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.
Lesage F, Choron G, Dutheil F. Multifaceted Program to Reduce Job Strain in ICU Nurses. JAMA. 2019;321(14):1410–1411. doi:10.1001/jama.2019.0570
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