Stress First Aid for Healthcare Workers: A Longitudinal Evaluation Across a Healthcare System.

Authors

Mayer H Bellehsen, Haley M Cook, Joanna Fishbein, George Zenzerovich, Annmarie Wacha-Montes, Benjamin Moses, Arielle Goldberg, Patricia Watson, Richard J Westphal, Mary Beth McManus, Lily Thomas, Rebecca M Schwartz

Published in

Journal of occupational and environmental medicine. Jul 07, 2026. Epub Jul 07, 2026.

Abstract

Evaluate the impact of Stress First Aid (SFA) on healthcare workers' stress and well-being.
After SFA training, 2,891 employees from 11 hospitals completed baseline and three-month surveys over 12 months. Outcomes included SFA self-efficacy, stress, burnout, organizational support, resilience, and resource awareness/utilization. Models adjusted for role, setting, patient care, remote status, integration phase, and training percentage estimated odds ratios and CIs.
SFA self-efficacy increased (OR=1.08, p<.001), with lower stress (OR=1.03, p<.001), higher support (OR=1.02, p=.03), and greater resource awareness (p<.001). Burnout decreased (p=.005) but remained high among clinical, inpatient, and direct-care staff, and resilience remained unchanged. Patient-facing and inpatient roles had the highest burnout and resource use. Neither the integration phase nor the training percentage was associated with outcomes.
SFA improved self-efficacy, resource awareness, and perceived support, aiding stress management.

PMID:
42400939
Bibliographic data and abstract were imported from PubMed on 05 Jul 2026.

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