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. 2023 May 12;2023(5):CD002892. doi: 10.1002/14651858.CD002892.pub6

Ewers 2002.

Study characteristics
Methods RCT, UK
Participants 20 forensic mental health nurses
Interventions 1) Experimental: psychosocial Intervention Training: 20 days of training with the aim to improve nurses' knowledge about serious mental illness and attitude towards patients and thus decrease subjective burnout. Training duration 6 months. The training helps clinicians to conceptualise their patients' problems within a more empathic framework and trains them in the skills to intervene effectively. Thus, self‐efficacy may increase and jobs may be perceived as more rewarding.
2) Control: no intervention
Outcomes MBI directly after training
Identification  
Notes MBI‐EE included in analysis 3.1
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk "The 20 staff who volunteered for the PSI training were randomly allocated to either the experimental PSI training group (n = 10) or a waiting list control group (n=10). The sample was stratified by ward, sex and day/night duty, thus subjects in each group represented all grades of staff and all wards." (p. 473)
Allocation concealment (selection bias) Unclear risk Not reported.
Blinding of participants and personnel (performance bias)
All outcomes High risk Participants were not blinded.
Blinding of outcome assessment (detection bias)
All outcomes High risk Participants were not blinded whereas outcomes are self‐reported.
Incomplete outcome data (attrition bias)
All outcomes Unclear risk Presumably all participants completed all measurements as no data reported on dropouts.
Selective reporting (reporting bias) Low risk All outcomes reported.
Other bias Unclear risk We did not find any indications of other sources of bias.