Resilience, PsychologicalRBI-ENPHNCT07703319
RESILIENCE-BUILDING INTERVENTION for EMERGENCY NURSES IN PALESTINIAN HOSPITALS
A study testing Culturally Adapted Resilience-building Programme in people with Resilience, Psychological, run by Nablus University for Vocational and Technical Education at 1 site in Palestinian Territories.
Trial 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. Read more about this study
- Who is it for?
- Ages 23 to 60 yearsHealthy volunteers can take part
- Conditions the study is for
- Resilience, Psychological
- What is being tested?
- Culturally Adapted Resilience-building Programme
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 140 participants
- Where
- 1 sitePalestinian Territories
- Study dates
- Jul 2026to Oct 2026
- Phase
- Interventional
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 23 to 60 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- 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.
Who cannot join
- 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.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Palestinian Territories1 site
Saqr
Nablus, West Bank, 00970
saqr moufeed alkorom, +972598601546, saqer.al-qoroum@nu-vte.edu.ps
About this study
Official title: The Effect of a Resilience-Building Intervention on Psychological Well-Being and Advanced Life Support Performance Among Emergency Nurses in Palestinian Hospitals: A Quasi-Experimental Study
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.
Read more
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.
Read the detailed description
Emergency nurses in Palestine operate under severe clinical and contextual stressors, including prolonged political conflict, acute resource shortages, and high patient acuity. Chronic exposure to these multifaceted stressors often leads to elevated psychological distress, which not only impacts the nurses' mental health but also has the potential to impair their clinical performance in high-stakes, life-saving situations. Addressing both psychological well-being and clinical competence is critical in this high-pressure environment.
Guided by Roy's Adaptation Model, this research addresses a critical gap in the literature by evaluating a dual-outcome intervention. The study hypothesizes that by enhancing adaptive coping mechanisms, nurses will not only improve their personal psychological resilience but also maintain or improve their objective clinical performance under stress.
To achieve this, the study utilizes a quasi-experimental, non-equivalent control group pre-test/post-test design. To prevent treatment contamination between groups, allocation to either the intervention or control group is conducted at the hospital level.
The intervention consists of a culturally adapted, six-week resilience-building programme. It is specifically designed for the Palestinian context and integrates elements of cognitive-behavioural techniques, mindfulness, stress inoculation training, and mental rehearsal. The study will evaluate the programme's effectiveness by assessing changes in psychological well-being and objective clinical performance (specifically, Advanced Life Support [ALS] skills) before and after the study period. By utilizing high-fidelity simulated scenarios alongside validated psychometric tools, this study aims to provide robust, evidence-based recommendations for integrating psychological resilience training into clinical performance frameworks and nursing education.
- Conditions
- Resilience, Psychological
- Being tested
- Culturally Adapted Resilience-building Programme
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Culturally Adapted Resilience-building ProgrammeBehavioural
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.
| Study group | Role | What they receive |
|---|---|---|
| Resilience-Building Programme | Experimental | Participants in this arm will receive the culturally adapted, six-week resilience-building programme. Receives: 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 |
What is being measured
The primary outcome is the main question the study is designed to answer.
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.
Measured: 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
Measured: Baseline and Week 6
Secondary outcomes (1)
Psychological Distress (Depression, Anxiety, and Stress) Scores
Psychological distress is measured using the Depression, Anxiety and Stress Scale (DASS-21). The scale evaluates three subscales: Depression (7 items), Anxiety (7 items), and Stress (7 items). The score for each subscale is calculated by summing the specific items and multiplying the sum by 2. Each of the three subscale scores ranges from a minimum of 0 to a maximum of 42. Higher scores indicate greater levels of depression, anxiety, and stress, reflecting poorer psychological well-being.
Measured: Baseline and Week 6
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Jul 2026
- Study startJul 2026 (estimated)
- Primary completionOct 2026 (estimated)
- Study completionOct 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Resilience, PsychologicalStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Health services research
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 140 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Nablus University for Vocational and Technical Education
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Saqr Alkorom, Nablus University for Vocational and Technical Education
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07703319
- Sponsor's protocol ID
- 2026421-16646
- Acronym
- RBI-ENPH
- Status last verified
- Jul 2026
- First submitted
- 9 Jul 2026
- Last updated
- 17 Jul 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No