实现急症护理护士的弹性 (ARISE)。
2018年4月16日 更新者：Orla Smith、Unity Health Toronto
实现急症护理护士的复原力 (ARISE)：一项针对重症监护和创伤护士的多组分干预的随机对照试验。
护士在工作场所和日常生活中都面临着无数的压力源，这可能导致不利的个人和职业结果。
虽然无法消除工作场所的压力，但护士可以学习增强弹性、减轻压力和减少疲劳的技巧。
组织的员工健康、保健和援助计划都旨在提供此类支持；然而，护士往往缺乏对选择和机会的认识，而且获得机会可能是一个挑战。
拟议研究的目的是评估多模式干预和工具包 ARISE 的结果，该工具包旨在增强弹性并提高对健康、保健和员工援助的组织资源的认识。
我们将评估参与 ARISE 对重症监护和创伤环境中护士的恢复力和其他结果的影响。
作为安大略省注册护士协会 (RNAO) 指定的最佳实践聚焦组织，该项目将纳入最佳实践指南 (BPG) 中与护士的工作场所健康、安全和福祉相关的相关建议；预防和减轻医疗保健中的护士疲劳。
研究概览
研究类型
介入性
注册 (实际的)
29
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
-
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Ontario
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Toronto、Ontario、加拿大、M5B1W8
- St. Michael's Hospital
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参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
- 孩子
- 成人
- 年长者
接受健康志愿者
不
有资格学习的性别
全部
描述
纳入标准：
- 医疗外科和创伤神经外科重症监护室（MSICU 和 TNICU）和医疗/外科楼层 (9CCN) 的护士，
- 全职或兼职就业状况，
- 临床领导经理 (CLM) 的批准，
- 收到书面知情同意书。
排除条件：
- 临时就业状况
- 无法参加干预日
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：预防
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的：出现干预
参加 1.5 天 ARISE 干预的护士
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无干预：控制组
不参加 ARISE 干预的护士
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研究衡量的是什么？
主要结果指标
结果测量 |
大体时间 |
|---|---|
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Connor Davidson 复原力量表 (CD-RISC)
大体时间：干预后 1 个月
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干预后 1 个月
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Connor Davidson 复原力量表 (CD-RISC)
大体时间：干预后 3 个月
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干预后 3 个月
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职业疲劳和恢复 (OFER) 量表
大体时间：干预后 1 个月
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仅限急性疲劳和轮班间恢复量表
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干预后 1 个月
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职业疲劳和恢复 (OFER) 量表
大体时间：干预后 3 个月
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仅限急性疲劳和轮班间恢复量表
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干预后 3 个月
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专业生活质量 (ProQOL5) 量表
大体时间：干预后 1 个月
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干预后 1 个月
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专业生活质量 (ProQOL5) 量表
大体时间：干预后 3 个月
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干预后 3 个月
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感知压力量表 (PSS)
大体时间：干预后 1 个月
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干预后 1 个月
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感知压力量表 (PSS)
大体时间：干预后 3 个月
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干预后 3 个月
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护士职业应对自我效能问卷 (OCSE-N)。
大体时间：干预后 1 个月
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干预后 1 个月
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护士职业应对自我效能问卷 (OCSE-N)。
大体时间：干预后 3 个月
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干预后 3 个月
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正念注意力意识量表 (MASS)
大体时间：干预后 1 个月
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干预后 1 个月
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正念注意力意识量表 (MASS)
大体时间：干预后 3 个月
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正念注意力意识将使用正念注意力意识量表 (MASS) 进行测量。
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干预后 3 个月
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ARISE 参与者的计划评估结果
大体时间：干预后 1 个月
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对于干预的每个组成部分，以及整个 ARISE 计划，我们将要求参与者对干预组成部分的效用、满意度和使用频率进行评分。
|
干预后 1 个月
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ARISE 参与者的计划评估结果
大体时间：干预后 3 个月
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对于干预的每个组成部分，以及整个 ARISE 计划，我们将要求参与者对干预组成部分的效用、满意度和使用频率进行评分。
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干预后 3 个月
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
一般刊物
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- Campbell-Sills L, Stein MB. Psychometric analysis and refinement of the Connor-davidson Resilience Scale (CD-RISC): Validation of a 10-item measure of resilience. J Trauma Stress. 2007 Dec;20(6):1019-28. doi: 10.1002/jts.20271.
- Brown KW, Ryan RM. The benefits of being present: mindfulness and its role in psychological well-being. J Pers Soc Psychol. 2003 Apr;84(4):822-48. doi: 10.1037/0022-3514.84.4.822.
