Comparative Study of The Effect of Adaptive Strategies Training in Problem solving and Role Playing on Resiliency of Emergency Department Nurses in Armed Forces Affiliated Centers of Kermanshah

Introduction: Due to the stressful nature of nursing, nurses working in emergency departments need to learn adaptive resiliency training to deal with specific occupational conditions. Objective: The present study aimed to compare the effect of teaching adaptive resilience strategies by role-playing and problem-solving methods in emergency department of military hospitals in Kermanshah. Material and Methods: This quasi-experimental study is a comparative study in the form of pre-test and post-test performed on 62 volunteer nurses in 2019. In this study, researchers selected samples by convenience sampling and randomly assigned to two problem-solving educational groups and assigned roles. The intervention was performed during eight one-hour sessions in the problem-solving training group and 2-4 hour sessions in the role-playing training group. At the end of the intervention, the Connor-Davidson resilience questionnaire was completed again. Data analysis was performed using SPSS 23, and the significance level was considered less than 0.05 (P<0.05). Results: The results showed that both groups did not differ significantly in resilience before the intervention (P= 0.091). Comparison of the mean resilience scores of the participants in the problem-solving group after training (77.225±8.588) showed a significant increase compared to before training (73.032±9.477). In the role-playing group, resilience scores (72.419±13.001) increased significantly compared to before training (68.838±14.539). The independent t-test showed that the difference in the mean post-test score between both groups was statistically significant (P= 0.021) and higher in the problem-solving training group. Discussion and Conclusion: According to this study, teaching adaptive resilience strategies in problem-solving and role-playing can improve the ability of nurses to cope with stressful job situations.