Graduation Semester and Year
Summer 2026
Language
English
Document Type
DNP Project
Degree Name
Doctor of Nursing Practice
Department
Nursing
First Advisor
Michelle Hampton
Abstract
Background: Nurse resilience is associated with improved psychological well-being, professional satisfaction, and retention. Neonatal intensive care unit nurses are frequently exposed to emotionally traumatic clinical events that may contribute to burnout, compassion fatigue, and turnover. A women’s hospital in central Texas identified increased nurse turnover and lower employee engagement scores related to well-being and intent to stay within the neonatal intensive care unit.
Purpose: The purpose of this quality improvement project was to implement and evaluate a standardized resilience support bundle for nurses following traumatic clinical events.
Methods: Guided by the Plan-Do-Study-Act framework, the project implemented a resilience bundle that included self-care tools, employee support resources, facilitated debriefs, and structured leader check-ins. Baseline and post-implementation data was collected to assess changes in nurse resilience and well-being.
Results: The resilience bundle was successfully implemented following all traumatic clinical events during the project period and was associated with a statistically and clinically significant improvement in nurse resilience, with mean CD-RISC scores increasing by 4.2 points (31.98 vs. 36.48; p=.001; Cohen’s d =0.96).
Conclusions: Findings from this project support the sustainability of resilience interventions within the neonatal intensive care unit and offer a framework for promoting nurse well-being in high-acuity clinical settings.
Keywords: nurse resilience, neonatal intensive care, burnout prevention, well-being, quality improvement, resilience bundle
Keywords
nurse resilience, neonatal intensive care, burnout prevention, well-being, quality improvement, resilience bundle
Disciplines
Maternal, Child Health and Neonatal Nursing | Nursing Administration
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
Bouzid, Jennifer, "Implementing A Standardized Resilience Bundle for Neonatal Intensive Care Nurses" (2026). Doctor of Nursing Practice (DNP) Scholarly Projects. 3.
https://mavmatrix.uta.edu/nursing_dnpprojects2/3
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