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- Deible S, Fioravanti M, Tarantino B, Cohen S. Implementation of an integrative coping and resiliency program for nurses. Glob Adv Health Med. 2015 Jan;4(1):28-33. doi: 10.7453/gahmj.2014.057.
- Rushton CH, Batcheller J, Schroeder K, Donohue P. Burnout and Resilience Among Nurses Practicing in High-Intensity Settings. Am J Crit Care. 2015 Sep;24(5):412-20. doi: 10.4037/ajcc2015291.
- Aiken LH, Clarke SP, Sloane DM; International Hospital Outcomes Research Consortium. Hospital staffing, organization, and quality of care: cross-national findings. Int J Qual Health Care. 2002 Feb;14(1):5-13. doi: 10.1093/intqhc/14.1.5.
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- Peter E, Storch JL; Canadian Nurses Association. The CNA code of ethics for registered nurses. Nurs Leadersh (Tor Ont). 2008;21(2):28-33. doi: 10.12927/cjnl.2008.19872. No abstract available.
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- Charney DS. Psychobiological mechanisms of resilience and vulnerability: implications for successful adaptation to extreme stress. Am J Psychiatry. 2004 Feb;161(2):195-216. doi: 10.1176/appi.ajp.161.2.195.
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- Dolan G, Strodl E, Hamernik E. Why renal nurses cope so well with their workplace stressors. J Ren Care. 2012 Dec;38(4):222-32. doi: 10.1111/j.1755-6686.2012.00319.x. Epub 2012 Aug 30.
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- Fang R, Li X. A regular yoga intervention for staff nurse sleep quality and work stress: a randomised controlled trial. J Clin Nurs. 2015 Dec;24(23-24):3374-9. doi: 10.1111/jocn.12983. Epub 2015 Oct 19.
- Gauthier T, Meyer RM, Grefe D, Gold JI. An on-the-job mindfulness-based intervention for pediatric ICU nurses: a pilot. J Pediatr Nurs. 2015 Mar-Apr;30(2):402-9. doi: 10.1016/j.pedn.2014.10.005. Epub 2014 Oct 20.
- Gillespie BM, Chaboyer W, Wallis M. The influence of personal characteristics on the resilience of operating room nurses: a predictor study. Int J Nurs Stud. 2009 Jul;46(7):968-76. doi: 10.1016/j.ijnurstu.2007.08.006. Epub 2007 Oct 3.
- Hall LH, Johnson J, Watt I, Tsipa A, O'Connor DB. Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review. PLoS One. 2016 Jul 8;11(7):e0159015. doi: 10.1371/journal.pone.0159015. eCollection 2016.
- Hart PL, Brannan JD, De Chesnay M. Resilience in nurses: an integrative review. J Nurs Manag. 2014 Sep;22(6):720-34. doi: 10.1111/j.1365-2834.2012.01485.x. Epub 2012 Nov 2.
- Hegney DG, Craigie M, Hemsworth D, Osseiran-Moisson R, Aoun S, Francis K, Drury V. Compassion satisfaction, compassion fatigue, anxiety, depression and stress in registered nurses in Australia: study 1 results. J Nurs Manag. 2014 May;22(4):506-18. doi: 10.1111/jonm.12160. Epub 2013 Nov 1.
- Houck D. Helping nurses cope with grief and compassion fatigue: an educational intervention. Clin J Oncol Nurs. 2014 Aug;18(4):454-8. doi: 10.1188/14.CJON.454-458.
- Jackson D, Firtko A, Edenborough M. Personal resilience as a strategy for surviving and thriving in the face of workplace adversity: a literature review. J Adv Nurs. 2007 Oct;60(1):1-9. doi: 10.1111/j.1365-2648.2007.04412.x.
- Kemper K, Bulla S, Krueger D, Ott MJ, McCool JA, Gardiner P. Nurses' experiences, expectations, and preferences for mind-body practices to reduce stress. BMC Complement Altern Med. 2011 Apr 11;11:26. doi: 10.1186/1472-6882-11-26.
- Kemper KJ. Brief Online Mindfulness Training: Immediate Impact. J Evid Based Complementary Altern Med. 2017 Jan;22(1):75-80. doi: 10.1177/2156587216639199. Epub 2016 Mar 21.
- Kemper KJ, Khirallah M. Acute Effects of Online Mind-Body Skills Training on Resilience, Mindfulness, and Empathy. J Evid Based Complementary Altern Med. 2015 Oct;20(4):247-53. doi: 10.1177/2156587215575816. Epub 2015 Mar 17.
