Journal Article

Effects of a multimodal program including simulation on job strain among nurses working in intensive care units: a randomized clinical trial.

Khamali RE, Mouaci A, Valera S, et al. JAMA. 2018;320:1988-1997.

High nurse workload has been linked to worse patient outcomes and increased burnout. In this multicenter, randomized trial involving nurses from eight intensive care units in France, researchers exposed the intervention group to a course that included simulated clinical scenarios and debriefing exercises. The simulated scenarios covered both clinical knowledge topics as well as teamwork training principles. At 6 months, they found that reported job strain was less prevalent in the intervention group. Although the study did not directly measure burnout, the results demonstrate that well-designed, targeted interventions can address factors known to result in psychological harm in the work environment.