Ignite Creation Date:
2024-06-16 @ 11:47 AM
Last Modification Date:
2024-10-26 @ 3:30 PM
Study NCT ID:
NCT06423638
Status:
RECRUITING
Last Update Posted:
2024-05-21
First Post:
2024-05-16
Brief Title:
Feasibility of Virtual Tai Chi Easy for Registered Nurses
Sponsor:
University of Arizona
Organization:
University of Arizona
Study Overview
Official Title:
The Feasibility of Tai Chi Easy Training for Registered Nurses
Status:
RECRUITING
Status Verified Date:
2024-05
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
TCERN
Brief Summary:
This study will examine the feasibility of virtual Tai Chi Easy training for registered nurses and see if participation results in changes in symptoms of transition shock healthcare-related psychological traumatic stress burnout somatic symptoms and intention to quit Participants will do virtual Tai Chi Easy for 2 hours per week and practice on their own for 40 minutes per week The study will last six weeks Surveys will be completed in REDCap before during and after the intervention
Detailed Description:
Nurses are the backbone of the healthcare system comprising 59 of the healthcare workforce Salmond 2021 however research indicates that 328 of newly hired Registered Nurses RNs voluntarily terminate their positions within the first year and must then be replaced NSI Nursing Services 2023 The turnover problem among nurses threatens the delivery of adequate safe and timely patient care the health and well-being of nurses and other healthcare professionals and the sustainability of the organizations for which they work
High job turnover among nurses is a problem that has inspired the design implementation and study of numerous organizationsystem-driven interventions over at least the past sixty years Numerous researchers have identified the first year of practice as the most stressful time in a nurse39s career Chesak 2019 with the highest levels occurring at four and eight months of employment Fang 2022 These nurses can experience a phenomenon known as 39transition shock39 comprising cognitive psychological and emotional distress Duchscher 2009 Transition shock can lead to nurses feeling overwhelmed by the stark and unanticipated realities of nursing practice especially if that reality conflicts with previously held ideals beliefs and expectations In addition to experiencing elevated stress levels and transition shock exposure to healthcare-related psychological trauma plays a key role in why nurses have left and continue to leave their positions and the profession in droves Foli 2019
Burnout is a common phenomenon among nurses Key contributors to the development of burnout among healthcare workers include exposure to traumatic events such as witnessing death and suffering the psychological and physical demands of the job shift work low autonomy inadequate social support incivility in the workplace low staffing and poor communication and collaborative relationships with other healthcare professionals Chesak 2019
Despite the significant human and financial resources invested in solutions that attempt to mitigate nurse turnover there is surprisingly little evidence in the published literature on the use of integrative mind-body self-care interventions to help individual nurses cope with prolonged or toxic levels of stress burnout traumatic stress and somatic symptoms
Self-care deficits are common among nurses who typically focus on helping and serving others While altruism compassion and a commitment to help others draw many people to a career in nursing the desire to help others deal with their health problems can sometimes overshadow a nurse39s motivation or ability to care for themselves Crane 2016 A 2017 survey by the American Nurses Association ANA 2017 found that 68 of nurses put their patients safety health and wellness ahead of their own Furthermore although nurses are well-educated and often teach patients about the importance of health-promoting behaviors that knowledge does not always translate into engagement in healthy lifestyle behaviors among nurses themselves Albert 2014
In the wake of the COVID-19 pandemic when nurses are more traumatized stressed and spread thinner than ever American Nurses Foundation 2021 some are resorting to employing maladaptive coping strategies such as substance or alcohol abuse to cope with stress and negative emotions Foli 2021 This highly problematic engagement in maladaptive coping strategies highlights and underscores the need for safe cost-effective accessible and acceptable self-care options for nurses
Mind-body psychoneuroimmunology-based interventions such as Tai Chi have been used for centuries by people all over the world and may be a feasible self-care intervention for new graduate nurses Mind-body therapies are defined as those that emphasize using the brain in conjunction with the body to harness innate healing powers Mind-body exercise often includes multiple components such as breathing practices focused attention meditation and gentle physical movements Bower 2016 Numerous conceptual models propose that the primary mechanism by which mind-body therapies produce their effects is through self-regulation which has a top-down effect on numerous physiological processes that impact health and health behaviors Bower 2016 Mind-body modalities can improve nurses39 general health and well-being and may help prevent or reduce burnout by reducing psychological stress and alleviating somatic symptoms Jung 2021 through alterations in inflammatory processes Irwin 2015
