Eastern Principles Acceptance and Commitment Therapy For Injury Prevention Among Nurses and Nursing Aides

NCT06813495 | Recruiting

• 1 other identifier: 10011559
• Study Type: interventional
• Target: 255
• Locations: 1 country
• Sites: 1

Brief Summary

This clinical trial will evaluate the effectivness of an Eastern Principles Acceptance and Commitment Therapy intervention (EPACT) relative to an estabished traditional Western-based Acceptance and Commitment Therapy intervention (ACT) and a no treatment control group. The participants for the study will be nurses and nursing aides (NNAs) who work in long-term care settings in the USA and Thailand. The primary dependent variables are work-related injuries, work stress and burnout, wellbeing, musculoskeletal symptoms, time off from work due to injury. High frequency heart rate variability will also be investigated as a predictor of responsiveness to the interventions. The study has three primary aims:

1. 1.To compare the EPACT NNA intervention to an established traditional Western ACT NNA intervention and a no-treatment control group.
2. 2.To identify predictors of ACT NNA and EPACT NNA responsiveness to the interventions and injury likelihood across time.
3. 3.To assess EPACT NNA's feasibility and effectiveness across cultures.

Conditions

Well-Being, Psychological; Work Injury; Musculoskeletal Pain; High Frequency Heart Rate Variability; Burnout; Mindfulness; Self-Compassion; Acceptance and Commitment Therapy; Heart Rate Variability

Outcome Measures

Primary Outcomes (9)

• Organizational and Work Characteristics Associated with Injury

  The Risk for Nursing Aide Injury Inventory (RNAII) contains 6 items measuring demographic variables, 9 items measuring job characteristics (e.g., tenure, hours per week, hours per shift, etc.) and 120 items assessing individual and organizational characteristics (e.g., staffing, space, training, physical environment characteristics, organizational constraints, incivility, family-work conflict, lifting device availability, organizational safety climate, supervisor relationships, and worker respect).

  Measured at baseline (pretreatment), 1 month, and 3 months

• Exposure to Violence

  The Workplace Violence Tool is used to measure exposure to assault and abuse of NNAs. The workplace violence tool consists of 7 items that assess the occurrence of: (a) threat of assault, (b) emotional abuse (e.g., hurtful remarks), (c) physical abuse (e.g., spit, kick, punch), (d) verbal sexual harassment, (e) sexual assault (e.g., touching, groping), and (f) forced sexual intercourse. Bostrom et al. (2011) modified the original measure to include information about the source of assault or abuse (resident, family member, coworker, other).

  Measured at baseline (pretreatment), 1 month, and 3 months

• Work-related Injuries and Days Missed Due to Injury

  The National Nursing Assistant Survey (NNAS) will be used to measure NNA injuries. The NNAS was developed by the Centers for Disease Control (Squillace, et al., 2007). The NNAS contains 6 items assessing musculoskeletal injuries, strains and muscle pulls, bites, scratches, wounds, cuts, bruising, and other types of injuries. Additionally, the NNAS measures the type of injury, cause of injury, days unable to work due to injury, and restricted activity due to injury.

  Measured at baseline, 1 month, and 3 months

• Musculoskeletal Symptoms

  Musculoskeletal symptoms will be measured a scale developed by Kuorinka et al. (1987). This scale asks participants how often they experienced any of 9 common musculoskeletal complaints, on a scale from "never" to "very often." The 9 complaints included in this scale adequately represent the musculoskeletal symptoms identified in our prior research with nursing aides (O'Brien et al., 2019a).

  Measured at baseline (pretreatment), 1 month, and 3 months

• Burnout

  Copenhagen Burnout Inventory (Kristensen, et al., 2005) will be used to measure burnout. The 18 items on the inventory form three subscales: personal burnout, work-related burnout, and client-related burnout. The scale has demonstrated strong reliability, consistency, and validity in prior research investigations.

  Measured at baseline (pretreatment), 1 month, and 3 months

• Acceptance, present-moment awareness, self-as-context, defusion, values, and committed action

  The Multidimensional Psychological Flexibility Inventory (MPFI) is a 60-item measure that was developed by Rolffs et al., (2018). The MPFI includes six subscales that measure psychological flexibility: acceptance, defusion, values, committed action, present-moment-awareness, self-as-context, and experiential avoidance. Six other subscales represent psychological inflexibility: experiential avoidance, fusion, lack of values, inaction, noncontact with the present moment, and self-as-content.

