Resilience Intervention for Critical Care Nurses

February 18, 2020 updated by: AdventHealth

A Randomized Controlled Trial of a Resilience Intervention for Critical Care Nurses

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.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

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.

Study Type

Interventional

Enrollment (Actual)

108

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • Florida
      • Orlando, Florida, United States, 32804
        • Florida Hospital

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 99 years (ADULT, OLDER_ADULT)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  1. Adult ≥ 18 years old
  2. 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
  3. Able to speak, read, and understand English fluently
  4. Able to provide informed consent
  5. Meet ≥ 2 stress experience level parameters on the Stress Mindset Measure - General (SMM-G)
  6. Meet ≤ 4.3 on the Brief Resilience Scale (BRS)
  7. Willing to attend a full-day training program at HPI on the designated training date
  8. Willing and able to comply with all study procedures and requirements for the duration of the study.

Exclusion Criteria:

  1. Meet < 2 stress experience level parameters on the SMM-G
  2. Meet > 4.3 on the BRS
  3. 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)

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: TREATMENT
  • Allocation: RANDOMIZED
  • Interventional Model: PARALLEL
  • Masking: NONE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
EXPERIMENTAL: Intervention
The intervention group will attend in the 1-day Corporate Athlete Resilience (CAR) Training Program in Lake Nona.
Behavioral: Corporate Athlete Resilience (CAR) Training Program
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.
NO_INTERVENTION: Control
The 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.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
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.
Change from Baseline SMM-G score at 6-months post CAR Training

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Perceived Stress Scale (PSS)
Time Frame: Change from Baseline PSS score at 6-months post CAR Training
Participants will respond to a 10-item questionnaire measuring perceived stress. Responses will be provided on the following 5-point scale: 0=Never, 1=Almost Never, 2=Sometimes, 3=Fairly Often, 4=Very Often.
Change from Baseline PSS score at 6-months post CAR Training
Brief Resilience Scale (BRS)
Time Frame: Change from Baseline BRS score at 6-months post CAR Training
Participants will respond to a 6-item questionnaire measuring resilience. Responses will be provided on the following 5-point scale: 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, 5=Strongly Agree.
Change from Baseline BRS score at 6-months post CAR Training
Work Productivity and Activity Impairment Questionnaire (WPAI)
Time Frame: Change from Baseline WPAI score at 6-months post CAR Training
Participants will respond to a 6-item questionnaire, answering questions about the perceived effect of personal health problems on one's ability to work or perform activities. Responses are provided in a Yes/No format or using a 10-point scale in which 0=Health problems had no effect on my work and 10=Health problems completely prevented me from working.
Change from Baseline WPAI score at 6-months post CAR Training
Maslach Burnout Inventory Human Serices Survey (MBI-HSS) for Medical Personnel (MP)
Time Frame: Change from Baseline MBI-HSS (MP) score at 6-months post CAR Training
Participants will respond to a 22-item questionnaire measuring burnout. Responses will be provided on the following 7-point scale: 0=Never, 1=A few times a year or less, 2=Once a month or less, 3=A few times a month, 4=Once a week, 5=A few times a week, 6=Everyday.
Change from Baseline MBI-HSS (MP) score at 6-months post CAR Training
Public Health Surveillance - Wellbeing Scale (PHS-WB)
Time Frame: Change from Baseline PHS-WB score at 6-months post CAR Training
Participants will respond to a 10-item questionnaire measuring perception of personal well-being and satisfaction. Responses will be provided on a 5-point scale (6 items) and a 10-point scale (4 items).
Change from Baseline PHS-WB score at 6-months post CAR Training
RAND Medial Outcomes Study (MOS) Sleep Scale Survey
Time Frame: Change from Baseline RAND MOS Sleep Scale Survey score at 6-months post CAR Training
Participants will respond to a 12-item questionnaire with self-reported information related to sleep patterns. Responses will be provided on the following 6-point scale: 1=All of the time, 2=Most of the time, 3=A good bit of the time, 4=Some of the time, 5=A little of the time, 6=None of the time.
Change from Baseline RAND MOS Sleep Scale Survey score at 6-months post CAR Training
RAND 36-Item Short Form Health Survey (SF-36)
Time Frame: Change from Baseline RAND SF-36 score at 6-months post CAR Training
Participants will respond to a 36-item questionnaire with self-reported health ratings and perceived impact of one's health on a variety of daily activities. Response options for questionnaire items vary from 3-point scale, 5-point scale, and Yes/No responses.
Change from Baseline RAND SF-36 score at 6-months post CAR Training
Absenteeism & Presenteeism questions of the World Health Organization's Health and Work Performance Questionnaire (WHO-HPQ)
Time Frame: Change from Baseline WHO-HPQ score at 6-months post CAR Training
Participants will respond to 11 absenteeism and presenteeism questions abstracted from the full HPQ. Responses for 2 items require self-reported information regarding hours worked and hours the employer expects the participant to work in 7 days. 6 items require participants to provide work experience information from the past 4 weeks. Responses for 3 items are provided on a 10-point scale in which 0=Worst Performance, and 10=Top Performance. Responses are input into a provided formula for scoring; a higher absenteeism score indicates higher amount of absenteeism, while a higher presenteeism score indicates lower amount of lost performance.
Change from Baseline WHO-HPQ score at 6-months post CAR Training
Energy Management Behaviors Questionnaire (EMB)
Time Frame: Change from Baseline EMB score at 6-months post CAR Training
Participants will respond to a 21-item questionnaire, providing a self-reported level of engagement in various activities. Responses are provided using the following 7-point scale: 1=Never, 2=Almost never, 3=Seldom, 4=Sometimes, 5=Usually, 6=Very Often, 7=Always.
Change from Baseline EMB score at 6-months post CAR Training

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

AdventHealth

Collaborators

Johnson & Johnson

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (ACTUAL)

October 26, 2018

Primary Completion (ACTUAL)

June 30, 2019

Study Completion (ACTUAL)

June 30, 2019

Study Registration Dates

First Submitted

August 21, 2018

First Submitted That Met QC Criteria

August 22, 2018

First Posted (ACTUAL)

August 24, 2018

Study Record Updates

Last Update Posted (ACTUAL)

February 19, 2020

Last Update Submitted That Met QC Criteria

February 18, 2020

Last Verified

February 1, 2020

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 1234568

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

Clinical Trials on Stress

Clinical Trials on Corporate Athlete Resilience (CAR) Training Program

Search Similar Trials

Sponsors and Collaborators

Medical Conditions

Drug Interventions

CROs by country

CROs in Mongolia

Conditions

Rare Diseases

Drug Interventions

Dietary Supplements

Sponsor/Collaborators

Locations

Subscribe