Effects of a Multimodal Program Including Simulation on Job Strain Among Nurses Working in ICUs

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Among ICU nurses, an intervention that included education, role-play, and debriefing resulted in a lower prevalence of job strain at 6 months compared with nurses who did not undergo this program.

Further research is needed to understand which components of the program may have contributed to this result and to evaluate whether this program is cost-effective.

Among 198 ICU nurses who were randomized completed the trial for the primary outcome.

The trial was stopped for efficacy at the scheduled interim analysis after enrollment of 198 participants.

The primary outcome was the prevalence of job strain assessed by combining a psychological demand score greater than 21 with a decision latitude score less than 72 using the Job Content Questionnaire and evaluated at 6 months.

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