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The purpose of this study is to determine the feasibility and acceptability of the RISE for Nurse Managers retreat and its impact on occupational and psychological well-being indicators
The RISE program is an empirically supported wellbeing intervention for nurses and nurse leaders delivered over 8 or 9 weeks in 90-minute weekly sessions facilitated by a licensed mental health professional. The program themes are Resilience, Insight, Self-Compassion, and Empowerment. This study will be to examine the feasibility and acceptability of delivering the program in a retreat style format over 2.5 days.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Participant group | Experimental | Intervention group will attend the RISE Retreat program, which is a 2.5-day retreat-style psychoeducational group program facilitated by licensed mental health professionals (LMHPs) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Intervention Group | Behavioral | Psychoeducational group program designed to impact occupational and psychological indicators including resilience, insight, self-compassion, empowerment, burnout and secondary trauma |
| Measure | Description | Time Frame |
|---|---|---|
| Maslach Burnout Inventory - Human Services Survey | 22-item questionnaire with the following response categories: 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=every day. MBI includes 3 dimensions of Burnout: Emotional Exhaustion, Depersonalization, and Personal Accomplishment. There are 9 items included in Emotional Exhaustion and scores can range from 0-54. There are 5 items included in Depersonalization and scores can range from 0-30. There are 8 items included in Personal Accomplishment and scores can range from 0-48. Higher scores on Emotional Exhaustion and Depersonalization and lower scores on Personal Accomplishment are indicative of Burnout | Baseline, 1-month follow-up, 3-month follow-up, 6-month follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Professional Quality of Life Scale | 30-item questionnaire with the following response categories: 1=never, 2=rarely, 3=sometimes, 4=often, 5=very often. PROQOL includes 3 dimensions: Compassion Satisfaction, Burnout, and Secondary Traumatic Stress. Each subscale includes 10 items and scores can range from 10-50. For Burnout and Secondary Traumatic Stress, lower scores are better. Sums of 10-22 = low level, 23-41 = average level, and 42-50=high level of Burnout and Secondary Traumatic Stress. For Compassion Satisfaction, higher scores are better. Sum of 10-22=low level, 23-41=average level, and 42-50=high level of Compassion Satisfaction. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Amanda T. Sawyer, PhD | Contact | 407-200-2901 | Amanda.Sawyer@AdventHealth.com | |
| Amy West, RN | Contact | Amy.West@AdventHealth.com |
| Name | Affiliation | Role |
|---|---|---|
| Amanda T. Sawyer, PhD | AdventHealth | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| AdventHealth | Recruiting | Orlando | Florida | 32804 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34154451 | Background | Bailey AK, Sawyer AT, Robinson PS. A Psychoeducational Group Intervention for Nurses: Rationale, Theoretical Framework, and Development. J Am Psychiatr Nurses Assoc. 2023 May-Jun;29(3):232-240. doi: 10.1177/10783903211001116. Epub 2021 Jun 22. | |
| 6668417 | Background | 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. |
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| ID | Term |
|---|---|
| D000077062 | Burnout, Psychological |
| D000068376 | Compassion Fatigue |
| ID | Term |
|---|---|
| D013315 | Stress, Psychological |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D005222 | Mental Fatigue |
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Single group assignment
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| Baseline, 1- and 3-and 6-month follow-up |
| Brief Resilience Scale | 6-item questionnaire with the following response categories: 1=strongly agree, 2=disagree, 3=neutral, 4=agree, 5=strongly agree. Sum of items can range from 6-30, which is then divided by 6 to get an average score. Higher score is better, with 1-2.99 = low resilience, 3-4.3 = normal resilience, and 4.31-5.0 = high resilience. | Baseline, 1- and 3-and 6-month follow-up |
| Self-Reflection and Insight Scale | 20-item questionnaire with the following response categories: 1=strongly disagree, 2, 3, 4, 5, 6=strongly agree. Six items are included in Self-Reflection and scores can range from 6-42, with higher scores indicating a greater self-reflection. Six items are included in Insight, and scores can also range from 6-42 with higher scores indicating more Insight. | Baseline, 1- and 3-and 6-month follow-up |
