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Trial record 3 of 299 for:    (ARISE)

Achieving Resilience in Acute Care Nurses (ARISE).

This study is not yet open for participant recruitment. (see Contacts and Locations)
Verified January 2017 by St. Michael's Hospital, Toronto
Sponsor:
Information provided by (Responsible Party):
Orla Smith, St. Michael's Hospital, Toronto
ClinicalTrials.gov Identifier:
NCT03017469
First received: January 9, 2017
Last updated: NA
Last verified: January 2017
History: No changes posted
  Purpose
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 Intervention
Stress, Psychological
Compassion Fatigue
Other: ARISE

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: 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.

Resource links provided by NLM:


Further study details as provided by St. Michael's Hospital, Toronto:

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

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

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

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

  • 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.

  • 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.


Estimated Enrollment: 40
Study Start Date: February 2017
Estimated Study Completion Date: June 2017
Estimated Primary Completion Date: April 2017 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
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

  Eligibility

Ages Eligible for Study:   Child, Adult, Senior
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
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT03017469

Contacts
Contact: Orla M Smith, RN, PhD 416-864-6060 ext 3179 smitho@smh.ca
Contact: Julie A McShane, RN, MN 416-864-6060 ext 2321 mcshanej@smh.ca

Locations
Canada, Ontario
St. Michael's Hospital
Toronto, Ontario, Canada, M5B1W8
Sponsors and Collaborators
St. Michael's Hospital, Toronto
  More Information

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.

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     History of Changes
Other Study ID Numbers: SMH30Dec2016
Study First Received: January 9, 2017
Last Updated: January 9, 2017
Individual Participant Data  
Plan to Share IPD: No

Keywords provided by St. Michael's Hospital, Toronto:
Resilience
Workplace Stress
Occupational Fatigue
Compassion Fatigue
Peer Support
Self-Care
Employee Assistance

Additional relevant MeSH terms:
Fatigue
Stress, Psychological
Compassion Fatigue
Signs and Symptoms
Behavioral Symptoms
Mental Fatigue

ClinicalTrials.gov processed this record on March 27, 2017