Comparative Study of The Effect of Adaptive Strategies Training in Problem solving and Role Playing on Resiliency of Emergency Department Nurses in Armed Forces Affiliated Centers of Kermanshah

Due to the stressful nature of nursing, nurses working in emergency departments need to learn adaptive resiliency training to deal with specific occupational conditions.

The present study aimed to compare the effect of teaching adaptive resilience strategies by role-playing and problem-solving methods in emergency department of military hospitals in Kermanshah.

This quasi-experimental study is a comparative study in the form of pre-test and post-test performed on 62 volunteer nurses in 2019. In this study, researchers selected samples by convenience sampling and randomly assigned to two problem-solving educational groups and assigned roles. The intervention was performed during eight one-hour sessions in the problem-solving training group and 2-4 hour sessions in the role-playing training group. At the end of the intervention, the Connor-Davidson resilience questionnaire was completed again. Data analysis was performed using SPSS 23, and the significance level was considered less than 0.05 (P<0.05).

The results showed that both groups did not differ significantly in resilience before the intervention (P= 0.091). Comparison of the mean resilience scores of the participants in the problem-solving group after training (77.225±8.588) showed a significant increase compared to before training (73.032±9.477). In the role-playing group, resilience scores (72.419±13.001) increased significantly compared to before training (68.838±14.539). The independent t-test showed that the difference in the mean post-test score between both groups was statistically significant (P= 0.021) and higher in the problem-solving training group.

According to this study, teaching adaptive resilience strategies in problem-solving and role-playing can improve the ability of nurses to cope with stressful job situations.