  Measured at baseline (pretreatment), 1 month, and 3 months

• Self-compassion and other compassion

  The Self-Compassion Scale (SCS) is a 26 item self-report measure that was developed by Neff (2003) to measure the extent to which a person may report a perspective towards the suffering of self that reflects kindness versus judgement, common humanity versus isolation, and mindfulness versus overidentification. The SCS yields 6 subscales: Self-Kindness, Common Humanity, Mindfulness, Self-Judgement, Isolation, and Over-Identified. The Compassion scale (CS) is a 16-item inventory measuring compassion for others. It has four subscales: kindness, common humanity, mindfulness, and lessened indifference.

  Measured at baseline (pretreatment), 1 month, and 3 months

• Ubiquity of suffering, impermanence, common humanity, nonattachment to self.

  The Mindfulness Insight Scale (MIS) is a 16-item measure that assesses the three characteristics of existence (inevitability of suffering, impermanence, and nonself-attachment/interconnectedness) from an Eastern and Buddhist perspective. Each item (e.g., "No living creature can escape suffering," "With or without noticing, change constantly occurs to everything," "I try not to get caught up in "Who I am.") is rated from 1 (very untrue) to 5 (very true).

  Measured at baseline (pretreatment), 1 month, and 3 months

• High Frequency Heart Rate Variability (HF-HRV)

  Resting HF-HRV levels will be collected from participants at their worksites. The resting HF-HRV will be recorded across a 10-minute interval while the participants are seated comfortably in a private room at each site. ECG data will be collected with a Biopac MP150 interfaced with Biopac Acqknowledge 4.3 software. ECG electrodes will be attached to participants using a lead II configuration. The ECG signal will be sampled at a rate of 1000Hz, which exceeds the minimum recommended sampling rate of 500Hz (Allen, et al., 2007). Once recorded, ECG signals will be replayed and visually inspected by researchers to detect and remove artifacts. The cleaned ECG data will then be analyzed using Kubios software (Tarvainen, et al., 2014).

  Measured at baseline (pretreatment), 1 month, and 3 months

Study Arms (3)

Eastern Principles Acceptance and Commitment Therapy for Nurss and Nursing Aids (EPACT NNA)

ACTIVE COMPARATOR

The EPACT intervention is designed to promote psychological flexibility (Hayes, et al., 2006), compassion, a recognition of impermanence, common humanity, and non-self-attachment. Psychological flexibility has six core processes: acceptance, cognitive defusion, present moment awareness, self-as-context, values, committed action. The EPACT NNA intervention will be group-based with 5-10 participants per group. The group-based format has been shown to be an effective delivery method for NNAs (O'Brien, et al., 2019b). The EPACT NNA protocol is comprised of two 2.5-hour sessions spaced one week apart.

Behavioral: Eastern Principles Acceptance and Commitment Therapy for Nurses and Nursing Aids (EPACT NNA)

Acceptance and Commitment Therapy for Nurses and Nursing Aids (ACT NNA)

ACTIVE COMPARATOR

The ACT NNA intervention has been previously tested for NNAs. It contains the six core processes identified above and omits the added EPACT components of acceptance of suffering, common humanity, impermanence, self- and other-compassion, and non-self- attachment. It will be delivered in a similar group-based format of 5-10 participants in three 2.5 - hour sessions.

Behavioral: Acceptance and Commitment Therapy for Nurses and Nursing Aids (ACT NNA)

Control Group

NO INTERVENTION

Control group participants will complete measures at the same time points as the EPACT NNA and ACT NNA groups. We opted to use a no-treatment control group to allow for measurement of the durability of treatment gains across a 3-month follow-up period without an expectation for treatment.

Interventions

Eastern Principles Acceptance and Commitment Therapy for Nurses and Nursing Aids (EPACT NNA) BEHAVIORAL

The EPACT intervention will be group-based with 5-10 participants per group. The group-based format has been shown to be an effective delivery method for NNAs (O'Brien, et al., 2019b). The EPACT protocol is comprised of two 2.5-hour sessions spaced one week apart.

Eastern Principles Acceptance and Commitment Therapy for Nurss and Nursing Aids (EPACT NNA)

Acceptance and Commitment Therapy for Nurses and Nursing Aids (ACT NNA) BEHAVIORAL

The ACT for NNA intervention has been previously tested for NNAs. It contains only the six core processes identified above and omits the added EPACT components of acceptance of suffering, common humanity, impermanence, self- and other-compassion, and non-self-attachment. It will be delivered in a similar group-based format of 5-10 participants in two 2.5 -hour sessions.

