At a glance
ClinicalIndex Comparison Record- ✓Adults ages 18 years or older
- ✓Employed as a critical care nurse working at least 20 hours per week in an ICU
- ✓Baseline resilience score <82 on the Connor-Davidson Resilience Scale (CD-RISC)
- ✓Positive symptoms of at least one burnout dimension: emotional exhaustion >17, depersonalization >7, or personal accomplishment <31 on the Maslach Burnout Inventory
- ✕Self-reported diagnosis of bipolar disorder, psychotic disorder, active substance dependence, or immediate risk of self-harm or need for hospitalization
- ✕Employment on a time-limited contract (traveling nurse)
- ✕Unwillingness to participate in the entire study protocol
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
A Mindfulness Based Cognitive Therapy (MBCT) Resiliency Program for Critical Care Nurses
In Brief
A clinical study evaluating Mindfulness-Based Cognitive Therapy and Book Club Active Control Intervention for Burn-Out Syndrome and Work-Related Stress Disorder. Completed, enrolled 131 participants across 1 site.
Detailed Summary
Developed over 10 years ago, Mindfulness Based Cognitive Therapy (MBCT) synergistically combines mindfulness training and cognitive behavioral therapy and can increase resiliency. In this study, the investigators proposed two aims: Aim #1: To adapt and optimize a MBCT resiliency program specifically for ICU nurses. For this aim, the investigators will engage multiple stakeholder groups to assist the protocol adaptation. Aim # 2: To conduct a pilot clinical trial to determine acceptability of the MBCT resiliency program and the control intervention. In this aim, the investigators will also identify the most feasible randomization level to minimize contamination between the control and intervention groups. Collectively, this proposal will pave the way for a properly designed large multi-center trial of a MBCT resiliency program (MBCT-ICU) to determine its ability to decrease BOS symptoms; and allow nurses to more effectively care for patients in the challenging ICU environment.
Study Details
Timeline
Interventions
Mindfulness-Based Cognitive therapy is a 16 in-person hours intervention. The intervention in this population is designed to reduce symptoms of PTSD and BOS and increase resiliency scores.
Participants randomized to the book club active control intervention will meet for 16 in-person hours that are broken into sessions. Books will be assigned to read during homework time and discussions regarding the books will occur during the sessions. The time involved will be similar to the MBCT intervention.