Resilience Intervention for Critical Care Nurses
A Randomized Controlled Trial of a Resilience Intervention for Critical Care Nurses
1 other identifier
interventional
108
1 country
1
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.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Oct 2018
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 21, 2018
CompletedFirst Posted
Study publicly available on registry
August 24, 2018
CompletedStudy Start
First participant enrolled
October 26, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
June 30, 2019
CompletedFebruary 19, 2020
February 1, 2020
8 months
August 21, 2018
February 18, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Stress Mindset Measure - General (SMM-G)
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.
Change from Baseline SMM-G score at 6-months post CAR Training
Secondary Outcomes (9)
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 Serices 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-WB score at 6-months post CAR Training
RAND Medial Outcomes Study (MOS) Sleep Scale Survey
Change from Baseline RAND MOS Sleep Scale Survey score at 6-months post CAR Training
- +4 more secondary outcomes
Study Arms (2)
Intervention
EXPERIMENTALThe intervention group will attend in the 1-day Corporate Athlete Resilience (CAR) Training Program in Lake Nona.
Control
NO INTERVENTIONThe control group will attend the 1-day CAR Training Program in Lake Nona after a 3-month wait list period, which will be three months after the intervention group attends the intervention.
Interventions
A 1-day training program developed by the J\&J Human Performance Institute (HPI), which uses a holistic approach that focuses on moving between stress and strategic recovery to help build resilience and enable higher performance.
Eligibility Criteria
You may qualify if:
- Adult ≥ 18 years old
- 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
- Able to speak, read, and understand English fluently
- Able to provide informed consent
- Meet ≥ 2 stress experience level parameters on the Stress Mindset Measure - General (SMM-G)
- Meet ≤ 4.3 on the Brief Resilience Scale (BRS)
- 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.
You may not qualify if:
- Meet \< 2 stress experience level parameters on the SMM-G
- Meet \> 4.3 on the BRS
- 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)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- AdventHealthlead
- Johnson & Johnsoncollaborator
Study Sites (1)
Florida Hospital
Orlando, Florida, 32804, United States
Related Publications (18)
Acker KH. Do critical care nurses face burnout, PTSD, or is it something else?: getting help for the helpers. AACN Clin Issues Crit Care Nurs. 1993 Aug;4(3):558-65.
PMID: 8136229BACKGROUNDBann CM, Kobau R, Lewis MA, Zack MM, Luncheon C, Thompson WW. Development and psychometric evaluation of the public health surveillance well-being scale. Qual Life Res. 2012 Aug;21(6):1031-43. doi: 10.1007/s11136-011-0002-9. Epub 2011 Sep 23.
PMID: 21947657BACKGROUNDHughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Available from http://www.ncbi.nlm.nih.gov/books/NBK2651/
PMID: 21328752BACKGROUNDCohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983 Dec;24(4):385-96. No abstract available.
PMID: 6668417BACKGROUNDCrum AJ, Salovey P, Achor S. Rethinking stress: the role of mindsets in determining the stress response. J Pers Soc Psychol. 2013 Apr;104(4):716-33. doi: 10.1037/a0031201. Epub 2013 Feb 25.
PMID: 23437923BACKGROUNDJohnson & Johnson Health & Wellness Solutions Research Team. 2017. Validation and Analysis of Johnson & Johnson Human Performance Institute™ (HPI) Assessment Inventory. Unpublished manuscript.
BACKGROUNDKessler RC, Barber C, Beck A, Berglund P, Cleary PD, McKenas D, Pronk N, Simon G, Stang P, Ustun TB, Wang P. The World Health Organization Health and Work Performance Questionnaire (HPQ). J Occup Environ Med. 2003 Feb;45(2):156-74. doi: 10.1097/01.jom.0000052967.43131.51.
PMID: 12625231BACKGROUNDMaslach, C., Jackson, S. E., & Leiter, M. P. (1996). Maslach Burnout Inventory manual (3rd ed.). Palo Alto, CA: Consulting Psychologists Press.
BACKGROUNDMealer ML, Shelton A, Berg B, Rothbaum B, Moss M. Increased prevalence of post-traumatic stress disorder symptoms in critical care nurses. Am J Respir Crit Care Med. 2007 Apr 1;175(7):693-7. doi: 10.1164/rccm.200606-735OC. Epub 2006 Dec 21.
PMID: 17185650BACKGROUNDMealer M, Burnham EL, Goode CJ, Rothbaum B, Moss M. The prevalence and impact of post traumatic stress disorder and burnout syndrome in nurses. Depress Anxiety. 2009;26(12):1118-26. doi: 10.1002/da.20631.
PMID: 19918928BACKGROUNDMealer M, Conrad D, Evans J, Jooste K, Solyntjes J, Rothbaum B, Moss M. Feasibility and acceptability of a resilience training program for intensive care unit nurses. Am J Crit Care. 2014 Nov;23(6):e97-105. doi: 10.4037/ajcc2014747.
PMID: 25362680BACKGROUNDMealer M, Jones J, Newman J, McFann KK, Rothbaum B, Moss M. The presence of resilience is associated with a healthier psychological profile in intensive care unit (ICU) nurses: results of a national survey. Int J Nurs Stud. 2012 Mar;49(3):292-9. doi: 10.1016/j.ijnurstu.2011.09.015. Epub 2011 Oct 5.
PMID: 21974793BACKGROUNDPipe TB, Buchda VL, Launder S, Hudak B, Hulvey L, Karns KE, Pendergast D. Building personal and professional resources of resilience and agility in the healthcare workplace. Stress Health. 2012 Feb;28(1):11-22. doi: 10.1002/smi.1396. Epub 2011 Mar 13.
PMID: 22259154BACKGROUNDRAND Corporation. (2018). Sleep Scale Survey. Retrieved from https://www.rand.org/health/surveys_tools/mos/sleep-scale.html.
BACKGROUNDRAND Corporation. (2018). 36-Item Short Form Survey (SF-36). Retrieved from https://www.rand.org/health/surveys_tools/mos/36-item-short-form.html.
BACKGROUNDReilly MC, Zbrozek AS, Dukes EM. The validity and reproducibility of a work productivity and activity impairment instrument. Pharmacoeconomics. 1993 Nov;4(5):353-65. doi: 10.2165/00019053-199304050-00006.
PMID: 10146874BACKGROUNDSmith BW, Dalen J, Wiggins K, Tooley E, Christopher P, Bernard J. The brief resilience scale: assessing the ability to bounce back. Int J Behav Med. 2008;15(3):194-200. doi: 10.1080/10705500802222972.
PMID: 18696313BACKGROUNDKunzler AM, Helmreich I, Chmitorz A, Konig J, Binder H, Wessa M, Lieb K. Psychological interventions to foster resilience in healthcare professionals. Cochrane Database Syst Rev. 2020 Jul 5;7(7):CD012527. doi: 10.1002/14651858.CD012527.pub2.
PMID: 32627860DERIVED
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Amanda T Sawyer, PhD
AdventHealth
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 21, 2018
First Posted
August 24, 2018
Study Start
October 26, 2018
Primary Completion
June 30, 2019
Study Completion
June 30, 2019
Last Updated
February 19, 2020
Record last verified: 2020-02