Anxiety, Compassion Fatigue, Compassion Satisfaction, Emotions, Hypnosis, Stress, Virtual Reality Therapy
Conditions
Keywords
Hypnosis, Virtual reality, Stress, Compassion fatigue, Neonatal intensive care nurses, Stress reduction program, Non Pharmacological Intervention
Brief summary
The practice of nursing is based on helping relationships and empathy. The work is physically, mentally and emotionally demanding. This requires the mobilization of personal resources (lifestyle, coping strategies) and work resources (managerial, medical support, recognition) to cope with stress. When these resources are present, nurses can activate a resilience process through coping strategies. However, stress levels and emotional impact are such that they can lead to states of suffering and trauma such as compassion fatigue (CF). The prevalence of CF is high in the nursing profession and particularly among neonatal intensive care (NICU) nurses. Several levels of intervention exist to prevent CF in services: organizational, inter-individual and individual. At the individual level, certain interventions such as meditation have been studied, showing positive effects with the highest levels of evidence. On the other hand, interventions such as hypnosis have not yet been studied in this context. There is, however, an interest in studying hypnosis as a non-pharmacological intervention to reduce stress and improve emotional regulation. Indeed, the hypnotic process (promoting attentional and cognitive rest, redirecting attentional focus, reducing mental effort) is a resource activator. In order to combine individual and organizational support, the intervention must be offered in the workplace and during working hours, given the difficulty nurses have in extracting themselves from the service, the restricted break time and the acceptability of the virtual reality system. In a context where break time is short and precious, it is necessary to use a tool that adapts to these constraints. Virtual reality with the HypnoVR® tool meets these needs. This device acts as a restorative environment. It has already proven its effectiveness in the care of painful and stressed patients in critical situations. It has not yet been studied in the context of work-related stress in healthcare professionals, such as neonatal intensive care nurses. The protocol takes into account the results of studies reporting the effects associated with the use of virtual reality (VR).
Interventions
The experimental group of 22 participants consists of a hypnosis intervention using a virtual reality device (HypnoVR®). Participants are seated in a quiet area of the unit: They choose a visual scenario from among 3 proposals, guaranteeing the conditions of a restorative environment. During each session, the same script (support mode) is spoken and the same music (serenity program with soothing tones) is associated with the script. Each participant is fitted with a virtual reality mask and a headset with active noise reduction.
Restoration time Participants are seated in a quiet area of the unit. The control group of 21 participants consists of a break with the following instructions and suggestions: Take advantage of this break, this time just for you, to recharge your batteries. Sit in this armchair and I suggest you think of something pleasant and comfortable.
Sponsors
Study design
Intervention model description
Neonatal Intensive Care Unit (NICU) Nurses (n = 42) will be randomly assigned to one of two conditions (control or Virtual Reality Hypnosis (VRH)). Each nurse will receive six 10-minute sessions of one of the techniques for 6 weeks (1 session per week).
Eligibility
Inclusion criteria
* Nurse * Regularly work in a neonatal intensive care unit * Be of legal age and not opposed to participating in research * Fluency in French
Exclusion criteria
* Age \< 18 * Refusal to participate * Current anticonvulsant or psychotropic treatment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Comfort level | From enrollment to the end of treatment at 8 weeks | Comfort: indicator of parasympathetic changes in emotional situations during each session, with the ANI Guardian® device. |
| Restoration | From enrollment to the end of treatment at 8 weeks | Restoration: 3 items from the Mental Restoration Scale |
| Satisfaction and compassion fatigue | From enrollment to the end of treatment at 8 weeks | Satisfaction and compassion fatigue: 21 items from the ProQOL - 21 scale |
| Stress levels | From enrollment to the end of treatment at 8 weeks | Perceived stress: a single question on stress symptoms : Stress is a situation in which a person feels tense, restless, nervous or anxious, or can't sleep at night because their mind is constantly troubled. Are you feeling this type of stress these days? The answer will be recorded on a five-point Likert scale ranging from 1 (not at all) to 5 (a lot). |
| Emotions | From enrollment to the end of treatment at 8 weeks | Emotions : 10 items from the short version of the Positive and Negative Affects Schedule . |
| Anxiety | From enrollment to the end of treatment at 8 weeks | State anxiety : 10 items from the short version of the State Anxiety Scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Acceptability | From enrollment to the end of treatment at 8 weeks | To assess acceptability, participants will rate their perception of the relaxation activity using five items from the Unified Theory of Acceptance and Use of Technology (UTAUT). These items assess ease of use, usefulness, effectiveness, overall satisfaction and behavioral intention. Participants will respond on a 10-point Likert scale ranging from 1 (strongly disagree) to 10 (strongly agree). |
| Evaluation of experience | From enrollment to the end of treatment at 8 weeks | Experience Open-ended question about the user experience during the session (Your comments on the session): How did you experience this session? Responses will be analyzed using an approach combining inductive coding and content analysis based on hypnosis processes identified in the literature |
Countries
France