Research ArticleResearchPatient Education

An Orem-based nursing program improved self-esteem and resilience through one month in hospitalized adults with depression

BMC nursing (PubMed)Jul 15, 2026

AI-summarized from the linked source. Educational brief, not medical advice.

Brief summary

In a single-center randomized trial of 60 hospitalized adults with major depressive disorder, five Orem-based supportive-educative nursing sessions improved self-esteem and resilience versus routine care, with differences maintained at one month.

What NurseJet pulled from the source

This randomized trial enrolled 60 hospitalized adults with major depressive disorder at one Iranian psychiatric ward and assigned 30 to routine care plus five tailored sessions based on Orem's supportive-educative system and 30 to routine care alone. Self-esteem and resilience were measured at baseline, immediately after the intervention, and one month later. Time-by-group interactions favored the nursing intervention for both self-esteem and resilience, and group differences remained at one-month follow-up. The findings support further evaluation of structured self-care nursing support, but the small, single-center convenience sample and short follow-up limit conclusions about broader or sustained clinical benefit.

Why this matters for nurses

Psychiatric nurses support self-care capacity as patients move from acute stabilization toward recovery. This trial matters because it tested a defined nursing framework and followed patient-reported outcomes beyond the final session.

Bedside takeaway

Worth knowing that five Orem-based nursing sessions improved self-esteem and resilience through one month in a small inpatient depression trial.

Explain this for my unit

Key takeaways

The trial randomized 60 hospitalized adults with major depressive disorder to the nursing program or routine care.
The intervention used five tailored sessions based on Orem's supportive-educative system.
Self-esteem and resilience outcomes improved more with the intervention than with routine care.
The differences remained at the study's one-month follow-up.

Practice implications

A structured self-care framework may help inpatient psychiatric teams organize supportive education and assess progress in autonomy-related outcomes. The study does not justify substituting these sessions for the broader depression treatment plan or adopting its exact format without local review.

Limitations & cautions

This was a single-center trial with 60 convenience-sampled patients, self-reported outcomes, and only one month of follow-up. The abstract does not describe blinding, and the results do not establish effects on depressive symptoms, readmission, safety events, or longer-term recovery.
AI-summarized from the linked source. Review the original article before applying to practice.

Citations

Exact source links

Open source

Public citations are filtered to exact credible source pages. Homepage-only or invalid links stay in admin review and are not shown here.

BMC nursing (PubMed)

BMC nursing (PubMed). The effect of Orem's self-care model on self-esteem and resilience among hospitalized patients with major depressive disorder: a randomized controlled trial.

Open original source

https://pubmed.ncbi.nlm.nih.gov/42458470/

Professional education only

This summary does not replace clinical judgment, facility policy, provider orders, or official guidelines. Verify practice changes against the original source and local protocol.

Related briefs

More updates for this clinical area

Back to Discover

Seminars in oncology nursing (PubMed)Jul 6, 2026Research Article

In an assessor-blinded randomized trial, a six-session Roy Adaptation Model nursing program improved psychosocial adjustment and resilience through three months among women newly diagnosed with breast cancer who completed follow-up.

Oncology PsychAI summaryReview source

Research ArticleResearchPatient EducationAI summary · original source linked below

This single-center oncology outpatient trial randomized 51 women newly diagnosed with breast cancer to standard psycho-oncology care alone or the same care plus six weekly nursing sessions based on the Roy Adaptation Model. Forty-four participants completed the study and were included in the per-protocol analysis. Psychosocial adjustment and resilience improved more in the intervention group over time, with significant group-by-time interactions through the three-month follow-up. The findings support further use and evaluation of structured nursing support early after diagnosis, while the small per-protocol analysis limits certainty about effectiveness for all patients who begin the program.

Key takeaways

The trial randomized 51 women newly diagnosed with breast cancer, and 44 completed follow-up.
The intervention added six weekly Roy-model nursing sessions to standard psycho-oncology care.
Psychosocial adjustment improved more in the intervention group over time.
Resilience also improved, with outcomes followed for three months.