Acceptance and Commitment Therapy for Nurses and Nursing Aids (ACT NNA)

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• USA: Employed as a nurse or nursing aide in a long-term care facility within a 120 mile radius of Bowling Green, Ohio.
• Thailand: Employed as a nurse or nursing aide in Chiang Mai, Thailand or Krung Thep Bangkok), Thailand.
• At least 18 years of age.
• Able to attend scheduled assessment and intervention appointments.

Sponsors & Collaborators

• Bowling Green State University: lead
• Ohio Bureau of Workers Compensation: collaborator

Study Sites (1)

Bowling Green State University

Bowling Green, Ohio, 43402, United States

RECRUITING

Related Publications (79)

• Ahola K, Salminen S, Toppinen-Tanner S, Koskinen A, Vaananen A. Occupational burnout and severe injuries: an eight-year prospective cohort study among Finnish forest industry workers. J Occup Health. 2013;55(6):450-7. doi: 10.1539/joh.13-0021-oa. Epub 2013 Oct 26.

  PMID: 24162145 BACKGROUND

• Baer RA, Smith GT, Hopkins J, Krietemeyer J, Toney L. Using self-report assessment methods to explore facets of mindfulness. Assessment. 2006 Mar;13(1):27-45. doi: 10.1177/1073191105283504.

  PMID: 16443717 BACKGROUND

• Bernal D, Campos-Serna J, Tobias A, Vargas-Prada S, Benavides FG, Serra C. Work-related psychosocial risk factors and musculoskeletal disorders in hospital nurses and nursing aides: a systematic review and meta-analysis. Int J Nurs Stud. 2015 Feb;52(2):635-48. doi: 10.1016/j.ijnurstu.2014.11.003. Epub 2014 Nov 15.

  PMID: 25480459 BACKGROUND

• Blignault I, Ponzio V, Rong Y, Eisenbruch M. A qualitative study of barriers to mental health services utilisation among migrants from mainland China in south-east Sydney. Int J Soc Psychiatry. 2008 Mar;54(2):180-90. doi: 10.1177/0020764007085872.

  PMID: 18488410 BACKGROUND

• Bohlmeijer E, ten Klooster PM, Fledderus M, Veehof M, Baer R. Psychometric properties of the five facet mindfulness questionnaire in depressed adults and development of a short form. Assessment. 2011 Sep;18(3):308-20. doi: 10.1177/1073191111408231. Epub 2011 May 17.

  PMID: 21586480 BACKGROUND

• Bos EH, Krol B, Van Der Star A, Groothoff JW. The effects of occupational interventions on reduction of musculoskeletal symptoms in the nursing profession. Ergonomics. 2006 Jun 10;49(7):706-23. doi: 10.1080/00140130600578005.

  PMID: 16720530 BACKGROUND

• Bostrom AM, Squires JE, Mitchell A, Sales AE, Estabrooks CA. Workplace aggression experienced by frontline staff in dementia care. J Clin Nurs. 2012 May;21(9-10):1453-65. doi: 10.1111/j.1365-2702.2011.03924.x. Epub 2011 Dec 12.

  PMID: 22151034 BACKGROUND

• Brown, R. L., & Moloney, M. E. (2018). Intersectionality, Work, and Well-Being: The Effects of Gender and Disability. Gender & Society, 33(1), 94-122. doi.org/10.1177/0891243218800636

  BACKGROUND

• Burton A, Burgess C, Dean S, Koutsopoulou GZ, Hugh-Jones S. How Effective are Mindfulness-Based Interventions for Reducing Stress Among Healthcare Professionals? A Systematic Review and Meta-Analysis. Stress Health. 2017 Feb;33(1):3-13. doi: 10.1002/smi.2673. Epub 2016 Feb 25.

  PMID: 26916333 BACKGROUND

• Chang YJ, Kwon YC, Lee WJ, Do YR, Seok LK, Kim HT, Park SR, Hong YS, Chung IJ, Yun YH. Burdens, needs and satisfaction of terminal cancer patients and their caregivers. Asian Pac J Cancer Prev. 2013;14(1):209-16. doi: 10.7314/apjcp.2013.14.1.209.

