RESILIENCE-BUILDING INTERVENTION for EMERGENCY NURSES IN PALESTINIAN HOSPITALS

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.

Inclusion Criteria: 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. Exclusion Criteria: * 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.