Why this matters on shift

Oncology nurses help patients navigate the psychological and practical disruption that begins at diagnosis. This trial matters because it tested a structured nursing intervention alongside standard psycho-oncology care rather than treating adjustment as outside the oncology workflow.

Bedside takeaway

Worth knowing that six Roy-model nursing sessions improved adjustment and resilience through three months in a small breast-cancer outpatient trial.

Nursing implications

Oncology services may consider a structured, theory-guided nursing pathway for early adjustment support while preserving standard psycho-oncology care. The study does not establish one universal session format or demonstrate effects on treatment adherence, symptoms, or longer-term outcomes.

Limitations & cautions

This was a single-center trial with 51 randomized participants and a per-protocol analysis of 44 completers. Outcomes were self-reported, follow-up lasted three months, and the results do not establish effects on cancer treatment, physical symptoms, adherence, or longer-term mental health.
AI-summarized from the linked source. Review the original article before applying to practice.

Citations · exact source links

Seminars in oncology nursing (PubMed). Effect of a Roy Adaptation Model-Based Nursing Intervention on Psychosocial Adjustment and Psychological Resilience in Women Newly Diagnosed with Breast Cancer: A Randomized Controlled Trial.

Explain this for my unit

Open original sourceFull brief

AI-summarized from the linked source. Review the original article before applying to practice.

JAMA Network Open (PubMed)Jul 7, 2026Research Article

In a six-hospital randomized trial of 314 adults with major depression and current suicidal ideation or a recent attempt, six months of assertive case management added to usual care produced a greater reduction in suicidal-thought and behavior severity and psychological distress, but did not significantly reduce suicide attempts.

PsychAI summaryReview source

Research ArticleResearchWorkflowAI summary · original source linked below

This randomized trial enrolled 314 South Korean outpatients with major depressive disorder who had current suicidal ideation or a suicide attempt within the prior two months. Participants received usual psychiatric care alone or usual care plus six months of structured assertive case management. Columbia-Suicide Severity Rating Scale scores fell in both groups, with a greater adjusted reduction in the case-management group (mean difference -1.99, 95% CI -3.37 to -0.61). Depression, suicidal ideation, and anxiety scores also improved more with case management. Suicide attempts did not differ significantly between groups, and one suicide death occurred in the control group. The study supports a sustained adjunctive psychosocial follow-up model but does not establish that it prevents attempts or deaths.

Key takeaways

The six-hospital trial randomized 314 adults with major depression and current suicidal ideation or a recent suicide attempt.
Assertive case management was delivered for six months in addition to usual psychiatric care.
Suicidal-thought and behavior severity, depression, suicidal ideation, and anxiety improved more with case management.
Suicide attempts did not differ significantly between groups, and one suicide death occurred in the usual-care group.

Why this matters on shift

Mental-health nurses and care coordinators help maintain contact, assess changing risk, and connect high-risk patients with ongoing treatment after a crisis. This trial matters because it evaluated a sustained hospital-based model while keeping symptom-score improvement distinct from harder outcomes such as attempts and death.

Bedside takeaway

Worth knowing that six months of assertive case management improved suicidal-thought severity and distress in high-risk depression, but did not significantly reduce suicide attempts.

Nursing implications

Behavioral-health services can consider the findings when evaluating structured case management as an adjunct to standard treatment for high-risk adults with major depression. The program should not replace immediate suicide-risk assessment, emergency escalation, safety procedures, or the treatment plan required by local policy.

Limitations & cautions

The trial was conducted at six hospitals in South Korea, 245 of 314 participants completed six-month follow-up, and the primary outcome was a rating-scale change. It was not powered to show a difference in suicide deaths, and no significant difference in suicide attempts was observed.
AI-summarized from the linked source. Review the original article before applying to practice.

Citations · exact source links

JAMA Network Open (PubMed). Hospital-Based Psychosocial Case Management and Suicide Prevention in South Korea: A Randomized Clinical Trial.

Explain this for my unit

Open original sourceFull brief

AI-summarized from the linked source. Review the original article before applying to practice.