  PMID: 23534725 BACKGROUND

• Chen Y, Yang X, Wang L, Zhang X. A randomized controlled trial of the effects of brief mindfulness meditation on anxiety symptoms and systolic blood pressure in Chinese nursing students. Nurse Educ Today. 2013 Oct;33(10):1166-72. doi: 10.1016/j.nedt.2012.11.014. Epub 2012 Dec 20.

  PMID: 23260618 BACKGROUND

• Cohen, A., & Golan, R. (2007). Predicting absenteeism and turnover intentions by past absenteeism and work attitudes. Career Development International, 12(5), 416-432. doi.org/10.1108/13620430710773745

  BACKGROUND

• Cohen-Katz J, Wiley SD, Capuano T, Baker DM, Kimmel S, Shapiro S. The effects of mindfulness-based stress reduction on nurse stress and burnout, Part II: A quantitative and qualitative study. Holist Nurs Pract. 2005 Jan-Feb;19(1):26-35. doi: 10.1097/00004650-200501000-00008.

  PMID: 15736727 BACKGROUND

• Crenshaw, K. (1989) Demarginalizing the Intersection of Race and Sex: A Black Feminist Critique of Antidiscrimination Doctrine, Feminist Theory and Antiracist Politics, University of Chicago Legal Forum: Vol. 1989: Iss. 1, Article 8.

  BACKGROUND

• Dantas EM, Sant'Anna ML, Andreao RV, Goncalves CP, Morra EA, Baldo MP, Rodrigues SL, Mill JG. Spectral analysis of heart rate variability with the autoregressive method: what model order to choose? Comput Biol Med. 2012 Feb;42(2):164-70. doi: 10.1016/j.compbiomed.2011.11.004. Epub 2011 Dec 2.

  PMID: 22136799 BACKGROUND

• Dekker SW. Reconstructing human contributions to accidents: the new view on error and performance. J Safety Res. 2002 Fall;33(3):371-85. doi: 10.1016/s0022-4375(02)00032-4.

  PMID: 12404999 BACKGROUND

• Duncan SM, Hyndman K, Estabrooks CA, Hesketh K, Humphrey CK, Wong JS, Acorn S, Giovannetti P. Nurses' experience of violence in Alberta and British Columbia hospitals. Can J Nurs Res. 2001 Mar;32(4):57-78.

  PMID: 11928302 BACKGROUND

• Elliott, R., & Wexler, M. M. (1994). Measuring the impact of sessions in process- experiential therapy of depression: The Session Impacts Scale. Journal of Counseling Psychology, 41(2), 166. doi/10.1037/0022-0167.41.2.166

  BACKGROUND

• Ghawadra SF, Abdullah KL, Choo WY, Phang CK. Mindfulness-based stress reduction for psychological distress among nurses: A systematic review. J Clin Nurs. 2019 Nov;28(21-22):3747-3758. doi: 10.1111/jocn.14987. Epub 2019 Jul 22.

  PMID: 31267619 BACKGROUND

• Gloster, A. T., Walder, N., Levin, M. E., Twohig, M. P., & Karekla, M. (2020). The empirical status of acceptance and commitment therapy: A review of meta-analyses. Journal of Contextual Behavioral Science, 18, 181-192. doi.org/10.1016/j.jcbs.2020.09.009

  BACKGROUND

• Goldberg, D. (1978). Manual of the general health questionnaire. Windsor, Ontario, Canada: National Foundation for Educational Research.

  BACKGROUND

• Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: model, processes and outcomes. Behav Res Ther. 2006 Jan;44(1):1-25. doi: 10.1016/j.brat.2005.06.006.

  PMID: 16300724 BACKGROUND

• Hayes SC, Hofmann SG, Stanton CE. Process-based functional analysis can help behavioral science step up to novel challenges: COVID - 19 as an example. J Contextual Behav Sci. 2020 Oct;18:128-145. doi: 10.1016/j.jcbs.2020.08.009. Epub 2020 Aug 25.

  PMID: 32864323 BACKGROUND

• Hayes SC, Hofmann SG. The third wave of cognitive behavioral therapy and the rise of process-based care. World Psychiatry. 2017 Oct;16(3):245-246. doi: 10.1002/wps.20442. No abstract available.

  PMID: 28941087 BACKGROUND

• Haynes, S. N., O'Brien, W. H., & Keawe'aimoku Kaholokula, J. (2011). Behavioral assessment and functional analysis. Hoboken, NJ: Wiley.