- Kemper KJ, Mo X, Khayat R. Are Mindfulness and Self-Compassion Associated with Sleep and Resilience in Health Professionals? J Altern Complement Med. 2015 Aug;21(8):496-503. doi: 10.1089/acm.2014.0281. Epub 2015 Jun 2.
- Klatt M, Steinberg B, Duchemin AM. Mindfulness in Motion (MIM): An Onsite Mindfulness Based Intervention (MBI) for Chronically High Stress Work Environments to Increase Resiliency and Work Engagement. J Vis Exp. 2015 Jul 1;(101):e52359. doi: 10.3791/52359.
- 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
- Kornhaber RA, Wilson A. Enduring feelings of powerlessness as a burns nurse: a descriptive phenomenological inquiry. Contemp Nurse. 2011 Oct;39(2):172-9. doi: 10.5172/conu.2011.172.
- Leners C, Sowers R, Quinn Griffin MT, Fitzpatrick JJ. Resilience and professional quality of life among military healthcare providers. Issues Ment Health Nurs. 2014 Jul;35(7):497-502. doi: 10.3109/01612840.2014.887164.
- Mcdonald G, Jackson D, Vickers MH, Wilkes L. Surviving workplace adversity: a qualitative study of nurses and midwives and their strategies to increase personal resilience. J Nurs Manag. 2016 Jan;24(1):123-31. doi: 10.1111/jonm.12293. Epub 2015 Apr 13.
- McDonald G, Jackson D, Wilkes L, Vickers MH. Personal resilience in nurses and midwives: effects of a work-based educational intervention. Contemp Nurse. 2013 Aug;45(1):134-43. doi: 10.5172/conu.2013.45.1.134.
- Mealer 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. Erratum In: Am J Crit Care. 2016 Mar;25(2):172.
- Mealer M, Jones J, Moss M. A qualitative study of resilience and posttraumatic stress disorder in United States ICU nurses. Intensive Care Med. 2012 Sep;38(9):1445-51. doi: 10.1007/s00134-012-2600-6. Epub 2012 May 23.
- Moorley C, Chinn T. Developing nursing leadership in social media. J Adv Nurs. 2016 Mar;72(3):514-20. doi: 10.1111/jan.12870. Epub 2016 Jan 6.
- Moorley CR, Chinn T. Nursing and Twitter: creating an online community using hashtags. Collegian. 2014;21(2):103-9. doi: 10.1016/j.colegn.2014.03.003.
- Moss M, Good VS, Gozal D, Kleinpell R, Sessler CN. An Official Critical Care Societies Collaborative Statement: Burnout Syndrome in Critical Care Health Care Professionals: A Call for Action. Am J Crit Care. 2016 Jul;25(4):368-76. doi: 10.4037/ajcc2016133.
- Sun N, Lv DM, Man J, Wang XY, Cheng Q, Fang HL, Fu Z, Liu S, Wu QH. The correlation between quality of life and social support in female nurses. J Clin Nurs. 2017 Apr;26(7-8):1005-1010. doi: 10.1111/jocn.13393.
- Panagioti M, Panagopoulou E, Bower P, Lewith G, Kontopantelis E, Chew-Graham C, Dawson S, van Marwijk H, Geraghty K, Esmail A. Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis. JAMA Intern Med. 2017 Feb 1;177(2):195-205. doi: 10.1001/jamainternmed.2016.7674.
- Pisanti R, Lombardo C, Lucidi F, Lazzari D, Bertini M. Development and validation of a brief Occupational Coping Self-Efficacy Questionnaire for Nurses. J Adv Nurs. 2008 Apr;62(2):238-47. doi: 10.1111/j.1365-2648.2007.04582.x.
- Potter P, Deshields T, Berger JA, Clarke M, Olsen S, Chen L. Evaluation of a compassion fatigue resiliency program for oncology nurses. Oncol Nurs Forum. 2013 Mar;40(2):180-7. doi: 10.1188/13.ONF.180-187.
- Poulsen AA, Sharpley CF, Baumann KC, Henderson J, Poulsen MG. Evaluation of the effect of a 1-day interventional workshop on recovery from job stress for radiation therapists and oncology nurses: A randomised trial. J Med Imaging Radiat Oncol. 2015 Aug;59(4):491-498. doi: 10.1111/1754-9485.12322. Epub 2015 Jun 10.
- 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
- Sheldon KM, Abad N, Hinsch C. A two-process view of Facebook use and relatedness need-satisfaction: disconnection drives use, and connection rewards it. J Pers Soc Psychol. 2011 Apr;100(4):766-75. doi: 10.1037/a0022407.
