A Thematic Analysis of Compassion Rounds

May 5, 2021 updated by: AdventHealth

A Thematic Analysis of the Effects of Compassion Rounds on Clinicians and the Families of NICU Patients

The primary objective of this thematic analysis is to understand the experience of "Compassion Rounds" for patients, families, friends, and clinicians. The secondary objective of this study is to evaluate and interpret data to determine best practice recommendations for standardization and scalability.

Study Overview

Status

Status

Indicates the current recruitment status or the expanded access status.
Completed

Conditions

Conditions

The disease, disorder, syndrome, illness, or injury that is being studied. On ClinicalTrials.gov, conditions may also include other health-related issues, such as lifespan, quality of life, and health risks.

Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.

Detailed Description

This research will be conducted as a Thematic Analysis. Participants will be recruited from those who take part in compassion rounds, including patients, their loved ones, physicians, chaplains, social workers, nurses, and other care providers.

Qualitative data on participants' experiences throughout the intervention will be collected and analyzed using thematic methodology. The data will be used to explain the psychosocial processes that influence participant experience and reported outcomes.

Qualitative methodology does not seek to verify hypotheses based on logical assumptions, as quantitative measures do, instead it is used to derive salient constructs directly from the data. This methodology allows inductive understanding of participants' social reality and perceptions of the treatment, resulting in explanations of how the treatment leads to outcomes and the identification of variables that may then be quantified for more generalizable study.

Semi-structured Interviews

Through semi-structured interviews, which will be recorded and transcribed, the researcher asks participants open-ended questions intended to elicit perspectives on their experience of compassion rounds, without limiting responses to pre-determined categories of interest. The following are examples:

"What/who do you remember most vividly?" "How would you describe your experience to a friend?" "What was most meaningful to you? "What made you feel uncomfortable?" "Would you do it again? Why or why not?" "What, if anything, changed after compassion rounding?"

Coding

The researcher codes and documents throughout data collection and analysis to lend transparency to the coding process and to keep a record of ideas to inform thematic exposition. The researcher assigns categorical codes (labels or concepts) to the transcribed responses line-by-line, analyzing patterns of relationships and using a constant comparison technique to identify similarities and differences throughout the data. The following coding techniques will be used to analyze transcriptions:

  • open coding: the researcher segments the data into preliminary categories, based on similarity
  • axial coding: the researcher groups the categories into themes that provide new ways of seeing and understanding the phenomenon under study
  • selective coding: the researcher integrates the categories and themes to articulate a coherent theory of the phenomenon of study.

Theoretical Sampling Grounded theory research uses "theoretical sampling" to identify participants for interviews. Purposive samples are identified to initiate data collection and analysis, and to select participants who are likely to clarify, verify, or contradict data as it is collected. Sampling concludes when the data is "saturated," which occurs when coded categories are well-defined and no new significant insights are emerging from interviews.

Thematic Development and Validation

The researcher develops thematic explanations that stem from rendering participants' experiences throughout the practice of compassion rounding.

Themes are evaluated for fit and relevance and employee participants may be asked to validate the researcher's findings in follow-up interviews and focus groups.

Observation The researcher will also observe compassion rounding to collect data that will provide further insight to participants' experiences. Observations of interactions and reactions in real time will be documented and the data will be coded and analyzed using the techniques described above. Observational data will not be integrated into interview data, but will be used to confirm or contrast reported data.

Study Type

Study Type

Describes the nature of a clinical study. Study types include interventional studies (also called clinical trials), observational studies (including patient registries), and expanded access.
Observational

Enrollment (Actual)

Enrollment

The number of participants in a clinical study. The "anticipated" enrollment is the target number of participants that the researchers need for the study.
30

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • Florida
      • Orlando, Florida, United States, 32804
        • AdventHealth Orlando

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Eligibility Criteria

The key requirements that people who want to participate in a clinical study must meet or the characteristics they must have. Eligibility criteria consist of both inclusion criteria (which are required for a person to participate in the study) and exclusion criteria (which prevent a person from participating). Types of eligibility criteria include whether a study accepts healthy volunteers, has age or age group requirements, or is limited by sex.

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

Participants will be recruited from participants in compassion rounding, including patients, their loved ones, physicians, chaplains, social workers, nurses, and other care providers.

Description

Inclusion Criteria:

  1. An employee of Florida Hospital or Adventist Health System, or a physician with privileges there, or a patient, or a family or friend who has participated in compassion rounding at a Florida Hospital critical care unit
  2. Over the age of 18
  3. Able to provide informed consent
  4. Must speak and understand English
  5. Willing and able to provide a contact phone number

Exclusion Criteria:

1. Discernible cognitive impairment

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort

Group / Cohort

A group or subgroup of participants in an observational study that is assessed for biomedical or health outcomes.
Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.
Physicians
interview physicians who have conducted compassion rounds
Other: interview

Initial interview and potential follow-up interviews and focus group with Florida Hospital employees.

Interview participants in compassion rounds
Chaplains
interview chaplains who have conducted compassion rounds
Other: interview

Initial interview and potential follow-up interviews and focus group with Florida Hospital employees.