  BACKGROUND

• Henrich J, Heine SJ, Norenzayan A. The weirdest people in the world? Behav Brain Sci. 2010 Jun;33(2-3):61-83; discussion 83-135. doi: 10.1017/S0140525X0999152X. Epub 2010 Jun 15.

  PMID: 20550733 BACKGROUND

• Horan, K. A., Moeller, M. T., Singh, R. S., Wasson, R., O'Brien, W. H., Matthews, R. A., Jex, S. M., & Barratt, C. L. (2018). Supervisor support for stress management and intervention process. International Journal of Workplace Health Management, 11(4), 260-272. doi.org/10.1108/ijwhm-12-2017-0113

  BACKGROUND

• Jarvelin-Pasanen S, Sinikallio S, Tarvainen MP. Heart rate variability and occupational stress-systematic review. Ind Health. 2018 Nov 21;56(6):500-511. doi: 10.2486/indhealth.2017-0190. Epub 2018 Jun 16.

  PMID: 29910218 BACKGROUND

• Jarukasemthawee, S., Halford, W. K., & McLean, J. P. (2019). When East meets West: A randomized controlled trial and pre- to postprogram evaluation replication of the effects of insight-based mindfulness on psychological well-being. Journal of Psychotherapy Integration, 29(3), 307-323. doi.org/10.1037/int0000179

  BACKGROUND

• Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain and illness. New York: Delacorte

  BACKGROUND

• Khatutsky, G., Wiener, J., Anderson, W., & Porell, F. (2012). Work-related injuries among certified nursing assistants in nursing homes. RTI Press publication No. RR-0017- 1204. Research Triangle Park, NC: RTI Press.

  BACKGROUND

• Klein A, Taieb O, Xavier S, Baubet T, Reyre A. The benefits of mindfulness-based interventions on burnout among health professionals: A systematic review. Explore (NY). 2020 Jan-Feb;16(1):35-43. doi: 10.1016/j.explore.2019.09.002. Epub 2019 Oct 3.

  PMID: 31727578 BACKGROUND

• Koeter MW. Validity of the GHQ and SCL anxiety and depression scales: a comparative study. J Affect Disord. 1992 Apr;24(4):271-9. doi: 10.1016/0165-0327(92)90112-j.

  PMID: 1578083 BACKGROUND

• Kristensen, T. S., Borritz, M., Villadsen, E., & Christensen, K. B. (2005). The Copenhagen Burnout Inventory: A new tool for the assessment of burnout. Work & Stress, 19(3), 192-207. doi/10.1080/02678370500297720

  BACKGROUND

• Kuorinka I, Jonsson B, Kilbom A, Vinterberg H, Biering-Sorensen F, Andersson G, Jorgensen K. Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl Ergon. 1987 Sep;18(3):233-7. doi: 10.1016/0003-6870(87)90010-x.

  PMID: 15676628 BACKGROUND

• Liu CH, Meeuwesen L, van Wesel F, Ingleby D. Why do ethnic Chinese in the Netherlands underutilize mental health care services? Evidence from a qualitative study. Transcult Psychiatry. 2015 Jun;52(3):331-52. doi: 10.1177/1363461514557887. Epub 2014 Dec 2.

  PMID: 25468826 BACKGROUND

• Mackenzie CS, Poulin PA, Seidman-Carlson R. A brief mindfulness-based stress reduction intervention for nurses and nurse aides. Appl Nurs Res. 2006 May;19(2):105-9. doi: 10.1016/j.apnr.2005.08.002.

  PMID: 16728295 BACKGROUND

• McGinn KL, Oh E. Gender, social class, and women's employment. Curr Opin Psychol. 2017 Dec;18:84-88. doi: 10.1016/j.copsyc.2017.07.012. Epub 2017 Jul 17.

  PMID: 28866434 BACKGROUND

• Minassian A, Maihofer AX, Baker DG, Nievergelt CM, Geyer MA, Risbrough VB; Marine Resiliency Study Team. Association of Predeployment Heart Rate Variability With Risk of Postdeployment Posttraumatic Stress Disorder in Active-Duty Marines. JAMA Psychiatry. 2015 Oct;72(10):979-86. doi: 10.1001/jamapsychiatry.2015.0922.

