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Comment & Response
April 9, 2019

Multifaceted Program to Reduce Job Strain in ICU Nurses

Author Affiliations
  • 1University of Montpellier, Montpellier, France
  • 2University Hospital of Clermont-Ferrand, Clermont-Ferrand, France
JAMA. 2019;321(14):1410-1411. doi:10.1001/jama.2019.0570

To the Editor Ms El Khamali and colleagues1 found that, among nurses working in an intensive care unit (ICU), those who participated in a multifaceted skills enhancement program had a lower prevalence of job strain after 6 months compared with those who did not participate in the program. However, as mentioned in the Editorial by Seaman et al,2 “there is a lack of clarity about the theorized and actual mechanism by which the intervention exerted its effect.” Accordingly, some aspects need clarification.