ViaMente: Feasibility of a Nurse-Led Group Programme for Burnout and Well-Being in Mental Healthcare Professionals

A Single-Arm Before-After Feasibility Evaluation of ViaMente, a Nurse-Led Psychotherapeutic Group Programme for Burnout and Psychological Well-Being in Mental Healthcare Professionals

Registry ID

NCT07765121

Source registry

NCT

Status

COMPLETED

Phase

NA

Study type

INTERVENTIONAL

Sponsor

Centro Hospitalar Lisboa Ocidental

Enrollment

10

Start date

2025-11-11

Completion date

2026-02-06

Last update

2026-08-14

Conditions

• Psychological Well Being
• Burnout, Professional

Summary

This single-arm, before-after study evaluated the feasibility of ViaMente, a nurse-led psychotherapeutic group programme designed to reduce burnout and promote psychological well-being in mental healthcare professionals. Grounded in nursing theory, the programme comprised five weekly group sessions. Feasibility was assessed through recruitment, retention, and acceptability, alongside preliminary changes in burnout and psychological well-being measured before and after the intervention.

Detailed description

This single-arm, before-after feasibility study evaluated ViaMente, a nurse-led psychotherapeutic group programme (five weekly sessions, grounded in nursing theory) aimed at reducing burnout and promoting psychological well-being in mental healthcare professionals. Feasibility was the primary focus, assessed through recruitment, retention, and acceptability. Retention was defined as completing the programme with no more than two absences across the five sessions. Preliminary changes in burnout (CBI-PT) and psychological well-being (PGWB-S) were assessed at baseline and post-intervention. Given the feasibility purpose, single-arm non-randomised design, and small sample, the study was not designed to test efficacy but to inform a future, adequately powered study.

Interventions

• BEHAVIORAL: ViaMente

Inclusion criteria

Inclusion Criteria: * Adults (≥18 years). * Health professionals (nurses, health-care assistants, physicians, or others). * Working in a mental health setting. * Availability and commitment to attend the five weekly intervention sessions.

Exclusion criteria

Exclusion Criteria: * Age under 18 years. * Not working in a mental health setting. * Unable or unwilling to commit to the intervention sessions. * Refusal to provide informed consent.

Primary outcomes

[{"measure":"Feasibility - Acceptability (post-session acceptability questionnaire, 0-5 Likert)","timeFrame":"Week 5"},{"measure":"Feasibility - Retention","timeFrame":"Week 5"}]

Locations

• Serviço de psiquiatria e Saúde Mental de Adultos da ULSLO | Serviço de Segurança e Saúde no trabalho da ULSLO, Lisbon, Portugal

Publications

• American Psychological Association. (2019). Stress in America™: Stress and current events. https://www.apa.org/news/press/releases/stress/ Bardin, L. (2011). Análise de conteúdo (L. A. Reto & A. Pinheiro, Trads.; Reimpressão da edição original de 1977). Edições 70. Bykov, K. V., Zrazhevskaya, I. A., Topka, E. O., Peshkin, V. N., Dobrovolsky, A. P., Isaev, R. N., & Orlov, A. M. (2022). Prevalence of burnout among psychiatrists: A systematic review and meta-analysis. Journal of Affective Disorders, 308, 47-64. https://doi.org/10.1016/j.jad.2022.04.005 Conselho Internacional de Enfermeiros. (2016). Classificação Internacional para a Prática de Enfermagem - CIPE® Versão 2015 (Tradução oficial em português). Ordem dos Enfermeiros. https://www.ordemenfermeiros.pt/arquivo-de-p%C3%A1ginas-antigas/cipe-2015-dispon%C3%ADvel- online/ Figueiredo, C., Silva, C., Almeida, H., & Lopes, F. (2024). Influences on retention and wellbeing in mental health professionals: An umbrella review. Nursing Practic
• Maslach, C., & Leiter, M. P. (2016). Understanding the burnout experience: Recent research and its implications for psychiatry. World Psychiatry, 15(2), 103-111. https://doi.org/10.1002/wps.20311 Maslach, C., et al. (2001). Job burnout. Annual Review of Psychology, 52, 397-422. https://doi.org/10.1146/annurev.psych.52.1.397 Moorhead, M. J. M., Johnson, D. L., Maas, H. A., Swanson, M. P., & Duffy, K. J. L. (2021). Nursing outcomes classification (NOC): Measurement of health outcomes (6ª ed.). Elsevier. NANDA-I. (2021). NANDA International nursing diagnoses: Definitions and classification, 2021-2023 (12th ed.). Thieme. O'Connor, K., Muller Neff, D., & Pitman, S. (2018). Burnout in mental health professionals: A systematic review and meta-analysis of prevalence and determinants. European Psychiatry, 53, 74-99. https://doi.org/10.1016/j.eurpsy.2018.06.003 Ordem dos Enfermeiros. (2015). Código deontológico: Inserido no Estatuto da OE republicado como anexo pela Lei n.º 156/2015 de 16 de set
• Lee, R. T., Seo, B., Hladkyj, S., Lovell, B. L., & Schwartzmann, L. (2023). Correlates of burnout and its impact on intention to leave and absenteeism: A longitudinal study among healthcare workers. Journal of Nursing Management, 31(3), 572-580. https://doi.org/10.1111/jonm.13692 Li, Y., Zhang, M., Zhao, Y., & Wang, S. (2024). Burnout and quality of care: A meta-analysis of the effects of burnout on nurses' patient care quality. International Journal of Nursing Studies, 144, 104504. https://doi.org/10.1016/j.ijnurstu.2023.104504 Maslach, C. (1998). Burnout: A Multidimensional Perspective. In W. Schaufeli, C. Maslach, & T. Marek (Eds.), Professional Burnout: Recent Developments in Theory and Research (pp. 19-32). Philadelphia, PA: Taylor & Francis. https://doi.org/10.4324/9781315227979-3 Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. Journal of Occupational Behaviour, 2(2), 99-113. https://doi.org/10.1002/job.4030020205
• Pereira, A., Silva, I., Cardoso, F., & Faísca, L. (2018). Adaptação e validação do Questionário Geral de Bem- Estar Psicológico: Análise fatorial confirmatória da versão reduzida. Revista de Enfermagem Referência, 4(18), 41-50. https://doi.org/10.12707/RIV18026 Programa Nacional de Saúde Ocupacional. (2021). Guia Técnico N. º3: Vigilância da saúde dos trabalhadores expostos a fatores de risco psicossocial no local de trabalho. Lisboa: Direção-Geral da Saúde. Disponível em https://www.dgs.pt/ficheiros-de-upload-2013/pnso_guia3-pdf.aspx Seligman, M. E. P. (2002). Authentic happiness: Using the new positive psychology to realize your potential for lasting fulfillment. Free Press. Silva, I. S., Carvalho, L. W. T., Teixeira, G. M., Fernandes, M. G., Santos, A. A., de Oliveira, S. P. F. P., & da Silva, G. A. (2020). Programas de intervenção na Síndrome de Burnout: uma revisão integrativa de literatura. Revista Eletrônica Acervo Saúde, 12(10), e4402. https://doi.org/10.25248/reas.e4402.2020 S

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