RESILIENCE-BUILDING INTERVENTION for EMERGENCY NURSES IN PALESTINIAN HOSPITALS

Emergency nurses in Palestine operate under severe clinical and contextual stressors,including prolonged political conflict, acute resource shortages, and high patientacuity. Chronic exposure to these multifaceted stressors often leads to elevatedpsychological distress, which not only impacts the nurses' mental health but also has thepotential to impair their clinical performance in high‐stakes, life‐saving situations.Addressing both psychological well‐being and clinical competence is critical in thishigh‐pressure environment.Guided by Roy's Adaptation Model, this research addresses a critical gap in theliterature by evaluating a dual‐outcome intervention. The study hypothesizes that byenhancing adaptive coping mechanisms, nurses will not only improve their personalpsychological resilience but also maintain or improve their objective clinicalperformance under stress.To achieve this, the study utilizes a quasi‐experimental, non‐equivalent control grouppre‐test/post‐test design. To prevent treatment contamination between groups, allocationto either the intervention or control group is conducted at the hospital level.The intervention consists of a culturally adapted, six‐week resilience‐buildingprogramme. It is specifically designed for the Palestinian context and integrateselements of cognitive‐behavioural techniques, mindfulness, stress inoculation training,and mental rehearsal. The study will evaluate the programme's effectiveness by assessingchanges in psychological well‐being and objective clinical performance (specifically,Advanced Life Support [ALS] skills) before and after the study period. By utilizinghigh‐fidelity simulated scenarios alongside validated psychometric tools, this study aimsto provide robust, evidence‐based recommendations for integrating psychologicalresilience training into clinical performance frameworks and nursing education.