Adaptation and Evaluation of RESTORE

Official title

REducing Nurse Burnout Through SysTems Analysis and Organizational REdesign (RESTORE)

Overview

The purpose of this clinical trial is to test whether the RESTORE intervention works to reduce nurse burnout, by engaging nursing staff in system redesign to reduce job demands and increase job resources. Participants in the RESTORE intervention process will be interviewed about: * their experience with RESTORE * their experiences working on a unit where RESTORE was used Participants will also complete surveys of the impact of RESTORE on job demands, job resources, burnout, and work engagement.

Detailed description

Burnout among nurses occurs when there is an imbalance between job demands and resources in the work system, and is associated with poorer nurse health and well-being, workforce issues, and decreased patient safety. Prior efforts to address burnout among nurses have largely utilized individual-level interventions that fail to address work system drivers of burnout, not engaged nurses in the intervention development and implementation process, and lacked scalability to diverse hospital environments. The overarching goal of this research is to decrease nursing staff burnout, which will improve their health and well-being and the quality of care they provide. Our scientific premise is that hospital nursing staff burnout will be reduced by: 1) identifying and addressing context-specific job demands that act as drivers of burnout, and 2) optimizing job resources for nursing staff through ownership over the design and implementation of unit- level solutions targeting burnout drivers. We propose to address these limitations in previous interventions and test the effectiveness of a nurse-led intervention REducing nurse burnout through SysTems analysis and Organizational REdesign (RESTORE) on reducing job demands, increasing job resources, and reducing burnout among hospital unit nursing staff.

Interventions

• Other RESTORE
  RESTORE is a process intervention that combines systems analysis and human-centered design (HCD) approaches to directly engage hospital nursing staff in ongoing organizational redesign to address burnout. Specifically, RESTORE is comprised of multiple in-person sessions with hospital unit design teams. In these sessions, hospital nurses are guided through using a well-known systems analysis model to understand their unit, including what factors act as drivers of burnout, what can be modified, an

Primary outcome measures

• Change in Maslach Burnout Inventory (MBI) [Time frame: Baseline to 30 months (measured quarterly)]

Secondary outcome measures (2)

• Change in Areas of Worklife Scale (AWS) [Time frame: Baseline to 30 months (measured quarterly)]
• Change in Utrecht Work Engagement Scale (UWES) [Time frame: Baseline to 30 months (measured quarterly)]

Eligibility criteria

Aim 1 and Aim 2:

Inclusion criteria

• Nursing staff employed on one of the study units and involved in direct patient care

Exclusion criteria

• Nursing staff that are not involved in direct patient care, travel and float nursing staff

Aim 3:

Inclusion criteria

\- Hospital and system leaders from one of the following groups

• leaders from hospitals that participated in Aims 1 and 2, OR
• other leaders from our partner health systems, OR
• leaders from other hospital settings
• leaders from hospital advocacy or quality organizations

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: Yes

Study design

Allocation

Randomized

Model

Crossover

Masking

Open label

Primary purpose

Health services research

Study locations

United States · 1 center

• University of Wisconsin — Madison

Identifiers

NCT: NCT07104474 · 2025-0039 · 1R01NR021386-01 · A545000 · NUR/FACULTY AFFAIRS/ADMIN · Protocol Version 1/14/25

Primary sources (government registries)

• ClinicalTrials.gov (US NIH)

View this study on ClinicalTrials.gov ↗