A retrospective pre-post analysis of a multicomponent psychological support intervention incorporating group psychological training and bibliotherapy among in-service nurses

Objective This retrospective study aimed to evaluate changes in occupational identity, psychological resilience, occupational burnout, negative emotions, and job satisfaction following implementation of a multicomponent psychological support intervention incorporating group psychological training and bibliotherapy among in-service nurses. Methods The study was designed as a retrospective analysis, selecting 60 in-service nurses from Tangshan Central Hospital from September 2019 to March 2020 as the research subjects. The hospital implemented group psychological training combined with reading therapy in 2020 and conducted a general survey before and after its implementation. The same cohort of 60 nurses was assessed before and after the intervention, constituting a single-group pre-post design. Pre-intervention and post-intervention measurements were compared within participants. Data were analyzed and evaluated primarily using the Professional Identity Scale for Nurses (PIS), the Chinese version of the Connor-Davidson Resilience Scale (CD-RISC), and related questionnaires. Results The study-specific MBI-HSS composite burnout score was significantly lower post-intervention than pre-intervention ( P < 0.001). All item scores on the PIS scale in the post-intervention were significantly higher than those in the pre-intervention, with P < 0.05. The SDS and SAS scores of the post-intervention were lower than those of the pre-intervention, with P < 0.05. All item scores on the CD-RISC scale in the post-intervention were significantly higher than those in the pre-intervention, with P < 0.05. All item scores on the MMSS scale in the post-intervention were significantly higher than those in the pre-intervention, with P < 0.05. Conclusion Following implementation of the multicomponent psychological support intervention, favorable changes were observed in occupational identity, psychological resilience, occupational burnout, negative emotions, and job satisfaction among in-service nurses. These findings indicate that the measured outcomes changed following implementation of the integrated program; however, causal attribution to the intervention cannot be established from the present single-group pre-post design. However, because multiple intervention components were delivered concurrently, the independent contribution of any single component cannot be determined from the present study.