A Mixed Methods Evaluation of a Resilience Intervention With Psychoeducational Sessions for Critical Care Nurses
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- AdventHealth
- Enrollment
- 20
- Locations
- 1
- Primary Endpoint
- Stress Mindset Measure - General (SMM-G)
Study Overview
Brief Summary
The purpose of this pilot study is to determine whether the combination of the Corporate Athlete® Resilience (CAR) Training Program and follow-up psychoeducational group sessions 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.
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.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 99 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Adult ≥ 18 years old.
- •Employed as a critical care nurse at Florida Hospital in an adult ICU, PICU, PCVICU, or Level 3 NICU.
- •Able to speak, read, and understand English fluently.
- •Able to provide informed consent.
- •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) as part of Florida Hospital IRBNet #
- •Willing to attend a full-day training program at HPI on the designated training date.
- •Willing and able to comply with all study procedures and requirements for the duration of the study.
Exclusion Criteria
- •At imminent risk of harm to themselves or others
Arms & Interventions
CAR Training and Psychoeducational Sessions
This is a secondary study to the primary study titled "A Randomized Controlled Trial of a Resilience Intervention for Critical Care Nurses" (IRBNet #1234568). In the primary study, participants will be randomized into the intervention group or wait-list control group.
In this secondary study, all participants will attend the 1-day CAR Training Program and the follow-up psychoeducational group sessions.
Intervention: CAR Training and Psychoeducational Sessions (Behavioral)
Outcomes
Primary Outcomes
Stress Mindset Measure - General (SMM-G)
Time Frame: Change from Baseline SMM-G score at 6-months post CAR Training
Participants will respond to an 8-item questionnaire measuring stress. Responses will be provided on the following 5-point scale: 0=Strongly Disagree, 1=Disagree, 2=Neither Agree nor Disagree, 3=Agree, 4=Strongly Agree.
Secondary Outcomes
- Perceived Stress Scale (PSS)(Change from Baseline PSS score at 6-months post CAR Training)
- Brief Resilience Scale (BRS)(Change from Baseline BRS score at 6-months post CAR Training)
- Maslach Burnout Inventory Human Services Survey (MBI-HSS) for Medical Personnel (MP)(Change from Baseline MBI-HSS (MP) score at 6-months post CAR Training)
- Public Health Surveillance - Wellbeing Scale (PHS-WB)(Change from Baseline PHS-WBscore at 6-months post CAR Training)
- RAND Medical Outcomes Study (MOS) Sleep Scale Survey(Change from Baseline RAND MOS Sleep Scale score at 6-months post CAR Training)
- RAND 36-Item Short Form Health Survey (SF-36)(Change from Baseline SF-36 score at 6-months post CAR Training)
- Absenteeism and Presenteeism questions of the World Health Organization's Health and Work Performance Questionnaire (WHO-HPQ)(Change from Baseline WHO-HPQ score at 6-months post CAR Training)
- Work Productivity and Activity Impairment Questionnaire (WPAI)(Change from Baseline WPAI score at 6-months post CAR Training)
- Self-Reflection and Insight Scale (SRIS)(Change from Baseline SRIS score at 6-months post CAR Training)
- Self-Compassion Scale - Short Form (SCS-SF)(Change from Baseline SCS-SF score at 6-months post CAR Training)
- Psychological Empowerment Instrument(Change from Baseline Psychological Empowerment Instrument score at 6-months post CAR Training)