A Pilot Study of RISE for Nurse Managers

A Pilot Study of RISE (Resilience, Insight, Self-Compassion, Empowerment) for Nurse Managers

The purpose of this study is to determine whether RISE for Nurse Managers has a significant impact on nurse managers' post-traumatic growth, resilience, insight, self-compassion, and empowerment, as well as mental well-being, in their personal lives and their working environment.

Study Overview

• Status: Completed
• Conditions: Stress; Self Compassion; Burn-Out
• Intervention / Treatment: Behavioral: counseling

• Study Type: Interventional
• Enrollment (Actual): 20
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Florida
    • Orlando, Florida, United States, 32804
      • AdventHealth Orlando

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

1. Adult ≥ 18 years old
2. Licensed as an RN
3. Nurse manager employed by AdventHealth in a hospital-based setting at the Altamonte Springs, Apopka, Carrollwood, Celebration, Connerton, Dade City, Daytona Beach, DeLand, East Orlando, Fish Memorial, Heart of Florida, Kissimmee, Lake Placid, Lake Wales, New Smyrna Beach, North Pinellas, Ocala, Orlando, Palm Coast, Sebring, Tampa, Waterman, Wauchula, Wesley Chapel, Winter Garden, Winter Park, or Zephyrhills campus
4. Able to speak, read, and understand English fluently
5. Able to provide informed consent
6. Willing and able to comply with all study procedures and requirements for the duration of the study

Exclusion Criteria:

1. Employed as a direct care nurse or in another level of nursing leadership (i.e., assistant nurse manager, director of nursing, executive leader)

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Other: Counseling and Surveys; nine 90-minute weekly psychoeducational group sessions facilitated by a licensed mental health counselor (LMHC).	Behavioral: counseling; nine 90-minute weekly psychoeducational group sessions facilitated by a licensed mental health counselor (LMHC).

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Posttraumatic Growth Inventory	21 item questionnaire with a scale of 0-5, with 0 meaning I did not experience this change as a result of my crisis to 5 meaning I experienced this change to a very great degree as a result of my crisis	Change from Baseline to 6 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Brief Cope	28 item questionnaire with a scale of 1-4, with 1 meaning I haven't been doing this at all; and 4 meaning I've been doing this a lot	Change from Baseline to 6 months
Brief Index of Affective Job Satisfaction	4 item questionnaire with a scale of 1-5, with 1 meaning strongly disagree; and 5 meaning strongly agree	Change from Baseline to 6 months
Brief Resilience Scale	6 item questionnaire with a scale of 1-5, with 1 meaning strongly disagree; and 5 meaning strongly agree	Change from Baseline to 6 months
Psychological Empowerment Instrument	12 item questionnaire with a scale of A-G, with A meaning very strongly disagree; and G meaning very strongly agree	Change from Baseline to 6 months
Perceived Stress Scale	10 item questionnaire with a scale of 0-4, with 0 meaning never; and 4 meaning very often	Change from Baseline to 6 months
Maslach Burnout Inventory General Survey	16 item questionnaire with a scale of 0-6 with 0 meaning never; and 6 meaning everyday	Change from Baseline to 6 months
Self-Compassion Scale - Short Form	12 item questionnaire with a scale of 1-5, with 1 meaning almost never; and 5 meaning almost always	Change from Baseline to 6 months
Self-Reflection and Insight Scale	20 item questionnaire with a scale of 1-6; with 1 meaning strongly disagree; and 6 meaning strongly agree	Change from Baseline to 6 months

