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Achieving Resilience in Acute Care Nurses (ARISE).

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT03017469
Recruitment Status : Completed
First Posted : January 11, 2017
Last Update Posted : April 17, 2018
Sponsor:
Information provided by (Responsible Party):
Orla Smith, St. Michael's Hospital, Toronto

Brief 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.

Condition or disease Intervention/treatment Phase
Stress, Psychological Compassion Fatigue Other: ARISE Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 29 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
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.
Actual Study Start Date : February 21, 2017
Actual Primary Completion Date : May 31, 2017
Actual Study Completion Date : October 15, 2017

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: ARISE Intervention
Nurses who participate in the 1.5 day ARISE Intervention
Other: ARISE
  1. 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
  2. Half day (3.75 hours) workshop focusing on the following self-care techniques: mindfulness, yoga and stretching, and creative and reflective reading and writing
  3. Peer support through social media engagement (closed Facebook group) for 3 months post-intervention participation
  4. Five online, instructor-guided mindfulness sessions (Zoom)

No Intervention: Control Group
Nurses who do not participate in the ARISE Intervention



Primary Outcome Measures :
  1. Connor Davidson Resilience Scale (CD-RISC) [ Time Frame: 1 month post intervention ]

Secondary Outcome Measures :
  1. Connor Davidson Resilience Scale (CD-RISC) [ Time Frame: 3 months post intervention ]
  2. Occupational fatigue and recovery (OFER) scale [ Time Frame: 1 month post intervention ]
    Acute fatigue and inter-shift recovery scales only

  3. Occupational fatigue and recovery (OFER) scale [ Time Frame: 3 months post intervention ]
    Acute fatigue and inter-shift recovery scales only

  4. Professional Quality of Life (ProQOL5) scale [ Time Frame: 1 month post intervention ]
  5. Professional Quality of Life (ProQOL5) scale [ Time Frame: 3 months post intervention ]
  6. Perceived Stress Scale (PSS) [ Time Frame: 1 month post intervention ]
  7. Perceived Stress Scale (PSS) [ Time Frame: 3 months post intervention ]
  8. Occupational Coping Self-Efficacy Questionnaire for Nurses (OCSE-N). [ Time Frame: 1 month post intervention ]
  9. Occupational Coping Self-Efficacy Questionnaire for Nurses (OCSE-N). [ Time Frame: 3 months post intervention ]
  10. Mindfulness Attention Awareness Scale (MASS) [ Time Frame: 1 month post intervention ]
  11. Mindfulness Attention Awareness Scale (MASS) [ Time Frame: 3 months post intervention ]
    Mindfulness attention awareness will be measured using the Mindfulness Attention Awareness Scale (MASS).

  12. Program Evaluation Outcomes for ARISE participants [ Time Frame: 1 month post intervention ]
    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.

  13. Program Evaluation Outcomes for ARISE participants [ Time Frame: 3 months post intervention ]
    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.



Information from the National Library of Medicine

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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03017469


Locations
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Canada, Ontario
St. Michael's Hospital
Toronto, Ontario, Canada, M5B1W8
Sponsors and Collaborators
St. Michael's Hospital, Toronto
Additional Information:
Publications:
Akgum S, Al-Assaf AF, & Bakar C. Reducing Burnout among Hospital Professionals. Journal of Employee Assistance, 3:15-17, 2008.
Craigie M, Slatyer S, Hegney DG, Osseiran-Moisson R, Gentry E, Davis S., . . . Rees C. A Pilot Evaluation of a Mindful Self-care and Resiliency (MSCR) Intervention for Nurses. Mindfulness, 7(3), 764-774, 2016. doi:10.1007/s12671-016-0516-x
Klatt M, Steinberg B, Marks D & Duchemin A. Changes in physiological and psychological markers of stress in hospital personnel after a low-dose mindfulness-based worksite intervention. BMC Complementary and Alternative Medicine(12), 2014. doi:1472-6882/12/S1/O16
Schmidt GB, Lelchook AM, & Martin JE.The relationship between social media co-worker connections and work-related attitudes. Computers in Human Behavior, 55: 439-445, 2016. DOI: 10.1016/j.chb.2015.09.045
Sexton JD, Pennebaker JW, Holzmueller CG, Wu AW, Berenholtz SM, Swoboda SM, . . . Sexton JB. Care for the caregiver: benefits of expressive writing for nurses in the United States. Progress in Palliative Care, 17(6): 307-312, 2009. doi:10.1179/096992609x12455871937620
Sherrill WM, Harris M. Enhancing patient-provider communication through bibliotherapy: a brief historical review. Journal of Poetry Therapy, 27(2): 8, 2014.

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Responsible Party: Orla Smith, Director, Nursing/Clinical research, research manager, Critical Care Department, and associate scientist at the Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto
ClinicalTrials.gov Identifier: NCT03017469    
Other Study ID Numbers: SMH30Dec2016
First Posted: January 11, 2017    Key Record Dates
Last Update Posted: April 17, 2018
Last Verified: April 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Orla Smith, St. Michael's Hospital, Toronto:
Resilience
Workplace Stress
Occupational Fatigue
Compassion Fatigue
Peer Support
Self-Care
Employee Assistance
Additional relevant MeSH terms:
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Fatigue
Compassion Fatigue
Stress, Psychological
Behavioral Symptoms
Mental Fatigue
Occupational Stress