| Self-Compassion Scale Short Form | 12-item questionnaire with the following response categories: 1=almost never, 2, 3, 4, 5=almost always. Scores are added and then averaged. While the average score is to be used comparatively, score 1.0-2.49 is considered low, 2.5-3.5 is considered moderate, and 3.51-5.0 is considered high. | Baseline, 1- and 3-and 6-month follow-up |
| General Self-Efficacy Scale | 10-item questionnaire with the following response categories: 1=not at all true, 2=barely true, 3=moderately true, 4=exactly true. Item scores are added together and then averaged with higher scores indicating more self-efficacy. | Baseline, 1- and 3-and 6-month follow-up |
| Perceived Stress Scale | 10-item questionnaire with the following response categories: 0=never, 1=almost never, 2=sometimes, 3=fairly often, 4=very often. The total score ranges from 0 to 40 with higher scores indicating greater perceived stress. | Baseline, 1- and 3-and 6-month follow-up |
| Generalized Anxiety Disorder - 2 item scale | 2-item questionnaire with the following response categories: 0=not at all, 1=several days, 2=more than half the days, 3=nearly every day. Total score range is 0 to 6 and a score of 3 or higher suggests possible anxiety. | Baseline, 1- and 3-and 6-month follow-up |
| Patient Health Questionnaire - 2 item | 2-item scale with the following response categories: 0=not at all, 1=several days, 2=more than half the days, 3=nearly every day. Total score range is from 0 to 6, and a score of 3 or more indicates possible depressed mood. | Baseline, 1- and 3-and 6-month follow-up |
| Post-Traumatic Growth Inventory | 21-item scale scored using six-point responses: zero ("I did not experience this change as a result of my crisis") to five ("I experienced this change to a very great degree as a result of my crisis"). Total score range is 0 to 105, which higher scores indicating more post traumatic growth. | Baseline, 1- and 3-and 6-month follow-up |
| Psychological Empowerment Instrument | 12-item measure that assesses empowerment in the workplace using a 7-point Likert response scale. Four aspects are measured: meaning, competence, self-determination, and impact. Total score range from 12 to 84, with higher scores indicating greater psychological empowerment. | Baseline, 1- and 3-and 6-month follow-up |
| Employment Status | Human Resources Data | 12-month post-program |
| 17339617 | Background | Kroenke K, Spitzer RL, Williams JB, Monahan PO, Lowe B. Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection. Ann Intern Med. 2007 Mar 6;146(5):317-25. doi: 10.7326/0003-4819-146-5-200703060-00004. |
| 14583691 | Background | Kroenke K, Spitzer RL, Williams JB. The Patient Health Questionnaire-2: validity of a two-item depression screener. Med Care. 2003 Nov;41(11):1284-92. doi: 10.1097/01.MLR.0000093487.78664.3C. |
| 35873252 | Background | Litz BT, Plouffe RA, Nazarov A, Murphy D, Phelps A, Coady A, Houle SA, Dell L, Frankfurt S, Zerach G, Levi-Belz Y; Moral Injury Outcome Scale Consortium. Defining and Assessing the Syndrome of Moral Injury: Initial Findings of the Moral Injury Outcome Scale Consortium. Front Psychiatry. 2022 Jul 5;13:923928. doi: 10.3389/fpsyt.2022.923928. eCollection 2022. |
| Background | Maslach C, Jackson SE, Leiter MP. Maslach Burnout Inventory manual, 3rd ed. Palo Alto, CA: Consulting Psychologists Press, 1996. |
| 21584907 | Background | 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. |
| 34293934 | Background | Sawyer AT, Bailey AK, Green JF, Sun J, Robinson PS. Resilience, Insight, Self-Compassion, and Empowerment (RISE): A Randomized Controlled Trial of a Psychoeducational Group Program for Nurses. J Am Psychiatr Nurses Assoc. 2023 Jul-Aug;29(4):314-327. doi: 10.1177/10783903211033338. Epub 2021 Jul 23. |
| 37297639 | Background | Sawyer AT, Tao H, Bailey AK. The Impact of a Psychoeducational Group Program on the Mental Well-Being of Unit-Based Nurse Leaders: A Randomized Controlled Trial. Int J Environ Res Public Health. 2023 Jun 2;20(11):6035. doi: 10.3390/ijerph20116035. |
| Background | Schwarzer, R., & Jerusalem, M. (1995). Generalized Self-Efficacy Scale. J. Weinman, S. Wright, & M. Johnston, Measures in health psychology: A user's portfolio. Causal and control beliefs, 35, 37. |
| 18696313 | Background | 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. |
| Background | Spreitzer GM. Psychological empowerment in the workplace: Dimensions, measurement, and validation. Academy of Management Journal. 1995; 38(5):1442-1465. |
| Background | Stamm, B. H. (2010). Professional Quality of Life: Compassion Satisfaction and Fatigue Version 5 (ProQOL). http://www.proqol.org. |
| 8827649 | Background | Tedeschi RG, Calhoun LG. The Posttraumatic Growth Inventory: measuring the positive legacy of trauma. J Trauma Stress. 1996 Jul;9(3):455-71. doi: 10.1007/BF02103658. |
| D005221 |
| Fatigue |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D000073397 | Occupational Stress |