Joy in Work, Resilience Capacity, and Patient Safety Culture Among Healthcare Professionals In-hospital

In this project, the investigators will investigate three important factors to optimize working conditions and patient safety: Joy in Work, Resilience Capacity, and Patient safety culture using both questionnaires and focus group interviews.

Study Overview

• Status: Recruiting
• Conditions: No Condition is the Focus of the Study

Detailed Description

Already in 2021, the Norwegian Patient Safety Conference 'In Safe Hands 24-7' focused on adaptability: "How can health care professionals learn from what goes well?" Working to be excellent, identifying areas for improvement, and succeeding in a continuous improvement process. A solid patient safety culture requires competent and adaptable health care professionals, leaders, and health care systems. Joy in work is the experiential factor that revolves around opportunities for personal development, influencing one's own work, having individual contributions valued, and feeling like a meaningful part of the community.

This project spans three years-before (2024), during (2025), and after (2026) the physical co-location of Department of Cardiothoracic Surgery at Oslo university hospital. Four-hundred (n=400) health care professionals are working at Department of Cardiothoracic surgery, Oslo University Hospital, Norway and are eligible to be included in the study.

Health care professionals view of Joy in Work, Resilience Capacity, and Patient safety culture will be described using three international questionnaires. It is within the scope of the study to perform sub-analysis due to sub-categories of the questionnaires. Analysis across the questionnaires will be performed.

Furthermore, the three terms Joy in Work, Resilience Capacity, and Patient safety culture will be explored by approximately 10 % of the four-hundred (n=40) health care professionals in 5-6 focus group interviews, in 2024, 2025 and 2026..

• Study Type: Observational
• Enrollment (Estimated): 400

Contacts and Locations

• Study Contact: Name: Irene Lie. Senior researcher and Professor, PhD; Phone Number: 0047 - 99026729; Email: Irene.lie@ous-hf.no
• Study Contact Backup: Name: Wenche Arntsen, Master; Phone Number: + 47 23073703; Email: warntsen@ous-hf.no

Study Locations

• Norway
  • Oslo, Norway
    • Recruiting
    • Oslo University Hospital
    • Contact: Irene Lie, PhD; Email: Irene.lie@ous-hf.no
  • Oslo, Norway
    • Not yet recruiting
    • Department of Cardiothoracic surgery, Division on Cardiovascular and Pulmonary Diseases, Oslo University hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

All health care professionals working at Department of Cardiothoracic Surgery November/December 2024, 2025 and 2026. 400 employees x 3 years, a total of 1200 possible respondents.

This is a descriptive and exploratory study (i.e., no priority given to a specific hypothesis). No relevant studies available to estimate the number of participants needed in this study. To detect medium effect sizes (Cohen's d=0.5) between groups, need to include a total of 172 participants, considering a type I error rate of 5% and a power of 90%. Two-sided t-test were used as the basis for this calculation. In addition, we aim to investigate factors associated with job satisfaction, resilience capacity, or patient safety culture. A sample of 147 participants would be sufficient to detect a small to medium effect size (f2=0.08) with 90 % power and a type I error of 5% in a multiple linear regression model with ten predictor variables. Sufficient power for analyzing subscales/subgroups, aim include 400.

Description

Inclusion Criteria:

• Health care professionals working at Department of Cardiothoracic Surgery

Exclusion Criteria:

• Not able to understand the Norwegian questionnaires

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort
Health care professionals working at Department of Cardiothoracic surgery; Longitudinal 3-year study. Data collection 2024 - 2026

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Describe Joy in Work among health care professionals at Department of Cardiothoracic surgery	Health care professionals working at Department of Cardiothoracic surgery in November/December 2024-2026 will be invited to participate in the longitudinal 3-year study. Sub analysis will be performed for sub scales/sub-themes of the questionnaires: Joy of Work (39 questions) This descriptive study is categorized as anonymous by the hospitals Data Protection Officer. Electronic web based questionnaire will be forwarded to all health care professionals at Department of Cardiothoracic surgery	December 2024, 2025 and 2026

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Describe Resilience Capacity among health care professionals at Department of Cardiothoracic surgery	Health care professionals working at Department of Cardiothoracic surgery in November/December 2024-2026 will be invited to participate in the longitudinal 3-year study. Sub analysis will be performed for sub scales/sub-themes of the questionnaire Resilience Capacity (33 questions)	November/December 2024-2026
Describe Patient Safety Culture among health care professionals at Department of Cardiothoracic surgery	Health care professionals working at Department of Cardiothoracic surgery in November/December 2024-2026 will be invited to participate in the longitudinal 3-year study. Sub analysis will be performed for sub scales/sub-themes of the questionnaire Patients safety culture (HSOPS 2.0) (36 questions)	November/December 2024-2026

Collaborators and Investigators

• Sponsor: Oslo University Hospital

Study record dates

Study Major Dates

• Study Start (Actual): November 25, 2024
• Primary Completion (Estimated): March 25, 2027
• Study Completion (Estimated): March 25, 2027

Study Registration Dates

• First Submitted: November 22, 2024
• First Submitted That Met QC Criteria: November 26, 2024
• First Posted (Actual): November 29, 2024

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: February 26, 2025
• Last Verified: November 1, 2024

More Information

Terms related to this study

• Keywords: Joy in Work. Resilience Capacity. Patient Safety Culture. Health care professionals. Inhospital.
• Other Study ID Numbers: 2024/22563

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: Not included in the informed consent to the respondents

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No