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| ID | Type | Description | Link |
|---|---|---|---|
| URC-025-19 | Other Grant/Funding Number | University of Missouri Research Council |
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| Name | Class |
|---|---|
| Oura Ring | UNKNOWN |
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This observational study will evaluate the feasibility of linking nursing workload to burnout and physiological well-being among acute care nurses. Researchers will collect data from three sources: hospital workforce management software, wearable health devices (Oura Rings), and validated surveys. Fifty nurses from intensive care and medical-surgical units at a level one trauma center will participate. The study will also include interviews to better understand workplace stressors. Findings will help identify patterns that contribute to burnout and guide the development of future interventions to support nurse well-being and improve workforce retention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intensive Care Unit | surgical ICU and cardiac ICU RNs |
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| Medical-Surgical Unit | surgical and cardiovascular units |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Multimethod data collection | Other | Participants will contribute data through three integrated sources: workload metrics (workforce management software to assess patient acuity and shift characteristics); biometric monitoring (physiological data collected via the Oura Ring); and self-report surveys and semi-structured interviews. |
| Measure | Description | Time Frame |
|---|---|---|
| Acceptability | Acceptability is evaluated based on the number of people who were approached to participate in the study compared to the number of people who agreed to participate. Reported as a percentage rate. | Enrollment |
| Data completion rate | Reported as percentage rate of complete data obtained at baseline, 5 weeks, and 10 weeks | Enrollment through 10 weeks |
| Retention rate | Reported as a percentage rate reflecting the number of participants participating at study completion compared to the number of participants participating at study commencement. | Enrollment through 10 weeks |
| Heart rate | Reported as a numerical value reflecting beats per minute. | Enrollment through 10 weeks |
| Heart rate variability | Reported as a numerical value in (milliseconds) | Enrollment through 10 weeks |
| Sleep duration | Reported as the total sleep time (hours and minutes) | Enrollment through 10 weeks |
| Sleep score | Reported as a numerical value (index value) ranging from 0-100 | Enrollment through 10 weeks |
| Resilience score |
| Measure | Description | Time Frame |
|---|---|---|
| The Perceived Stress Scale | The Perceived Stress Scale (PSS) (r = .93) is a 10-item survey measuring general perceived stress over the past 1 month. Scores range 0 to 40; ≥ 14 suggests at least moderate perceived stress. | Baseline, Week 5, Week 10 |
| The Professional Quality of Life Scale |
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Inclusion Criteria:
Exclusion Criteria:
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Registered nurses (RNs) working in intensive care and medical-surgical units at MU Health Care
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| Name | Affiliation | Role |
|---|---|---|
| Jennifer Hulett, PhD | University of Missouri-Columbia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Missouri | Columbia | Missouri | 65211 | United States |
This is a pilot feasibility study involving sensitive biometric and survey data from a small sample of nurses. Individual participant data (IPD) will not be shared publicly due to privacy considerations and the exploratory nature of the study.
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| ID | Term |
|---|---|
| D000077062 | Burnout, Psychological |
| ID | Term |
|---|---|
| D013315 | Stress, Psychological |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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Reported as a numerical score (composite index value) ranging from 0-100 |
| Enrollment through 10 weeks |
| Patient Acuity score | The Oracle Health Workload Management Clairvia system operationalizes patient acuity in terms of the intensity of care provided by nursing staff and allows for the direct care time required per patient to be quantified. This allows capture of RNs' workload across the working shift, creating an individualized utilization value that can reported as a numerical value (score). | From enrollment through the end of 10 weeks |
The Professional Quality of Life Scale (ProQOL) is a 30-item measure of burnout, well-being, and occupational stress from the past 30 days. ProQOL subscales include compassion satisfaction (Cronbach's α = 0.88), burnout (Cronbach's α = 0.75), and secondary traumatic stress (Cronbach's α = 0.81). Scores are interpreted as ≤ 22 (low), 23-41 (moderate), and ≥42 (high) levels of the construct being measured. |
| Baseline |
| The PROMIS-29 Profile v2.0 | The PROMIS®-29 Profile v.2.0 assesses 7 domains of mental and physical health, including anxiety, depression, fatigue, physical function, social role, sleep disturbance, pain. Raw scores are converted to T-scores with higher T-scores representing more of the construct being measured. | Baseline, Week 5, Week 10 |
| Feasibility of Intervention Measure (FIM) | The Feasibility of Intervention Measure (FIM) is a 4-item, validated implementation outcome survey tool designed to assess how practical and achievable an intervention is within a given setting. Responses range from completely disagree to completely agree. | Week 5, Week 10 |
| Acceptability of Intervention Measure (AIM) | The AIM is a 4-item tool that evaluates the extent to which participants perceive an intervention as agreeable, satisfactory, or appealing. Responses range from completely disagree to completely agree. | Week 5, Week 10 |
| Intervention Appropriateness Measure (IAM) | The IAM is a 4-item tool that assesses the perceived fit or suitability of an intervention for a specific setting. Responses range from completely disagree to completely agree. | Week 5, Week 10 |
| Qualitative Insights on Burnout and Organizational Stressors | Thematic analysis of semi-structured interviews exploring nurses' perceptions of stress, workload, and well-being. | Baseline |
| Hours worked per week | Numerical value reflecting the total number of hours a nurse worked each week. | Baseline through week 10 |