Tai Chi Easy TCE is a safe cost-effective non-pharmacological intervention developed by Dr Roger Jahnke TCE is a simplified and streamlined practice that draws from the four main recognized styles of tai chi Ward 2023 According to Jahnke 2003 the deliberate attention to breathing movement and meditation in tai chi integrates the nervous endocrine cardiovascular digestive and immune systems with the psyche
TCE practice comprises four baskets Self-applied massage mindful movement breathing exercises and meditation exercises Ward 2023 TCE is appropriate for people of all ages and health conditions because it is easy to learn and perform and is extremely adaptable Ward 2023TCE is a cost-effective and sustainable mind-body intervention that does not require any special clothing footwear or equipment and can be practiced virtually anywhere at any time Therefore TCE is the ideal behavioral intervention for this study to help new nurses cope with stress and improve their overall health and well-being
Offering TCE in an asynchronous virtual format will allow nurses who often work the night shift and may need to sleep when in-person classes would typically be offered to allow for greater flexibility and opportunities to access the intervention
The purpose of this study is to a gain a deeper understanding of factors contributing to high turnover among nurses including past exposure to adverse childhood experiences and adverse life events b determine whether virtual TCE training is a feasible acceptable safe and appropriate mind-body self-care intervention among NGNs and c explore whether changes in stress transition shock posttraumatic stress symptoms and transition shock occur after participation in a six-week asynchronous virtual TCE training intervention
The specific aims of this study are as follows
Aim 1 Feasibility
- Evaluate whether Tai Chi Easy is a feasible acceptable and appropriate self-care intervention for registered nurses Recruitment retention intervention adherence and safety data will also be obtained
Aim 2 Changes in Symptoms of Distress
- Explore whether changes in stress transition shock burnout somatic symptoms posttraumatic stress symptoms and intention to quit occur post-intervention
The results of this study will 1 fill an important knowledge gap in the nursing literature 2 inform future studies regarding the use of virtual Tai Chi Easy as a safe acceptable cost-effective and sustainable intervention for nurses who may be experiencing the phenomena of interest and 3 provide information with potential utility for the academic and healthcare industry sectors There is a demonstrated need to better prepare nurses for the tumultuous and highly stressful entry to professional practice and to guide the design and implementation of programs to help new nurses adjust and remain in their roles
High job turnover among nurses is a problem that has inspired the design implementation and study of numerous organizationsystem-driven interventions over at least the past sixty years Numerous researchers have identified the first year of practice as the most stressful time in a nurse39s career Chesak 2019 with the highest levels occurring at four and eight months of employment Fang 2022 These nurses can experience a phenomenon known as 39transition shock39 comprising cognitive psychological and emotional distress Duchscher 2009 Transition shock can lead to nurses feeling overwhelmed by the stark and unanticipated realities of nursing practice especially if that reality conflicts with previously held ideals beliefs and expectations In addition to experiencing elevated stress levels and transition shock exposure to healthcare-related psychological trauma plays a key role in why nurses have left and continue to leave their positions and the profession in droves Foli 2019
Burnout is a common phenomenon among nurses Key contributors to the development of burnout among healthcare workers include exposure to traumatic events such as witnessing death and suffering the psychological and physical demands of the job shift work low autonomy inadequate social support incivility in the workplace low staffing and poor communication and collaborative relationships with other healthcare professionals Chesak 2019
Despite the significant human and financial resources invested in solutions that attempt to mitigate nurse turnover there is surprisingly little evidence in the published literature on the use of integrative mind-body self-care interventions to help individual nurses cope with prolonged or toxic levels of stress burnout traumatic stress and somatic symptoms