  PMID: 26353072 BACKGROUND

• Miranda H, Punnett L, Gore R, Boyer J. Violence at the workplace increases the risk of musculoskeletal pain among nursing home workers. Occup Environ Med. 2011 Jan;68(1):52-7. doi: 10.1136/oem.2009.051474. Epub 2010 Sep 27.

  PMID: 20876554 BACKGROUND

• Morgan, J. C., Dill, J., & Kalleberg, A. L. (2013). The quality of healthcare jobs: can intrinsic rewards compensate for low extrinsic rewards? Work, Employment and Society, 27(5), 802-822. doi.org/10.1177/0950017012474707

  BACKGROUND

• Nam, S., Toneatto, T. The Influence of Attrition in Evaluating the Efficacy and Effectiveness of Mindfulness-Based Interventions. International Journal of Mental Health Addiction 14, 969-981 (2016). https://doi.org/10.1007/s11469-016-9667-1

  BACKGROUND

• Neff, K. (2003). The development and validation of a scale to measure self-compassion. Self and Identity, 2, 223-250. doi.org/10.1080/15298860390209035

  BACKGROUND

• Neff, K. D. (2020). Commentary on Muris and Otgarr (2020): Let the empirical evidence speak on the self-compassion scale. Min

  BACKGROUND

• Neff, K. D., Pisitsungkagarn, K., & Hsieh, Y. P. (2008). Self-Compassion and Self- Construal in the United States, Thailand, and Taiwan. Journal of Cross-Cultural Psychology, 39, 267-285. doi.org/10.1177/0022022108314544

  BACKGROUND

• Neff KD, Toth-Kiraly I, Yarnell LM, Arimitsu K, Castilho P, Ghorbani N, Guo HX, Hirsch JK, Hupfeld J, Hutz CS, Kotsou I, Lee WK, Montero-Marin J, Sirois FM, de Souza LK, Svendsen JL, Wilkinson RB, Mantzios M. Examining the factor structure of the Self-Compassion Scale in 20 diverse samples: Support for use of a total score and six subscale scores. Psychol Assess. 2019 Jan;31(1):27-45. doi: 10.1037/pas0000629. Epub 2018 Aug 20.

  PMID: 30124303 BACKGROUND

• O'Brien, W. H., & Carhart, V. (2011). Functional analysis in behavioral medicine settings. European Journal of Psychological Assessment, 27(1), 4-16. doi/10.1027/1015- 5759/a000052

  BACKGROUND

• O'Brien, W. H., W. H., Horan, K. A., Singh, S., Moeller, M.A., Wasson, R. S., Jex, S. M., Matthews, R. A., & Barratt, C. L. (2017). Preventing Injury, Assault, and Abuse of Nurse Aides Working in Long-Term Residential Settings. Unpublished final technical report for Ohio Occupational Safety and Health Research Program.

  BACKGROUND

• O'Brien WH, Singh RS, Horan K, Moeller MT, Wasson R, Jex SM. Group-Based Acceptance and Commitment Therapy for Nurses and Nurse Aides Working in Long-Term Care Residential Settings. J Altern Complement Med. 2019 Jul;25(7):753-761. doi: 10.1089/acm.2019.0087.

  PMID: 31314564 BACKGROUND

• Petrocchi N, Cheli S. The social brain and heart rate variability: Implications for psychotherapy. Psychol Psychother. 2019 Jun;92(2):208-223. doi: 10.1111/papt.12224. Epub 2019 Mar 20.

  PMID: 30891894 BACKGROUND

• Pommier E, Neff KD, Toth-Kiraly I. The Development and Validation of the Compassion Scale. Assessment. 2020 Jan;27(1):21-39. doi: 10.1177/1073191119874108. Epub 2019 Sep 13.

  PMID: 31516024 BACKGROUND

• Ramos-Morcillo AJ, Fernandez-Salazar S, Ruzafa-Martinez M, Del-Pino-Casado R. Effectiveness of a Brief, Basic Evidence-Based Practice Course for Clinical Nurses. Worldviews Evid Based Nurs. 2015 Aug;12(4):199-207. doi: 10.1111/wvn.12103. Epub 2015 Jul 28.

  PMID: 26220505 BACKGROUND

• Richardson A, Gurung G, Derrett S, Harcombe H. Perspectives on preventing musculoskeletal injuries in nurses: A qualitative study. Nurs Open. 2019 Apr 13;6(3):915-929. doi: 10.1002/nop2.272. eCollection 2019 Jul.

