Comparison With Prior Work
Our findings have highlighted the potential need for resilience-enhancement programs for nurses working in highly stressful working conditions. This pilot trial was carried out across an NHS trust in South England during the height of the COVID-19 pandemic, when pressures on health care staff were extremely high, with nurses having considerable demands on their time and multiple conflicting priorities [The REsOluTioN pilot trial has shown that web-based resilience-enhancement programs appear acceptable to nurses working across a range of health care settings. This is evidenced by the low dropout rate of participants who enrolled in the study, which is an indicator of high levels of acceptance [Feedback from participants who enrolled in the training arm indicated that they were satisfied with the different the REsOluTioN program components and that the web-based facilitated and mentorship sessions were well received. This endorsement of the mentorship component of the REsOluTioN program has been evidenced in previous research exploring resilience in nurses [Although no statistically significant mean differences were found in levels of resilience or psychological well-being between the waitlist control and training arms, the small sample size of the pilot study makes it difficult to draw meaningful conclusions from the dataset. Furthermore, resilience and psychological well-being scores were higher in the training arm than the waitlist control arm at the end of the study, suggesting positive trends in the right direction and that the REsOluTioN program may lead to statistically significant outcomes when tested on a larger population. Pilot studies are recommended as the first step in determining information relating to study design, engagement, and acceptability, as 