2018). The researchers put together a two day resiliency workshop course that was open for participation from any interested staff working in a major public healthcare provider. This resiliency training
intervention revolved around professional trainers teaching a variety of skills that are known for
improving wellbeing and positive psychology.
The researchers resiliency training was adopted from TechWerks Resilience Training
Program. Over two days, trainers taught the participants mindfulness, values-based goals, and
4 ways of cultivating gratitude. The common themes of their learned skills helped individuals
increase their awareness to achieving their goals, address issues with healthy emotional release, and cope with challenges and failures in a productive manner (Van Agteren et al., 2018).
Although researchers did not find that their training course specifically improved the
participants depression, stress, or anxiety, they were able to portray the importance of building
resilience for nurses, who experience strain from their stressful work environment.
In another study, researchers were interested in finding what factors could act as a buffer
for stress in nurses during a pandemic (Maunder et al. 2013). By experimenting with a
computerized resilience training program where the three courses offered differed in length of
time, participants were randomly sorted either a short, medium, or long course. The training
course taught relaxation techniques, how to build resilience, and provided feedback regarding an individuals self-assessment of interpersonal issues and coping mechanisms.
Interestingly, out of the three different lengths of the course, the medium time, which was
158 minutes long, is suggested to be the most effective option. Participants responded with
significant benefits in self-efficacy, interpersonal problems, and confidence after the medium
class session (Maunder et al. 2013). Although the longest course yielded similar results and even greater improvements regarding interpersonal problems, researchers noted that the drop-out rate in this group is much higher, indicating that the medium length is a better balance. Overall, the authors emphasize the importance of implementing resilience training for healthcare workers
before, during, and after a pandemic (Maunder et al. 2013).
With the literature proliferated with resilience enhancing courses, in a different study by
Grabbe et al. (2020), participants were part of a randomized controlled trial to analyze the
effectiveness of a Community Resiliency Model (CRM) intervention class versus a class that
increase their awareness to achieving their goals, address issues with healthy emotional release, and cope with challenges and failures in a productive manner (Van Agteren et al., 2018).
Although researchers did not find that their training course specifically improved the
participants depression, stress, or anxiety, they were able to portray the importance of building
resilience for nurses, who experience strain from their stressful work environment.
In another study, researchers were interested in finding what factors could act as a buffer
for stress in nurses during a pandemic (Maunder et al. 2013). By experimenting with a
computerized resilience training program where the three courses offered differed in length of
time, participants were randomly sorted either a short, medium, or long course. The training
course taught relaxation techniques, how to build resilience, and provided feedback regarding an individuals self-assessment of interpersonal issues and coping mechanisms.
Interestingly, out of the three different lengths of the course, the medium time, which was
158 minutes long, is suggested to be the most effective option. Participants responded with
significant benefits in self-efficacy, interpersonal problems, and confidence after the medium
class session (Maunder et al. 2013). Although the longest course yielded similar results and even greater improvements regarding interpersonal problems, researchers noted that the drop-out rate in this group is much higher, indicating that the medium length is a better balance. Overall, the authors emphasize the importance of implementing resilience training for healthcare workers
before, during, and after a pandemic (Maunder et al. 2013).
With the literature proliferated with resilience enhancing courses, in a different study by
Grabbe et al. (2020), participants were part of a randomized controlled trial to analyze the
effectiveness of a Community Resiliency Model (CRM) intervention class versus a class that
5 promoted healthy diet and nutrition. CRM is a three hour self-care class adapted from a well-
known psychotherapy approach that emphasized mindfulness, sensory awareness, and improving well-being. Results of the research revealed that juxtaposed to the nutrition and healthy eating class, the CRM training significantly improved the participants well-being and resilience.
CRM instructors taught participants strategies they could use to become aware of their
body sensations. This allows people to better regulate their emotions as they practice
mindfulness. (Grabbe et al. 2020). In fact, participants of the class reported utilizing CRM skills
to cope with stressful clinical events, such as pandemics or even code situations. Even those who took the class reported teaching their CRM skills with family, friends, coworkers, and patients
too (Grabbe et al. 2020). The willingness to share CRM skills demonstrate the effectiveness and
usefulness of the training to promote well-being.
In the past, compassion fatigue among emergency nurses was an unrecognized issue that
had not been studied in depth. Unlike PTSD, it was unknown whether similar interventions used
to treat PTSD would share similar beneficial effects on treating compassion fatigue (Flarity et al.,2013). In a study conducted by Flarity et al. (2013), since the authors noted overlapping
similarities between PTSD and compassion fatigue, they set out to determine if a workshop that
taught about signs and symptoms of compassion fatigue and therapeutic interventions would
ameliorate the distress that accompanies compassion fatigue. In conclusion of the study, there
were many subjective, yet positive remarks regarding the resilience development program, which further reinforces the benefit of resiliency classes.
Indubitably, there are consistent findings that portray the effectiveness of resilience
training. The sample sizes in the available studies are fair and large enough to produce reliable
data. The level of evidence pertaining to the analyzed articles were level VI, two level III, and
known psychotherapy approach that emphasized mindfulness, sensory awareness, and improving well-being. Results of the research revealed that juxtaposed to the nutrition and healthy eating class, the CRM training significantly improved the participants well-being and resilience.
CRM instructors taught participants strategies they could use to become aware of their
body sensations. This allows people to better regulate their emotions as they practice
mindfulness. (Grabbe et al. 2020). In fact, participants of the class reported utilizing CRM skills
to cope with stressful clinical events, such as pandemics or even code situations. Even those who took the class reported teaching their CRM skills with family, friends, coworkers, and patients
too (Grabbe et al. 2020). The willingness to share CRM skills demonstrate the effectiveness and
usefulness of the training to promote well-being.
In the past, compassion fatigue among emergency nurses was an unrecognized issue that
had not been studied in depth. Unlike PTSD, it was unknown whether similar interventions used
to treat PTSD would share similar beneficial effects on treating compassion fatigue (Flarity et al.,2013). In a study conducted by Flarity et al. (2013), since the authors noted overlapping
similarities between PTSD and compassion fatigue, they set out to determine if a workshop that
taught about signs and symptoms of compassion fatigue and therapeutic interventions would
ameliorate the distress that accompanies compassion fatigue. In conclusion of the study, there
were many subjective, yet positive remarks regarding the resilience development program, which further reinforces the benefit of resiliency classes.
Indubitably, there are consistent findings that portray the effectiveness of resilience
training. The sample sizes in the available studies are fair and large enough to produce reliable
data. The level of evidence pertaining to the analyzed articles were level VI, two level III, and
6 one level I. It should be noted most of the articles had placed the sample population into the
treatment group if the individuals volunteered to partake in the class or session instead of being
truly randomized. Nevertheless, this does not jeopardize the collected data, but warrants that
further research should be done that utilizes randomized controlled trials.
treatment group if the individuals volunteered to partake in the class or session instead of being
truly randomized. Nevertheless, this does not jeopardize the collected data, but warrants that
further research should be done that utilizes randomized controlled trials.
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