Developing a Feasibility Study of a Metacognitive-Analytic Treatment Protocol to Enhance Ego Strength and Alleviate Anxiety and Depression Among Nurses in COVID-19 Wards

Introduction: Researchers have found the combination of metacognitive and psychodynamic therapy to be beneficial. In this context, the present study aimed to design and conduct a feasibility investigation of metacognitive analytic therapy to enhance ego strength and reduce anxiety and depression among nurses working in COVID-19 wards.Method: This research employed an exploratory qualitative approach. The statistical population consisted of psychology specialists, from which 36 individuals were purposefully selected as the research sample. Following a review of the literature to identify risk and treatment factors, 10 additional individuals were interviewed to gather further insights. The content validity ratio and content validity index for both risk factors and treatment factors were assessed with the input of 14 participants. Additionally, the content validity ratio and content validity index for treatment sessions, as well as the feasibility of the treatment protocol, were evaluated with 12 participants.Results: The results indicated that the risk components, treatment components, and therapy sessions demonstrated a strong content validity ratio and content validity index. Additionally, the feasibility results revealed that metacognitive analytic therapy had exhibited acceptability, applicability applicability, integrity, adaptability, resources resource availability, and generalizability.Discussion and conclusion: The metacognitive analytic treatment protocol can be assessed for its suitability in clinical interventions, as it demonstrates strong validity in its risk components, treatment components, and metacognitive analytic therapy. Additionally, this therapy have exhibits acceptability, and applicability, adaptability, resources and resource availability, generalizability. Therefore, researchers are recommended to encouraged the investigate and effectiveness of this protocol, while protocol. Psychologists are also advised to use metacognitive implement therapy to strengthen ego and enhance clients' ego strength and alleviate of clients, depression, particularly among nurses.