  PMID: 31367415 BACKGROUND

• Rolffs JL, Rogge RD, Wilson KG. Disentangling Components of Flexibility via the Hexaflex Model: Development and Validation of the Multidimensional Psychological Flexibility Inventory (MPFI). Assessment. 2018 Jun;25(4):458-482. doi: 10.1177/1073191116645905. Epub 2016 May 5.

  PMID: 27152011 BACKGROUND

• Zanchetta MS, Cognet M, Rahman R, Byam A, Carlier P, Foubert C, Lagersie Z, Espindola RF. Blindness, deafness, silence and invisibility that shields racism in nursing education-practice in multicultural hubs of immigration. J Prof Nurs. 2021 Mar-Apr;37(2):467-476. doi: 10.1016/j.profnurs.2020.06.012. Epub 2020 Jul 6.

  PMID: 33867106 BACKGROUND

• Schoenfisch AL, Lipscomb HJ. Job characteristics and work organization factors associated with patient-handling injury among nursing personnel. Work. 2009;33(1):117-28. doi: 10.3233/WOR-2009-0847.

  PMID: 19597289 BACKGROUND

• Schuster M, Dwyer PA. Post-traumatic stress disorder in nurses: An integrative review. J Clin Nurs. 2020 Aug;29(15-16):2769-2787. doi: 10.1111/jocn.15288. Epub 2020 May 5.

  PMID: 32372541 BACKGROUND

• Snyder LA, Chen PY, Vacha-Haase T. The underreporting gap in aggressive incidents from geriatric patients against certified nursing assistants. Violence Vict. 2007;22(3):367-79. doi: 10.1891/088667007780842784.

  PMID: 17619640 BACKGROUND

• Snyder CR, Frogner BK, Skillman SM. Facilitating Racial and Ethnic Diversity in the Health Workforce. J Allied Health. 2018 Spring;47(1):58-65.

  PMID: 29504021 BACKGROUND

• Spector, P. E., Yang, L. Q., & Zhou, Z. E. (2015). A longitudinal investigation of the role of violence prevention climate in exposure to workplace physical violence and verbal abuse. Work & Stress, 29(4), 325-340. doi.org/10.1080/02678373.2015.1076537

  BACKGROUND

• Squillace MR, Remsburg RE, Bercovitz A, Rosenoff E, Branden L. An introduction to the National Nursing Assistant Survey. Vital Health Stat 1. 2007 Mar;(44):1-54.

  PMID: 17402361 BACKGROUND

• Stanev S, Bailer J, Straker JK, Mehdizadeh S, Park RM, Li H. Worker injuries and safety equipment in Ohio nursing homes. J Gerontol Nurs. 2012 Jun;38(6):47-56. doi: 10.3928/00989134-20120508-01.

  PMID: 22774234 BACKGROUND

• Tak S, Sweeney MH, Alterman T, Baron S, Calvert GM. Workplace assaults on nursing assistants in US nursing homes: a multilevel analysis. Am J Public Health. 2010 Oct;100(10):1938-45. doi: 10.2105/AJPH.2009.185421. Epub 2010 Aug 19.

  PMID: 20724680 BACKGROUND

• Tarvainen MP, Niskanen JP, Lipponen JA, Ranta-Aho PO, Karjalainen PA. Kubios HRV--heart rate variability analysis software. Comput Methods Programs Biomed. 2014;113(1):210-20. doi: 10.1016/j.cmpb.2013.07.024. Epub 2013 Aug 6.

  PMID: 24054542 BACKGROUND

• Taleghani F, Ashouri E, Saburi M. Empathy, Burnout, Demographic Variables and their Relationships in Oncology Nurses. Iran J Nurs Midwifery Res. 2017 Jan-Feb;22(1):41-45. doi: 10.4103/ijnmr.IJNMR_66_16.

  PMID: 28382057 BACKGROUND

• Thayer JF, Ahs F, Fredrikson M, Sollers JJ 3rd, Wager TD. A meta-analysis of heart rate variability and neuroimaging studies: implications for heart rate variability as a marker of stress and health. Neurosci Biobehav Rev. 2012 Feb;36(2):747-56. doi: 10.1016/j.neubiorev.2011.11.009. Epub 2011 Dec 8.

