None listed
Conditions
Brief summary
Stress is very common in nursing and has a number of adverse consequences. The aim of this study is to pilot the feasibility of a brief workplace wellness intervention to emphasize the development of behaviours to strengthen the physical and mental health of emergency nurses. In this randomised controlled trial participants will be allocated to either control or intervention. The intervention group will receive a 5 week series of 1 hour classes guided by a Clinical Psychologist which teaches strategies to enhance resilience. Participants will be surveyed prior to starting the program, at the completion of the program and again 3 months later to assess the effect of the intervention on stress, professional quality of life, workplace engagement and resilience.
Interventions
Those randomised to the intervention group will receive a face-to-face self-care intervention program designed and supervised by an accredited clinical psychologist with over 10 years of experience. Participants will be offered one of two weekly hospital based sessions of approximately 1 hour duration for 5 weeks (10 participants should be in each of the sessions) with a home program.
Sessions will cover the following topics;
Session 1
Phenomenology of Stress
How people cope – Support & Self C
Those randomised to the intervention group will receive a face-to-face self-care intervention program designed and supervised by an accredited clinical psychologist with over 10 years of experience. Participants will be offered one of two weekly hospital based sessions of approximately 1 hour duration for 5 weeks (10 participants should be in each of the sessions) with a home program. Sessions will cover the following topics; Session 1 Phenomenology of Stress How people cope – Support & Self Care Self Care: 3 systems (Lifestyle, Physical (Body), Mental (Mind)) Lifestyle System: Sleep, Diet, Exercise, Fun Principle of 5% change Introduction to cyclic breathing – bridge to Session 2 Homework for session 1: Lifestyle audit, practice cyclic breathing Session 2 Review Homework – Discussion Physical System Biological basis of arousal Relaxation Training: overview, principles, goal (short and long techniques) Skills training: cyclic breathing (review), Progressive Muscle Relaxation (PMR), Visualisation) Homework for session 2: Progressive muscle relaxation, Visualisation Session 3 Review Homework – Discussion Mental System: Can’t stop thoughts, change how respond, shift focus of attention (Distraction), challenge (Cognitive Therapy), observe (Mindfulness) Mindfulness: Definition Skills Training - “mindfulness of the breath” Homework for session 3: Practice – “mindfulness of the breath” Session 4 Review Homework – Discussion Mindfulness continued Skills Training: “leaves on a stream”, mindful eating, Homework for session 4: practice “leaves on a stream”, mindful eating Session 5 Review Homework – Discussion Cognitive Therapy: Overview, principles, ABC model Discussion of process (techniques) Discuss and work through brief examples The sessions will be conducted in the ED conference room between the hours of 2pm and 3pm two afternoons per week. This time has been selected as it should minimise impact on clinical care and will also allow for completion of the program as part of work hours rather than in addition to current work schedule of already busy staff.
Sponsors
Royal Brisbane and Women's Hospital
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Nurse currently rostered to work in the RBWH DEM Able to attend program
Exclusion criteria
Regular meditation practice within the past 6 month period (greater than or equal to 1 session per week)
Outcome results
None listed