Burnout, Healthcare Workers, Nursing Workload
Conditions
Keywords
burnout, nursing workload, acute care nursing, physiological stress, job satisfaction, biometric measurement, organizational factors in health care, well-being
Brief summary
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.
Interventions
OTHERMultimethod data collection
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.
Sponsors
University of Missouri-Columbia
Oura Ring
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* RN participants must be at least 18 years of age. * Must be a credentialed registered nurse (RN) working fulltime (≥0.75 FTE) in the MUHC University Hospital on the surgical or cardiac ICUs, surgical specialties, or the cardiovascular unit. * Must own a smart phone capable of supporting latest version of the Oura app with internet connectivity (Apple iOS15 and higher; Android 8.0 and higher with Google Play services) and Bluetooth 4.0. * Ability to wear an Oura ring daily, 7 days/ week (at least 22 hours/day), and adhere to study procedures. * Able to complete informed consenting procedures.
Exclusion criteria
* Known allergy or sensitivity to components of Oura ring. * RNs working part-time or per diem * Travel nurses * Known allergies to the Oura ring * Ring finger sizes incompatible with Oura Ring Gen 3 sizes
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Acceptability | Enrollment | 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. |
| Data completion rate | Enrollment through 10 weeks | Reported as percentage rate of complete data obtained at baseline, 5 weeks, and 10 weeks |
| Retention rate | Enrollment through 10 weeks | Reported as a percentage rate reflecting the number of participants participating at study completion compared to the number of participants participating at study commencement. |
| Heart rate | Enrollment through 10 weeks | Reported as a numerical value reflecting beats per minute. |
| Heart rate variability | Enrollment through 10 weeks | Reported as a numerical value in (milliseconds) |
| Sleep duration | Enrollment through 10 weeks | Reported as the total sleep time (hours and minutes) |
| Sleep score | Enrollment through 10 weeks | Reported as a numerical value (index value) ranging from 0-100 |
| Resilience score | Enrollment through 10 weeks | Reported as a numerical score (composite index value) ranging from 0-100 |
| Patient Acuity score | From enrollment through the end of 10 weeks | 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). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The Perceived Stress Scale | Baseline, Week 5, Week 10 | 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. |
| The Professional Quality of Life Scale | Baseline | 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. |
| The PROMIS-29 Profile v2.0 | Baseline, Week 5, Week 10 | 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. |
| Feasibility of Intervention Measure (FIM) | Week 5, Week 10 | 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. |
| Acceptability of Intervention Measure (AIM) | Week 5, Week 10 | 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. |
| Intervention Appropriateness Measure (IAM) | Week 5, Week 10 | 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. |
| Qualitative Insights on Burnout and Organizational Stressors | Baseline | Thematic analysis of semi-structured interviews exploring nurses' perceptions of stress, workload, and well-being. |
| Hours worked per week | Baseline through week 10 | Numerical value reflecting the total number of hours a nurse worked each week. |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORJennifer Hulett, PhD
University of Missouri-Columbia
Outcome results
None listed