Collaborators and Investigators

• Sponsor: AdventHealth

Publications and helpful links

General Publications

• Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983 Dec;24(4):385-96. No abstract available.
• Smith 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.
• Raes F, Pommier E, Neff KD, Van Gucht D. Construction and factorial validation of a short form of the Self-Compassion Scale. Clin Psychol Psychother. 2011 May-Jun;18(3):250-5. doi: 10.1002/cpp.702. Epub 2010 Jun 8.
• Carver CS. You want to measure coping but your protocol's too long: consider the brief COPE. Int J Behav Med. 1997;4(1):92-100. doi: 10.1207/s15327558ijbm0401_6.
• Kath LM, Stichler JF, Ehrhart MG. Moderators of the negative outcomes of nurse manager stress. J Nurs Adm. 2012 Apr;42(4):215-21. doi: 10.1097/NNA.0b013e31824ccd25.
• Kath LM, Stichler JF, Ehrhart MG, Sievers A. Predictors of nurse manager stress: a dominance analysis of potential work environment stressors. Int J Nurs Stud. 2013 Nov;50(11):1474-80. doi: 10.1016/j.ijnurstu.2013.02.011. Epub 2013 Mar 21.
• Labrague LJ, McEnroe-Petitte DM, Leocadio MC, Van Bogaert P, Cummings GG. Stress and ways of coping among nurse managers: An integrative review. J Clin Nurs. 2018 Apr;27(7-8):1346-1359. doi: 10.1111/jocn.14165. Epub 2018 Jan 24.
• Lee H, Cummings GG. Factors influencing job satisfaction of front line nurse managers: a systematic review. J Nurs Manag. 2008 Oct;16(7):768-83. doi: 10.1111/j.1365-2834.2008.00879.x.
• Grant AM, Franklin J, Langford P. The Self-Reflection and Insight Scale: A new measure of private self-consciousness. Social Behavior and Personality. 2002; 30(8): 821-836.
• Julious SA. Sample size of 12 per group rule of thumb for a pilot study. Pharmaceutical Statistics. 2005; 4(4): 287-291.
• Maslach C, Jackson SE, & Leiter MP. (1996). Maslach Burnout Inventory manual (3rd ed.). Palo Alto, CA: Consulting Psychologists Press.
• Shirey MR, McDaniel AM, Ebright PR, Fisher ML, Doebbeling BN. Understanding nurse manager stress and work complexity: factors that make a difference. J Nurs Adm. 2010 Feb;40(2):82-91. doi: 10.1097/NNA.0b013e3181cb9f88.
• Spreitzer GM. Psychological empowerment in the workplace: Dimensions, measurement, and validation. Academy of Management Journal. 1995; 38(5):1442-1465.
• Steege LM, Pinekenstein BJ, Arsenault Knudsen E, Rainbow JG. Exploring nurse leader fatigue: a mixed methods study. J Nurs Manag. 2017 May;25(4):276-286. doi: 10.1111/jonm.12464. Epub 2017 Feb 27.
• Thompson ER & Phua FTT. A Brief Index of Affective Job Satisfaction. Group & Organization Management. 2012; 37(3): 275-307.
• Warshawsky NE, Havens DS. Nurse manager job satisfaction and intent to leave. Nurs Econ. 2014 Jan-Feb;32(1):32-9.
• Sawyer AT, McManus K, Bailey AK. A mixed-methods pilot study of a psychoeducational group programme for nurse managers during the COVID-19 pandemic. J Nurs Manag. 2022 Nov;30(8):4126-4137. doi: 10.1111/jonm.13881. Epub 2022 Nov 13.

Study record dates

Study Major Dates

• Study Start (Actual): April 13, 2021
• Primary Completion (Actual): December 31, 2021
• Study Completion (Actual): December 31, 2021

Study Registration Dates

• First Submitted: March 3, 2020
• First Submitted That Met QC Criteria: July 28, 2021
• First Posted (Actual): August 3, 2021

Study Record Updates

• Last Update Posted (Actual): February 28, 2022
• Last Update Submitted That Met QC Criteria: February 25, 2022
• Last Verified: February 1, 2022

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Behavioral Symptoms; Stress, Psychological; Burnout, Psychological
• Other Study ID Numbers: 1504917

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No