Background: The COVID-19 pandemic created challenges for nurses and healthcare systems, including mental health concerns and intention to leave job roles.

Aims: The purpose of this mixed-methods study was to evaluate the effectiveness of a midwestern health system's resiliency programming in supporting nurse well-being and decreasing intent to leave roles, the organization, and/or the profession.

Methods: A 25-question survey was deployed among all staff nurses in the system. Key measures considered whether there were differences in well-being and intent to leave between nurses who had an interaction with a "Resiliency Rounder" compared to those who did not, as well as between nurses who worked on high-risk units compared to those who did not. Interviews with Resiliency Rounders about the program were transcribed and coded to assess for consistent themes.

Results: The study found that nurses who interacted with a Rounder disagreed with intending to leave the system. Nurses who worked on COVID-19 units reported better well-being but also agreed with intending to leave their roles, the system, and the profession. Themes such as looking ahead, variability, value and appreciation, and connection and teamwork emerged throughout the study.

Conclusions: The Resiliency Rounder program was effective in supporting nurse well-being in high-risk units and decreasing intent to leave the organization for nurses across the system. Findings add to a growing body of knowledge about nursing resiliency within the workplace. As experts in the field of mental health, psychiatric nurses can aid in the design and implementation of resiliency programming to prepare for future workforce crises.

Keywords: pandemic; program evaluation; relationships; resilience; roles; staff issues.

背景：
COVID-19大流行给护士和医疗体系带来了挑战，包括心理健康问题和离职意向。

目的：
这项混合方法研究的目的是评估中西部一个健康系统中的韧性项目在支持护士福祉以及降低其离职意愿方面的有效性。

方法：
一项包含25个问题的调查被部署给该系统的所有护士。关键措施考虑了与“韧性巡访员”互动过的护士和未与其互动过的护士之间的福祉及离职意向差异，同时也考察了在高风险部门工作的护士与其他部门护士之间的这些指标差异。对“韧性巡访员”的访谈进行了转录并编码以评估其中的共同主题。

结果：
研究表明，与“巡访员”互动过的护士表示不打算离开系统。在COVID-19病房工作的护士报告了更好的福祉，但同时他们也同意要离职，不管是从他们的岗位、整个系统还是护理专业而言。研究中出现了诸如展望未来、变化性、价值和认可以及连接与团队合作等主题。

结论：
“韧性巡访员”项目在支持高风险病房护士的福祉和降低其在整个系统中的离职意愿方面是有效的。这些发现为工作场所护理人员韧性的知识体系增添了内容。作为心理健康领域的专家，精神科护士可以在设计和实施韧性项目中发挥作用，以应对未来的劳动力危机。

关键词：
大流行；项目评估；关系；韧性；角色；员工问题。