Achieving Resilience in Acute Care Nurses (ARISE).

Stress, Psychological Clinical Trial

Official title:

Achieving Resilience in Acute Care Nurses (ARISE): A Randomized Controlled Trial of a Multi-component Intervention for Nurses in Critical Care and Trauma.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03017469
• Other study ID #: SMH30Dec2016
• Status: Completed
• Phase: N/A
• First received: January 9, 2017
• Last updated: April 16, 2018
• Start date: February 21, 2017
• Est. completion date: October 15, 2017

Study information

• Verified date: April 2018
• Source: St. Michael's Hospital, Toronto
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Nurses are exposed to myriad stressors, both in the workplace and in their everyday lives, which can lead to adverse personal and professional outcomes. While workplace stress cannot be eliminated, nurses can learn techniques to build resilience, mitigate stress, and decrease fatigue. Organizational employee health, wellness, and assistance programs are all intentioned to provide this type of support; however, nurses often lack awareness of options and opportunities, and access can be a challenge. The purpose of the proposed study is to assess the outcomes of a multi-modal intervention and toolkit, ARISE, designed to enhance resilience and promote awareness of organizational resources for health, wellness, and employee assistance. We will evaluate the impact of participation in ARISE on resilience and other outcomes in nurses in critical care and trauma settings. As a Best Practice Spotlight Organization designated by the Registered Nurses Association of Ontario (RNAO), this project will incorporate relevant recommendations from Best Practice Guidelines (BPG) related to Workplace Health, Safety, and Well-being of the Nurse; and Preventing and Mitigating Nurse Fatigue in Health Care.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 29
• Est. completion date: October 15, 2017
• Est. primary completion date: May 31, 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Nurse in the medical-surgical and trauma-neurosurgical intensive care units (MSICU and TNICU) and the medical/surgical floor (9CCN),

• full-time or part-time employment status,

• approval of clinical leader manager (CLM),

• receipt of written informed consent.

Exclusion Crieria:

• casual employment status

• inability to attend intervention days

Related Conditions & MeSH terms

• Compassion Fatigue
• Fatigue
• Stress, Psychological

Intervention

Other:
• ARISE
Full day (7.5 hours) workshop consisting of a resilience-focused seminar facilitated by our Employee Assistance Provider (EAP) [Shepell], an introduction to hospital based resources including EAP and health and wellness offerings, and an introduction to self-care and self-care techniques including yoga and stretches, stress relief using the senses and mindfulness Half day (3.75 hours) workshop focusing on the following self-care techniques: mindfulness, yoga and stretching, and creative and reflective reading and writing Peer support through social media engagement (closed Facebook group) for 3 months post-intervention participation Five online, instructor-guided mindfulness sessions (Zoom)

Locations

Country	Name	City	State
Canada	St. Michael's Hospital	Toronto	Ontario

Sponsors (1)

Lead Sponsor	Collaborator
St. Michael's Hospital, Toronto

Country where clinical trial is conducted

Canada, 

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* Note: There are 62 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Connor Davidson Resilience Scale (CD-RISC)		1 month post intervention
Secondary	Connor Davidson Resilience Scale (CD-RISC)		3 months post intervention
Secondary	Occupational fatigue and recovery (OFER) scale	Acute fatigue and inter-shift recovery scales only	1 month post intervention
Secondary	Occupational fatigue and recovery (OFER) scale	Acute fatigue and inter-shift recovery scales only	3 months post intervention
Secondary	Professional Quality of Life (ProQOL5) scale		1 month post intervention
Secondary	Professional Quality of Life (ProQOL5) scale		3 months post intervention
Secondary	Perceived Stress Scale (PSS)		1 month post intervention
Secondary	Perceived Stress Scale (PSS)		3 months post intervention
Secondary	Occupational Coping Self-Efficacy Questionnaire for Nurses (OCSE-N).		1 month post intervention
Secondary	Occupational Coping Self-Efficacy Questionnaire for Nurses (OCSE-N).		3 months post intervention
Secondary	Mindfulness Attention Awareness Scale (MASS)		1 month post intervention
Secondary	Mindfulness Attention Awareness Scale (MASS)	Mindfulness attention awareness will be measured using the Mindfulness Attention Awareness Scale (MASS).	3 months post intervention
Secondary	Program Evaluation Outcomes for ARISE participants	For each component of the intervention, and for the ARISE program as a whole, we will ask participants to rate utility, satisfaction, and frequency of use of intervention components.	1 month post intervention
Secondary	Program Evaluation Outcomes for ARISE participants	For each component of the intervention, and for the ARISE program as a whole, we will ask participants to rate utility, satisfaction, and frequency of use of intervention components.	3 months post intervention

External Links

•   Cohen, S. (1994). Perceived Stress Scale.
•   Registered Nurses' Association of Ontario [RNAO]. (2011). Preventing and Mitigating Nurse Fatigue in Health Care Toronto, Canada Registered Nurses' Association of Ontario
•   Registered Nurses' Association of Ontario. (2008). Workplace Health, Safety and Well-being of the Nurse. Toronto, Canada: Registered Nurses' Association of Ontario
•   Stamm, B. (2005 ). The ProQOL Manual: THE PROFESSIONAL QUALITY OF LIFE SCALE: Compassion Satisfaction, Burnout & Compassion Fatigue/Secondary Trauma Scales. Pocatello, ID.
•   Stamm, B. (2010). The Concise ProQOL Manual. In ProQoL.or (Ed.): Pocatello.