Jacqueline Hoying

Conflicts of Interest The authors declare no conflicts of interest. Data Availability Statement The data that support the findings of this study are available from the corresponding author upon reasonable request. Supporting Information Filename Description wvn70148-sup-0001-Supinfo.docxWord 2007 document , 104.2 KB Table S1: SWOT assessment. Figure S1: PRISMA. Table S2: Levels of evidence synthesis table. References , , , and . 2022.

INTRODUCTION There is a heightened awareness of the mental health needs of healthcare workers, specifically registered nurses. Mental health indicators in nurses have historically indicated a greater prevalence of anxiety, depression, and suicide than in the general population (Cheung & Yip, 2015; Davis et al., 2021; Maharaj et al., 2018; Remes et al., 2016). Prevalence of anxiety, depression, and stress has also increased during the COVID-19 pandemic (Al et al., 2021; Ślusarska et al., 2022).

This project aimed to enhance access to pediatric mental primary health care. The Keep Your Children/Yourself Safe and Secure (KySS) training was offered to a multidisciplinary team at a Federally Qualified Health Clinic in the Midwest United States. Confidence was measured using the Healthcare Provider Confidence Scale (HPCS). Frequencies of visits and mental health referrals were compared preintervention/postintervention. HPCS scores were compared using Wilcoxon rank-sum and Cohen's d.