An Evaluation of a Narrative Expressive Writing Program for Nurses During the COVID-19 Pandemic

Abstract

OBJECTIVE This study aimed to evaluate a writing program targeted to reduce stress and improve resilience in nurses during the coronavirus pandemic (COVID-19). BACKGROUND Occupational hazards often result in poor mental health outcomes. The pandemic highlighted this problem. Because nurses face barriers to accessing support, brief interventions are needed to process stressful events. METHODS Over 5 weeks, nurses across the United States detailed their COVID-19 experiences through narrative expressive writing. Trained mental health professionals provided confidential feedback. RESULTS One thousand one hundred three nurses enrolled in the program, with 430 continuing to the 1st session. Approximately 36% who began the program completed all 5 sessions. Feedback suggested high satisfaction with their experience in the program, but no significant changes in perceived levels of stress or resilience were observed. CONCLUSION Narrative expressive writing is an accessible intervention with the potential to decrease stress. This program is a flexible, personalized model that managers can offer to staff to promote healthy coping strategies.