Impact of stress management and resilience training-clinical program on stress adjustment in clinical graded psychological nursing nurses

doi:10.5498/wjp.v16.i3.116166

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World Journal of Psychiatry

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2220-3206

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©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.

World J Psychiatry. Mar 19, 2026; 16(3): 116166
Published online Mar 19, 2026. doi: 10.5498/wjp.v16.i3.116166

Impact of stress management and resilience training-clinical program on stress adjustment in clinical graded psychological nursing nurses

Jing Deng, Yu-Xin Xiao, Ling Wang, An-Zhu Bao

Jing Deng, Ling Wang, Medical College, Macau University of Science and Technology, Macau 999078, China

Jing Deng, Department of Medical, Sichuan Provincial People’s Hospital, Chengdu 610072, Sichuan Province, China

Yu-Xin Xiao, Medical College, University of Electronic Science and Technology of China, Chengdu 610054, Sichuan Province, China

An-Zhu Bao, Operating Room, Sichuan Provincial People’s Hospital, Chengdu 610072, Sichuan Province, China

Co-corresponding authors: Ling Wang and An-Zhu Bao.

Author contributions: Deng J designed this study; Deng J, Xiao YX, Wang L, and Bao AZ analyzed the data; Deng J wrote manuscript; Wang L and Bao AZ contributed equally to this article, they are the co-corresponding authors of this manuscript; and all authors read and approved the final manuscript.

Supported by Sichuan Science and Technology Department 2020 Project, No. 2020YFS0426; and Sichuan Medical Association Scientific Research Project, No. WT2025RXSN01.

Institutional review board statement: Because of the use of anonymized or de-identified data, ethical review is waived.

Informed consent statement: Because of the use of anonymized or de-identified data, written informed consent is waived.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

Data sharing statement: No additional data are available.

Corresponding author: An-Zhu Bao, MD, Operating Room, Sichuan Provincial People’s Hospital, No. 32 Section 1, West Street, Qingyang District, Chengdu 610072, Sichuan Province, China. sssdzb123@163.com

Received: November 25, 2025
Revised: January 10, 2026
Accepted: February 2, 2026
Published online: March 19, 2026
Processing time: 93 Days and 23.4 Hours

Abstract

BACKGROUND

Clinical psychological nursing plays a vital role in clinical practice, and “mental health nurses” face greater stress than general nurses. Assessing the stress responses of “psychological nurses” during the implementation of psychological care and developing corresponding stress reduction strategies will enhance their capacity for stress management.

AIM

To explore the effect of pressure adjustment on mental health nurses in graded psychological nursing departments of general hospitals and to enhance their stress-coping ability through the Stress Management and Resiliency Training-clinical (SMART-C) program.

METHODS

A total of 40 mental health nurses engaged in graded psychological nursing assessment and implementation in a hospital-wide pilot department from January 2019 to June 2020 were enrolled. The SMART-C stress management training was implemented, and stressors and psychosomatic responses were compared before and after the intervention.

RESULTS

Before mental health nursing participated in group training, the psychological stressor assessment results showed that “task” stress was significantly higher than “responsibility” stress, and “interpersonal” stress was close to the domestic norm. After 8 weeks of SMART-C stress management training, the “responsibility” and “task” stress decreased significantly. Before the implementation of the plan, stomachaches, headaches, and sleep issues were the three most severe physical symptoms troubling mental health nurses. The self-rated psychological stress and somatic symptom scores among the mental health nurses decreased significantly following SMART-C training.

CONCLUSION

SMART-C stress management training can improve stress-adjustment ability and reduce adverse somatic reactions in mental health nurses.

Keywords: Stress Management and Resiliency Training-clinical stress management; Psychosomatic resiliency training; Mental health nurses; Stress response; Physical symptoms

Core Tip: Clinical nurses often face great stress in clinical practice. Managing work stress is crucial for nurses’ physical and mental health. Stress Management and Resiliency Training program conduct corresponding training and adjustments for a series of psychological reaction during acute and chronic stress. This study is aim to access the change of psychological status of mental health nurse after stress intervention programs.