Self-care deficits are common among nurses who typically focus on helping and serving others While altruism compassion and a commitment to help others draw many people to a career in nursing the desire to help others deal with their health problems can sometimes overshadow a nurse39s motivation or ability to care for themselves Crane 2016 A 2017 survey by the American Nurses Association ANA 2017 found that 68 of nurses put their patients safety health and wellness ahead of their own Furthermore although nurses are well-educated and often teach patients about the importance of health-promoting behaviors that knowledge does not always translate into engagement in healthy lifestyle behaviors among nurses themselves Albert 2014
In the wake of the COVID-19 pandemic when nurses are more traumatized stressed and spread thinner than ever American Nurses Foundation 2021 some are resorting to employing maladaptive coping strategies such as substance or alcohol abuse to cope with stress and negative emotions Foli 2021 This highly problematic engagement in maladaptive coping strategies highlights and underscores the need for safe cost-effective accessible and acceptable self-care options for nurses
Mind-body psychoneuroimmunology-based interventions such as Tai Chi have been used for centuries by people all over the world and may be a feasible self-care intervention for new graduate nurses Mind-body therapies are defined as those that emphasize using the brain in conjunction with the body to harness innate healing powers Mind-body exercise often includes multiple components such as breathing practices focused attention meditation and gentle physical movements Bower 2016 Numerous conceptual models propose that the primary mechanism by which mind-body therapies produce their effects is through self-regulation which has a top-down effect on numerous physiological processes that impact health and health behaviors Bower 2016 Mind-body modalities can improve nurses39 general health and well-being and may help prevent or reduce burnout by reducing psychological stress and alleviating somatic symptoms Jung 2021 through alterations in inflammatory processes Irwin 2015
Tai Chi Easy TCE is a safe cost-effective non-pharmacological intervention developed by Dr Roger Jahnke TCE is a simplified and streamlined practice that draws from the four main recognized styles of tai chi Ward 2023 According to Jahnke 2003 the deliberate attention to breathing movement and meditation in tai chi integrates the nervous endocrine cardiovascular digestive and immune systems with the psyche
TCE practice comprises four baskets Self-applied massage mindful movement breathing exercises and meditation exercises Ward 2023 TCE is appropriate for people of all ages and health conditions because it is easy to learn and perform and is extremely adaptable Ward 2023TCE is a cost-effective and sustainable mind-body intervention that does not require any special clothing footwear or equipment and can be practiced virtually anywhere at any time Therefore TCE is the ideal behavioral intervention for this study to help new nurses cope with stress and improve their overall health and well-being
Offering TCE in an asynchronous virtual format will allow nurses who often work the night shift and may need to sleep when in-person classes would typically be offered to allow for greater flexibility and opportunities to access the intervention
The purpose of this study is to a gain a deeper understanding of factors contributing to high turnover among nurses including past exposure to adverse childhood experiences and adverse life events b determine whether virtual TCE training is a feasible acceptable safe and appropriate mind-body self-care intervention among NGNs and c explore whether changes in stress transition shock posttraumatic stress symptoms and transition shock occur after participation in a six-week asynchronous virtual TCE training intervention
The specific aims of this study are as follows
Aim 1 Feasibility
- Evaluate whether Tai Chi Easy is a feasible acceptable and appropriate self-care intervention for registered nurses Recruitment retention intervention adherence and safety data will also be obtained
Aim 2 Changes in Symptoms of Distress
- Explore whether changes in stress transition shock burnout somatic symptoms posttraumatic stress symptoms and intention to quit occur post-intervention
The results of this study will 1 fill an important knowledge gap in the nursing literature 2 inform future studies regarding the use of virtual Tai Chi Easy as a safe acceptable cost-effective and sustainable intervention for nurses who may be experiencing the phenomena of interest and 3 provide information with potential utility for the academic and healthcare industry sectors There is a demonstrated need to better prepare nurses for the tumultuous and highly stressful entry to professional practice and to guide the design and implementation of programs to help new nurses adjust and remain in their roles
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None