Clinical trial NCT03645512: Resilience Intervention for Critical Care Nurses
Official title: A Randomized Controlled Trial of a Resilience Intervention for Critical Care Nurses
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Stress
Keywords: Resilience
High Performance
Critical Care Nurse
Lead sponsor: AdventHealth
Sponsor class: OTHER
Collaborators: name: Johnson & Johnson
First posted: 2018-08-24
Enrollment: 108
Sex: ALL
Minimum age (years): 18
Maximum age (years): 99
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The Corporate Athlete® Resilience (CAR) Training Program is a 1-day training program that uses a holistic approach that focuses on moving between stress and strategic recovery to help build resilience and enable higher performance.

The purpose of this RCT is to determine whether the CAR Training Program has significant impact on nurses' resilience and stress mindset in their personal lives and their working environment. Knowledge from this study can be applied to interventions in the future to improve resilience behavior.

Detailed description: The ongoing nursing shortage in the U.S health care system is a multifaceted issue. One factor leading to the nursing shortage is high turnover, particularly among critical care nurses due to their experiences with stressful work environments, ethical dilemmas, and high rates of patient morbidity and mortality. There is also a high prevalence of psychological disorders, such as anxiety, depression, and Post Traumatic Stress Disorder (PTSD) among critical care nurses. Consequences of turnover and low nurse staffing include lower quality of care, lower patient satisfaction, increased medical errors, increased rates of health care associated infections, and higher 30-day mortality rates.

Resilience is defined as "the ability to adapt to life's ever-changing landscape and recover quickly from the stressors and potential stressors". It is a learned psychological characteristic that can be used to bounce back after disruption and successfully adapt to stressful work experiences in a positive manner.

Eligibility criteria: Inclusion Criteria:

1. Adult ≥ 18 years old
2. Employed as a critical care nurse at Florida Hospital in an adult ICU, PICU, PCVICU, or Level 3 NICU at the Altamonte, Orlando, or Winter Park campus
3. Able to speak, read, and understand English fluently
4. Able to provide informed consent
5. Meet ≥ 2 stress experience level parameters on the Stress Mindset Measure - General (SMM-G)
6. Meet ≤ 4.3 on the Brief Resilience Scale (BRS)
7. Willing to attend a full-day training program at HPI on the designated training date
8. Willing and able to comply with all study procedures and requirements for the duration of the study.

Exclusion Criteria:

1. Meet \< 2 stress experience level parameters on the SMM-G
2. Meet \> 4.3 on the BRS
3. Receive a high score of ≥ 27 on the Emotional Exhaustion domain and/or a high score of ≥ 13 on the Depersonalization domain of the Maslach Burnout Inventory (MBI)

Primary outcomes:
measure: Stress Mindset Measure - General (SMM-G)
timeFrame: Change from Baseline SMM-G score at 6-months post CAR Training
Secondary outcomes:
measure: Perceived Stress Scale (PSS)
timeFrame: Change from Baseline PSS score at 6-months post CAR Training
measure: Brief Resilience Scale (BRS)
timeFrame: Change from Baseline BRS score at 6-months post CAR Training
measure: Maslach Burnout Inventory Human Serices Survey (MBI-HSS) for Medical Personnel (MP)
timeFrame: Change from Baseline MBI-HSS (MP) score at 6-months post CAR Training
measure: Public Health Surveillance - Wellbeing Scale (PHS-WB)
timeFrame: Change from Baseline PHS-WB score at 6-months post CAR Training
measure: RAND Medial Outcomes Study (MOS) Sleep Scale Survey
timeFrame: Change from Baseline RAND MOS Sleep Scale Survey score at 6-months post CAR Training
measure: RAND 36-Item Short Form Health Survey (SF-36)
timeFrame: Change from Baseline RAND SF-36 score at 6-months post CAR Training
measure: Absenteeism & Presenteeism questions of the World Health Organization's Health and Work Performance Questionnaire (WHO-HPQ)
timeFrame: Change from Baseline WHO-HPQ score at 6-months post CAR Training
measure: Work Productivity and Activity Impairment Questionnaire (WPAI)
timeFrame: Change from Baseline WPAI score at 6-months post CAR Training
measure: Energy Management Behaviors Questionnaire (EMB)
timeFrame: Change from Baseline EMB score at 6-months post CAR Training
Other outcomes:
Locations:
city: Orlando
country: United States
facility: Florida Hospital
state: Florida
Study officials:
affiliation: AdventHealth
name: Amanda T Sawyer, PhD
role: PRINCIPAL_INVESTIGATOR
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