Evidence map›Paper›PMID 38658914›Full record

Trial reportBMC medical education2024

The effect of resilience training with mHealth application based on micro-learning method on the stress and anxiety of nurses working in intensive care units: a randomized controlled trial.

Maryam Abbasalizadeh, Zahra Farsi, Seyedeh Azam Sajadi, Afsaneh Atashi, Andrew Fournier

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medical education, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
10.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Workplace Mental Health Programs for Healthcare Workers: A Systematic Review.International journal of environmental research and public health · 2026
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  13. Resilience and yoga training have additive benefits for mental health of intensive care unit nurses.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 3 countries.

Maryam AbbasalizadehCritical Care Nursing Department, School of Nursing, Aja University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0002-4957-350X
Zahra FarsiMedical-Surgical Nursing, Research and Ph.D. Nursing Departments, School of Nursing, Aja University of Medical Sciences, Kaj St., Shariati St., Tehran, Iran. zahrafarsi2021@gmail.com.ORCID http://orcid.org/0000-0002-5154-0758
Seyedeh Azam SajadiNursing Management Department, School of Nursing, Aja University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0002-2568-3341
Afsaneh AtashiDepartment of Psychology, Central Branch, Islamic Azad University, Tehran, Iran.ORCID https://orcid.org/0000-0002-4241-5509
Andrew FournierGrand Canyon University, Arizona, USA.ORCID https://orcid.org/0000-0003-2988-1713
Aja University of Medical Sciences · IRGrand Canyon University · USIslamic Azad University Central Tehran Branch · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNurses in intensive care units (ICUs) face high stress and anxiety, impacting their well-being and productivity. Addressing this, this study evaluated the impact of resilience training via a mHealth application based on micro-learning on ICU nurses' stress and anxiety levels. MATERIALS AND

methodsThis study, a single-blind randomized controlled trial conducted in 2022-23, involved sixty ICU nurses from two Tehran hospitals. Nurses were chosen through purposive sampling and divided into intervention and control groups by simple randomization. The intervention group was taught resilience via an educational mHealth application based on micro-learning, with data collected using the anxiety and stress subscales of DASS-21.

resultsBefore the intervention, there were no significant differences in stress and anxiety scores between the intervention and control groups (P > 0.05). Upon utilizing the mHealth application, the intervention group exhibited significant reductions in stress, from 10.77 ± 3.33 to 9.00 ± 1.66 (P = 0.001), and in anxiety, from 9.43 ± 3.35 to 7.93 ± 0.98 (P < 0.001). In contrast, the control group experienced a slight increase in stress levels, from 10.10 ± 2.19 to 10.73 ± 2.15 (P = 0.002), and in anxiety levels, from 9.10 ± 1.63 to 10.23 ± 1.65 (P < 0.0001).

conclusionsThe micro-learning-based mHealth application for resilience training significantly reduced ICU nurses' stress and anxiety, recommending its adoption as an innovative educational method.

trial registrationThe study has been registered in the Iranian Registry of Clinical Trials (No. IRCT20221225056916N1, Date: 04/29/2023).

Indexed as

Intensive Care UnitsResilience, PsychologicalTelemedicineAdultAnxietyCritical Care NursingFemaleHumansIranMaleNursing Staff, HospitalOccupational StressSingle-Blind MethodStress, PsychologicalAnxietyIntensive caremHealthMicro-learningNursesResilienceStress

Identifiers

PMID38658914
PMCPMC11041025
OpenAlexW4395073992

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.