Interview participants in compassion rounds
Other Healthcare Providers
interview other healthcare providers who have conducted compassion rounds
Other: interview

Initial interview and potential follow-up interviews and focus group with Florida Hospital employees.

Interview participants in compassion rounds
Patients
interview patients who have participated in compassion rounds
Other: interview

Initial interview and potential follow-up interviews and focus group with Florida Hospital employees.

Interview participants in compassion rounds
Patient family members/friends
interview patient's loved ones who have participated with the patient in compassion rounds
Other: interview

Initial interview and potential follow-up interviews and focus group with Florida Hospital employees.

Interview participants in compassion rounds

What is the study measuring?

Primary Outcome Measures

Primary Outcome Measures

In a clinical study's protocol, the planned outcome measure that is the most important for evaluating the effect of an intervention/treatment. Most clinical studies have one primary outcome measure, but some have more than one.
Outcome Measure
Measure Description
Time Frame
Validated Thematic Framework to Explain the Effects of Compassion Rounding
Time Frame: five months
Analysis of data collected throughout the study will result in a validated theoretical framework to understand and explain the psychosocial processes that influence participant experience and reported outcomes.
five months

Secondary Outcome Measures

Secondary Outcome Measures

In a clinical study's protocol, a planned outcome measure that is not as important as the primary outcome measure for evaluating the effect of an intervention but is still of interest. Most clinical studies have more than one secondary outcome measure.
Outcome Measure
Measure Description
Time Frame
Compendium of Evidence-Based Best Practices for the Implementation of Compassion Rounding
Time Frame: five months
Analysis of data collected throughout the study will result in an evidence-based compendium of best practices for the implementation of compassion rounding.
five months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Sponsor

The organization or person who initiates the study and who has authority and control over the study.
AdventHealth

Investigators

Investigators

A researcher involved in a clinical study. Related terms include site principal investigator, site sub-investigator, study chair, study director, and study principal investigator.
  • Principal Investigator: Kim McManus, Ph.D., FH Center for CREATION Health Research

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

Study Start

The actual date on which the first participant was enrolled in a clinical study. The "anticipated" study start date is the date that the researchers think will be the study start date.
October 1, 2018

Primary Completion (Actual)

Primary Completion

The date on which the last participant in a clinical study was examined or received an intervention to collect final data for the primary outcome measure. Whether the clinical study ended according to the protocol or was terminated does not affect this date. For clinical studies with more than one primary outcome measure with different completion dates, this term refers to the date on which data collection is completed for all the primary outcome measures. The "anticipated" primary completion date is the date that the researchers think will be the primary completion date for the study.
July 31, 2019

Study Completion (Actual)

Study Completion

The date on which the last participant in a clinical study was examined or received an intervention/treatment to collect final data for the primary outcome measures, secondary outcome measures, and adverse events (that is, the last participant's last visit). The "anticipated" study completion date is the date that the researchers think will be the study completion date.
August 28, 2019

Study Registration Dates

First Submitted

First Submitted

The date on which the study sponsor or investigator first submitted a study record to ClinicalTrials.gov. There is typically a delay of a few days between the first submitted date and the record's availability on ClinicalTrials.gov (the first posted date).
August 15, 2018

First Submitted That Met QC Criteria

First Submitted That Met QC Criteria

The date on which the study sponsor or investigator first submits a study record that is consistent with National Library of Medicine (NLM) quality control (QC) review criteria. The sponsor or investigator may need to revise and submit a study record one or more times before NLM's QC review criteria are met. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
August 23, 2018

First Posted (Actual)

First Posted

The date on which the study record was first available on ClinicalTrials.gov after National Library of Medicine (NLM) quality control (QC) review has concluded. There is typically a delay of a few days between the date the study sponsor or investigator submitted the study record and the first posted date.
August 28, 2018

Study Record Updates

Last Update Posted (Actual)

Last Update Posted

The most recent date on which changes to a study record were made available on ClinicalTrials.gov. There may be a delay between when the changes were submitted to ClinicalTrials.gov by the study's sponsor or investigator (the last update submitted date) and the last update posted date.
May 6, 2021

Last Update Submitted That Met QC Criteria

Last Update Submitted That Met QC Criteria

The most recent date on which the study sponsor or investigator submitted changes to a study record that are consistent with National Library of Medicine (NLM) quality control (QC) review criteria. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
May 5, 2021

Last Verified

Last Verified

The most recent date on which the study sponsor or investigator confirmed the information about a clinical study on ClinicalTrials.gov as accurate and current. If a study with a recruitment status of recruiting; not yet recruiting; or active, not recruiting has not been confirmed within the past 2 years, the study's recruitment status is shown as unknown.
May 1, 2021

More Information

Terms related to this study

Other Study ID Numbers

Other Study ID Numbers

Identifiers or ID numbers other than the NCT number that are assigned to a clinical study by the study's sponsor, funders, or others. These numbers may include unique identifiers from other trial registries and National Institutes of Health grant numbers.
  • 1320386

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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