International Journal of Nursing Studies (PubMed)Jun 18, 2026Systematic Review

In a network meta-analysis of 40 studies with 3119 participants, mindfulness was the most strongly supported individual-level intervention for reducing overall nurse burnout, while social support ranked highest for improving personal achievement.

Psych LeadershipAI summaryReview source

Systematic ReviewResearchStaffing & WellbeingAI summary · original source linked below

This systematic review and frequentist network meta-analysis searched nine databases for studies published through January 15, 2026 and included 40 studies with 3119 participants, ranking individual-level psychosocial interventions using the surface under the cumulative ranking curve. For overall burnout, mindfulness ranked highest (SMD = -0.89, 95% CI -1.39 to -0.39) with a ranking probability of 78.2 percent, followed by social support (SMD = -0.78, 95% CI -1.34 to -0.22, 68.1 percent) and cognitive behavioral therapy (SMD = -0.69, 95% CI -1.50 to 0.12, 60.6 percent). Mindfulness ranked highest for two burnout dimensions: emotional exhaustion (probability 88.1 percent, SMD = -2.89, 95% CI -4.75 to -1.03) and depersonalization (probability 73.0 percent, SMD = -1.53, 95% CI -2.74 to -0.33). For enhancing personal achievement, social support ranked highest (SMD = 2.88, 95% CI 0.19 to 5.57, probability 65.5 percent). The authors note study limitations and call for multi-arm, large-sample, long-term trials.

Key takeaways

Across 40 studies and 3119 participants, mindfulness ranked as the most strongly supported individual intervention for overall nurse burnout (SMD = -0.89, 95% CI -1.39 to -0.39, ranking probability 78.2 percent).
Social support ranked second for overall burnout (SMD = -0.78, 95% CI -1.34 to -0.22) and ranked highest for improving personal achievement (SMD = 2.88, 95% CI 0.19 to 5.57).
Mindfulness ranked highest for reducing emotional exhaustion (probability 88.1 percent) and depersonalization (probability 73.0 percent).
Cognitive behavioral therapy ranked third for overall burnout, but its confidence interval crossed zero (SMD = -0.69, 95% CI -1.50 to 0.12).

Why this matters on shift

Burnout affects nurses' health and the quality of patient care, and staff are often offered a mix of wellbeing programs without clear evidence on which help most. This synthesis may matter for nurses and their leaders because it compares individual-level options head to head and points to mindfulness and social support as the interventions with the strongest ranking support.

Bedside takeaway

Worth knowing that in a network meta-analysis of 40 studies, mindfulness ranked as the most strongly supported individual strategy for reducing nurse burnout, and social support ranked highest for restoring a sense of personal achievement.

Nursing implications

For nurses and unit leaders weighing personal wellbeing options, the findings suggest that mindfulness practices have the strongest support for easing overall burnout, emotional exhaustion, and depersonalization, while peer and social support may do the most to rebuild a sense of personal achievement. Because these are ranked probabilities from pooled trials rather than a single definitive study, they can inform, not dictate, which supports an individual or unit chooses.

Limitations & cautions

This was a meta-analysis of existing trials, and the authors caution that study limitations, including risk of bias and the need for more multi-arm, large-sample, and long-term follow-up trials, mean the rankings should be interpreted cautiously. Some intervention estimates, such as cognitive behavioral therapy for overall burnout, had confidence intervals that crossed zero, and the analysis addressed individual-level strategies rather than organizational or staffing changes.
AI-summarized from the linked source. Review the original article before applying to practice.

Citations · exact source links

International Journal of Nursing Studies (PubMed). Comparative effectiveness of individual-level psychosocial interventions for nurse burnout and its core dimensions: A systematic review and network meta-analysis.

Explain this for my unit

Open original sourceFull brief

AI-summarized from the linked source. Review the original article before applying to practice.

Key takeaways

Practice implications

Limitations & cautions

Exact source links

More updates for this clinical area

A Roy-model nursing program improved adjustment and resilience after a breast cancer diagnosis

Six months of assertive case management reduced suicidal-thought severity, but suicide attempts did not differ significantly

Mindfulness ranked as the most effective individual strategy for reducing nurse burnout in a network meta-analysis