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Table 6 Benefits of Reboot to the Individual (Audit trail)

From: Can the Reboot coaching programme support critical care nurses in coping with stressful clinical events? A mixed-methods evaluation assessing resilience, burnout, depression and turnover intentions

Concept measured in quantitative outcome measures

Reflected in qualitative interviews

Wellbeing

“it’s… made me a bit more in tune with myself and sort of learning to deal with the sort of, the emotions of work a bit more, and sort of taking a step back a little bit, and take care of yourself a bit more, you know… so it has - it has definitely, definitely helped.”

I’m probably in a better place to be able to do that now because I can recognize it now [after Reboot]… because it.- sometime it’s like, if you’ve got so much negative stuff in there, there’s no room for anything good

Burnout

“I think it’s meant a lot, you know the recognition of the difficult time that critical nurses have been through, and I think you’ve saved a lot of nurses moving away from critical care as well, I really do, because I’ve had a lot of corridor conversations with nurses who, they can’t do it anymore, but having that recognition that it is difficult and that there Is help there for people to carry on yeah I think Is huge. I think the impact has been huge, so thank you.”

“It’s really important tool to be able to build sort of resilience and manage threats, and because it is such a big problem in the NHS at the moment with my colleagues, there is so much burnout that that I think it’s just all the different techniques and things like that are all really useful - I just think there’s so many people at work that at the moment that I wish could do the course - because I think they’d really benefit from it.”

Intention to Stay

think it’s going to help me stay in the job, and to take- take a step back, take a step back, reflect on things in a neutral kind of way rather than very sort of emotionally charged way, and I’m sure that it will give me the staying power because things are going.”

Retention… I mean… ultimately yes because if you improve how your staff feel and how they approach their work, and… feel like they have those tools to cope and, you know, to be resilient in their practice, then you would ultimately, you know, prevent that, you know, prevent dropout and improve - you know, would be say improve attrition rates…? You stop people dropping out.

I think it’s a really important area that I think more nurses should have access to things like this to be able to… carry on doing the job.”

I’m sure they [skills gained during Reboot] are useful, because I think it’s going to help me stay in the job, and to take- take a step back, take a step back, reflect on things in a neutral kind of way rather than very sort of emotionally charged way, and I’m sure that it will give me the staying power because things are going - always going to come up at work I think that are challenging.”

Confidence

“I went to some training a few, a couple of months ago now, and they were going over, it- it was, it was like a learning thing, but then they went over some mistakes that had been made and near misses and stuff and I came away and I thought I’d come away feeling, really good cause I’d had this training and like I’d feel more knowledgeable, I came away like terrified like oh my God, that’s gonna be me that’s gonna be me doing those mistakes, and they’re gonna be talking about me one day in those- in those and, and I couldn’t even think about it whereas I think, yeah I’m definitely more relaxed about things now, and just more accepting, and yeah just- I just feel calm- like calmer and more relaxed about it yeah. [Interviewer: Lovely.] I don’t- I don’t- I’m not very good at putting this into words, sorry.”

Knowledge

“I guess I always thought resilience was being like a really, really strong and been able to bat anything off, but I think it’s more about having coping mechanisms to be able to deal with the things that are thrown at you, rather than being this supersonic person. It’s just been able to have mechanisms to deal with it really.”

“I had, you know, … everyone has heard about it, haven’t they? They’re all the sort of buzz words isn’t it, resilience, but this is the first time anybody’s actually practically sort of helped me build some resilience.”