- Sherrill WM, Harris M. Enhancing patient-provider communication through bibliotherapy: a brief historical review. Journal of Poetry Therapy, 27(2): 8, 2014.
- Sherring S, Knight D. An exploration of burnout among city mental health nurses. Br J Nurs. 2009 Nov 12-25;18(20):1234-40. doi: 10.12968/bjon.2009.18.20.45114.
- Songprakun W, McCann TV. Evaluation of a bibliotherapy manual for reducing psychological distress in people with depression: a randomized controlled trial. J Adv Nurs. 2012 Dec;68(12):2674-84. doi: 10.1111/j.1365-2648.2012.05966.x. Epub 2012 Mar 1.
- Songprakun W, McCann TV. Using bibliotherapy to assist people to recover from depression in Thailand: Relationship between resilience, depression and psychological distress. Int J Nurs Pract. 2015 Dec;21(6):716-24. doi: 10.1111/ijn.12250. Epub 2014 Mar 12.
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- Steege LM, Pinekenstein B. Addressing Occupational Fatigue in Nurses: A Risk Management Model for Nurse Executives. J Nurs Adm. 2016 Apr;46(4):193-200. doi: 10.1097/NNA.0000000000000325.
- Wei W, Taormina RJ. A new multidimensional measure of personal resilience and its use: Chinese nurse resilience, organizational socialization and career success. Nurs Inq. 2014 Dec;21(4):346-357. doi: 10.1111/nin.12067. Epub 2014 Apr 8.
- Weidlich CP, Ugarriza DN. A pilot study examining the impact of care provider support program on resiliency, coping, and compassion fatigue in military health care providers. Mil Med. 2015 Mar;180(3):290-5. doi: 10.7205/MILMED-D-14-00216.
- Windle G, Bennett KM, Noyes J. A methodological review of resilience measurement scales. Health Qual Life Outcomes. 2011 Feb 4;9:8. doi: 10.1186/1477-7525-9-8.
- Winwood PC, Colon R, McEwen K. A practical measure of workplace resilience: developing the resilience at work scale. J Occup Environ Med. 2013 Oct;55(10):1205-12. doi: 10.1097/JOM.0b013e3182a2a60a.
- Winwood PC, Winefield AH, Dawson D, Lushington K. Development and validation of a scale to measure work-related fatigue and recovery: the Occupational Fatigue Exhaustion/Recovery Scale (OFER). J Occup Environ Med. 2005 Jun;47(6):594-606. doi: 10.1097/01.jom.0000161740.71049.c4.
- Winwood PC, Winefield AH, Lushington K. Work-related fatigue and recovery: the contribution of age, domestic responsibilities and shiftwork. J Adv Nurs. 2006 Nov;56(4):438-49. doi: 10.1111/j.1365-2648.2006.04011.x.
- Wittenberg-Lyles E, Goldsmith J, Reno J. Perceived benefits and challenges of an oncology nurse support group. Clin J Oncol Nurs. 2014 Aug;18(4):E71-6. doi: 10.1188/14.CJON.E71-E76.
- Yates PJ, Benson EV, Harris A, Baron R. An investigation of factors supporting the psychological health of staff in a UK emergency department. Emerg Med J. 2012 Jul;29(7):533-5. doi: 10.1136/emj.2010.099630. Epub 2011 Jun 27.
有用的网址
- Cohen, S. (1994). Perceived Stress Scale.
- Registered Nurses' Association of Ontario [RNAO]. (2011). Preventing and Mitigating Nurse Fatigue in Health Care Toronto, Canada Registered Nurses' Association of Ontario
- Stamm, B. (2005 ). The ProQOL Manual: THE PROFESSIONAL QUALITY OF LIFE SCALE: Compassion Satisfaction, Burnout & Compassion Fatigue/Secondary Trauma Scales. Pocatello, ID.
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2017年2月21日
初级完成 (实际的)
2017年5月31日
研究完成 (实际的)
2017年10月15日
研究注册日期
首次提交
2017年1月9日
首先提交符合 QC 标准的
2017年1月9日
首次发布 (估计)
2017年1月11日
研究记录更新
最后更新发布 (实际的)
2018年4月17日
上次提交的符合 QC 标准的更新
2018年4月16日
最后验证
2018年4月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.
出现的临床试验
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ALTality, Inc.National Institute on Drug Abuse (NIDA); M.D. Anderson Cancer Center; Baylor College of Medicine主动，不招人