  PMID: 22178086 BACKGROUND

• Uthayaratana, T., Taephant, N., & Pisitsungkagarn, K. (2019). Four Noble Truths based problem solving: a therapeutic view. Mental Health, Religion & Culture, 22(2), 119- 129. https://doi.org/10.1080/13674676.2018.1512565

  BACKGROUND

• Valley MA, Stallones L. Effect of Mindfulness-Based Stress Reduction Training on Health Care Worker Safety: A Randomized Waitlist Controlled Trial. J Occup Environ Med. 2017 Oct;59(10):935-941. doi: 10.1097/JOM.0000000000001090.

  PMID: 28692014 BACKGROUND

• Van Gordon, W., & Shonin, E. (2020). Second-Generation Mindfulness-Based Interventions: Toward More Authentic Mindfulness Practice and Teaching. Mindfulness, 11(1). DOI:10.1007/s12671-019-01252-1

  BACKGROUND

• Wasson RS, Barratt C, O'Brien WH. Effects of Mindfulness-Based Interventions on Self-compassion in Health Care Professionals: a Meta-analysis. Mindfulness (N Y). 2020;11(8):1914-1934. doi: 10.1007/s12671-020-01342-5. Epub 2020 Mar 5.

  PMID: 32421083 BACKGROUND

• Wasson, R. S. (2021). Feasibility, Acceptability, and Preliminary Effectiveness of a Pilot Mindful Self-Compassion Intervention for Medical Students. Doctoral Dissertation, Bowling Green State University.

  BACKGROUND

• Woo T, Ho R, Tang A, Tam W. Global prevalence of burnout symptoms among nurses: A systematic review and meta-analysis. J Psychiatr Res. 2020 Apr;123:9-20. doi: 10.1016/j.jpsychires.2019.12.015. Epub 2020 Jan 22.

  PMID: 32007680 BACKGROUND

• White L. Mindfulness in nursing: an evolutionary concept analysis. J Adv Nurs. 2014 Feb;70(2):282-94. doi: 10.1111/jan.12182. Epub 2013 Jun 16.

  PMID: 23772683 BACKGROUND

• Whittle R, Mansell G, Jellema P, van der Windt D. Applying causal mediation methods to clinical trial data: What can we learn about why our interventions (don't) work? Eur J Pain. 2017 Apr;21(4):614-622. doi: 10.1002/ejp.964. Epub 2016 Oct 14.

  PMID: 27739626 BACKGROUND

• Williams S, Booton T, Watson M, Rowland D, Altini M. Heart Rate Variability is a Moderating Factor in the Workload-Injury Relationship of Competitive CrossFit Athletes. J Sports Sci Med. 2017 Dec 1;16(4):443-449. eCollection 2017 Dec.

  PMID: 29238242 BACKGROUND

• Xu, H., O'Brien, W. H., & Chen, Y. (2020). Chinese international student stress and coping: A pilot study of acceptance and commitment therapy. Journal of Contextual Behavioral Science, 15, 135-141. https://doi.org/10.1016/j.jcbs.2019.12.010

  BACKGROUND

• Young, W., Weckman, G., & Holland, W. (2011). A survey of methodologies for the treatment if missing values within datasets: Limitations and benefit. Theoretical Issues in Ergonomics Science, 12(1),15-43. doi.org/10.1080/14639220903470205

  BACKGROUND

• Zettle, R. D., Hayes, S. C., Barnes-Holmes, D., & Biglan, A. (2016). The Wiley handbook of contextual behavioral science. John Wiley & Sons.

  BACKGROUND

• Zhao, J.-B., Ji, J.-L., Yang, X.-L., Yang, Z.-Z., Hou, Y.-F., & Zhang, X.-Y. (2011). National survey of ethical practices among Chinese psychotherapists. Professional Psychology: Research and Practice, 42(5), 375-381. https://doi.org/10.1037/a0025138

  BACKGROUND

MeSH Terms

Conditions

Psychological Well-Being; Musculoskeletal Pain; Burnout, Psychological

Interventions

Nurses

Condition Hierarchy (Ancestors)

Personal Satisfaction; Behavior; Muscular Diseases; Musculoskeletal Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Stress, Psychological; Behavioral Symptoms

Intervention Hierarchy (Ancestors)

Health Personnel; Health Care Facilities Workforce and Services

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor at Department of Psychology

Study Record Dates

• First Submitted: October 9, 2024
• First Posted: February 7, 2025
• Study Start: May 1, 2023
• Primary Completion: May 1, 2026
• Study Completion: May 1, 2026
• Last Updated: February 7, 2025

Record last verified: 2025-02

Locations

US (1)