A Resiliency and TIC Intervention for PMHNP Specialty DNP Students

Study Overview
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Brief Summary
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The goal of this observational study is to explore the impact of a resiliency and trauma informed care educational intervention for Psychiatric Mental Health Nurse Practitioner (PMHNP) students at the University of Arizona College of Nursing during the final, clinical year of the program. Specifically, the investigators will examine if the educational intervention is feasible, acceptable and helpful to students, and can decrease burnout and increase resiliency.

Detailed Description
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Students in the Doctor of Nursing Practice (DNP) and certificate programs during their final, clinical year of the program will be asked to complete anonymous online surveys before each semester (Spring, Summer, and Fall) that measure levels of burnout, resiliency, Adverse Childhood Experiences (ACEs), perceived stress, and knowledge related to trauma-informed care principles and ways to promote their resiliency. Students in the Psychiatric Mental Health Nurse Practitioner (PMHNP) specialty will receive an educational intervention related to trauma-informed care and resiliency during an in-person clinical immersion in January, May, and August 2023; after each session, they will be asked to complete an anonymous online post-intervention survey. Each survey includes a disclosure statement and list of University and national mental health resources in case participants experience any emotional distress related to the topics/questions related to the survey.

Official Title
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A Resiliency and Trauma-Informed Care Intervention for Psychiatric Mental Health Nurse Practitioner Specialty Doctor of Nursing Practice Students

Conditions
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Stress, Trauma

Intervention / Treatment
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* Other: Educational Intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Doctor of Nursing Practice (DNP) and post-Masters certificate students at the University of Arizona College of Nursing in the final, clinical year of their program. Exclusion Criteria: None.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| 2023 Clinical Cohort<br>Students in the Doctor of Nursing Practice (DNP) nurse practitioner specialties and certificate programs in the clinical year of their programs during 2023. | Other: Educational Intervention<br>* Educational intervention addressing trauma-informed care and resiliency.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Trauma informed care knowledge questionnaire | An original online survey designed by the investigators to align with objectives of intervention and to measure participants' knowledge and confidence related to trauma informed care principles. Composed of 12 items, all open-ended or Likert scale responses. | 2023 Academic Year | 
| Resiliency knowledge and skills questionnaire | An original online survey designed by the investigators to align with objectives of intervention and to measure participants' knowledge and confidence related to trauma informed care principles. Composed of 12 items, all open-ended or Likert scale responses. | 2023 Academic Year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Maslach Burnout Inventory Scale questionnaire | Min value=0, max value=132, higher score indicates more professional burnout (worse outcome) | 2023 Academic Year | 
| Connor-Davison Resilience Scale 25 (CD-RISC-25) questionnaire | Min value=0, max value=100, higher score indicates better resiliency (better outcome) | 2023 Academic Year | 
| Perceived Stress Scale questionnaire | Min value=0, max value=40, higher score indicates higher perceived stress (worse outcome) | 2023 Academic Year | 
| Adverse Childhood Experiences (ACEs) questionnaire | Min value=0, max value=10, higher score indicates more negative childhood experiences related to physical and mental health issues later in life (worse outcome) | Spring 2023 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Graduate nursing students, Resiliency, Trauma informed care