Achieving Resilience in Acute Care Nurses (ARISE).

Study Overview
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Brief Summary
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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.

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

Conditions
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Stress, Psychological, Compassion Fatigue

Intervention / Treatment
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* Other: ARISE


Participation Criteria
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Eligibility Criteria
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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
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: ARISE Intervention<br>Nurses who participate in the 1.5 day ARISE Intervention | Other: ARISE<br>* 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)<br>|
| No Intervention: Control Group<br>Nurses who do not participate in the ARISE Intervention | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Connor Davidson Resilience Scale (CD-RISC) |  | 1 month post intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Connor Davidson Resilience Scale (CD-RISC) |  | 3 months post intervention | 
| Occupational fatigue and recovery (OFER) scale | Acute fatigue and inter-shift recovery scales only | 1 month post intervention | 
| Occupational fatigue and recovery (OFER) scale | Acute fatigue and inter-shift recovery scales only | 3 months post intervention | 
| Professional Quality of Life (ProQOL5) scale |  | 1 month post intervention | 
| Professional Quality of Life (ProQOL5) scale |  | 3 months post intervention | 
| Perceived Stress Scale (PSS) |  | 1 month post intervention | 
| Perceived Stress Scale (PSS) |  | 3 months post intervention | 
| Occupational Coping Self-Efficacy Questionnaire for Nurses (OCSE-N). |  | 1 month post intervention | 
| Occupational Coping Self-Efficacy Questionnaire for Nurses (OCSE-N). |  | 3 months post intervention | 
| Mindfulness Attention Awareness Scale (MASS) |  | 1 month post intervention | 
| Mindfulness Attention Awareness Scale (MASS) | Mindfulness attention awareness will be measured using the Mindfulness Attention Awareness Scale (MASS). | 3 months post intervention | 
| 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 | 
| 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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Resilience, Workplace Stress, Occupational Fatigue, Compassion Fatigue, Peer Support, Self-Care, Employee Assistance