- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06724770
Design of an Intervention to Equip Middle Managers and Managers in Healthcare Institutions with Tools to Increase the Resilience of Their Teams (e-Resiliencia)
Diseño De Una Intervención Para Dotar a Mandos Intermedios Y Directivos De Instituciones Sanitarias Con Herramientas Para Incrementar La Resiliencia De Sus Equipos
The main objective of this preparatory action (experimental study without control group, before and after measurements) is to develop and test the feasibility of the e-Resilience tool in a relevant environment (TRL6). This web-based tool has been designed to facilitate the work of the top and middle management of healthcare institutions to strengthen the resilience of their teams to face critical situations inherent to healthcare activity.
The main questions it aims to answer are:
- Which components of the e-Resilience intervention need to be improved?
- Does the e-Resilience tool improve the knowledge of middle managers in healthcare institutions on specific techniques and strategies to strengthen the resilience of the professionals and teams under their care?
- Is the e-Resilience tool helpful and applicable to clinical settings in the opinion of middle managers in healthcare institutions?
Participants in the study are middle management and healthcare professionals from primary care centres and hospitals in the Valencian Community (Spain). A group of experts review the components of the intervention/tool to improve its adaptability to clinical settings. Subsequently, a sample of healthcare professionals and middle managers complete the intervention by answering a knowledge questionnaire before and after the intervention and a survey to evaluate the tool.
There is no control group.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Alicante
-
Elche, Alicante, Spain, 03202
- Universidad Miguel Hernandez de Elche
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Healthcare professionals and middle management in active healthcare institutions.
Exclusion Criteria:
- Inability to complete the web-based intervention due to access difficulties or lack of digital literacy.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: e-Resilience Intervention
Middle management and healthcare professionals who voluntarily participate in the e-Resilience intervention.
|
Training intervention on tools and strategies to strengthen the resilience of work teams in healthcare centres.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of incorporations and adaptations necessary for the validation of e-Resilience in a relevant environment.
Time Frame: 5 months
|
Number of change proposals of the expert group to adapt the tool to the target environments' needs and enhance its applicability.
|
5 months
|
|
Hits on resilience knowledge questionnaire (pre-intervention).
Time Frame: 3 months
|
Number of correct answers to questions on knowledge of models, techniques, tools and strategies for building resilience in clinical settings.
|
3 months
|
|
Hits on resilience knowledge questionnaire (post-intervention).
Time Frame: 3 months
|
Number of correct answers to questions on knowledge of models, techniques, tools and strategies for building resilience in clinical settings.
|
3 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Clarity of the e-Resilience tool components.
Time Frame: 3 months
|
Clarity of the e-Resilience tool components (scale 1-5, where 1 = not clear at all and 5 = totally clear).
|
3 months
|
|
Usefulness and applicability of the e-Resilience tool.
Time Frame: 3 months
|
Usefulness and applicability of the e-Resilience tool (scale 1-5, where 1 = not useful or applicable at all and 5 = fully useful and applicable).
|
3 months
|
|
Perception of improvement of own capacity to strengthen the resilience of healthcare teams.
Time Frame: 3 months
|
The contents of the course have allowed me to learn strategies to strengthen the resilience of the professionals or teams in my charge (scale 1-5, where 1 = strongly disagree and 5 = strongly agree).
|
3 months
|
|
Willingness to recommend e-Resilience.
Time Frame: 3 months
|
I will recommend the intervention to other colleagues (scale 1-5, where 1 = strongly disagree and 5 = strongly agree).
|
3 months
|
|
Willingness to use e-Resilience in the future.
Time Frame: 3 months
|
I will apply any of the tools or strategies learned to strengthen individual, team or organisational resilience in my work environment.
(scale 1-5, where 1 = strongly disagree and 5 = strongly agree).
|
3 months
|
|
Overall satisfaction with the e-Resilience intervention.
Time Frame: 3 months
|
Overall satisfaction with the e-Resilience intervention (scale 0-10, where 0 = not at all satisfied and 10 = completely satisfied).
|
3 months
|
Collaborators and Investigators
Publications and helpful links
General Publications
- Smith BW, Dalen J, Wiggins K, Tooley E, Christopher P, Bernard J. The brief resilience scale: assessing the ability to bounce back. Int J Behav Med. 2008;15(3):194-200. doi: 10.1080/10705500802222972.
- Wagnild GM, Young HM. Development and psychometric evaluation of the Resilience Scale. J Nurs Meas. 1993 Winter;1(2):165-78.
- Bodenheimer T, Sinsky C. From triple to quadruple aim: care of the patient requires care of the provider. Ann Fam Med. 2014 Nov-Dec;12(6):573-6. doi: 10.1370/afm.1713.
- Winwood PC, Colon R, McEwen K. A practical measure of workplace resilience: developing the resilience at work scale. J Occup Environ Med. 2013 Oct;55(10):1205-12. doi: 10.1097/JOM.0b013e3182a2a60a.
- Seys D, Panella M, Russotto S, Strametz R, Joaquin Mira J, Van Wilder A, Godderis L, Vanhaecht K. In search of an international multidimensional action plan for second victim support: a narrative review. BMC Health Serv Res. 2023 Jul 31;23(1):816. doi: 10.1186/s12913-023-09637-8.
- Mira JJ, Vicente MA, Lopez-Pineda A, Carrillo I, Guilabert M, Fernandez C, Perez-Jover V, Martin Delgado J, Perez-Perez P, Cobos Vargas A, Astier-Pena MP, Martinez-Garcia OB, Marco-Gomez B, Abad Bouzan C. Preventing and Addressing the Stress Reactions of Health Care Workers Caring for Patients With COVID-19: Development of a Digital Platform (Be + Against COVID). JMIR Mhealth Uhealth. 2020 Oct 5;8(10):e21692. doi: 10.2196/21692.
- Venegas CL, Nkangu MN, Duffy MC, Fergusson DA, Spilg EG. Interventions to improve resilience in physicians who have completed training: A systematic review. PLoS One. 2019 Jan 17;14(1):e0210512. doi: 10.1371/journal.pone.0210512. eCollection 2019. Erratum In: PLoS One. 2019 Mar 28;14(3):e0214782. doi: 10.1371/journal.pone.0214782.
- Stoliker BE, Vaughan AD, Collins J, Black M, Anderson GS. Building Personal Resilience following an Online Resilience Training Program for BScN Students. West J Nurs Res. 2022 Aug;44(8):755-764. doi: 10.1177/01939459211017240. Epub 2021 May 17.
- Strametz R, Raspe M, Ettl B, Huf W, Pitz A. [Recommended actions: Reinforcing clinicians' resilience and supporting second victims during the COVID-19 pandemic to maintain capacity in the healthcare system]. Zentralbl Arbeitsmed Arbeitsschutz Ergon. 2020;70(6):264-268. doi: 10.1007/s40664-020-00405-7. Epub 2020 Sep 2. German.
- Raetze S, Duchek S, Maynard MT, Wohlgemuth M. Resilience in organization-related research: An integrative conceptual review across disciplines and levels of analysis. J Appl Psychol. 2022 Jun;107(6):867-897. doi: 10.1037/apl0000952. Epub 2021 Nov 11.
- Daly LM. Resilience: An Integrated Review. Nurs Sci Q. 2020 Oct;33(4):330-338. doi: 10.1177/0894318420943141.
- Bartone PT, Ursano RJ, Wright KM, Ingraham LH. The impact of a military air disaster on the health of assistance workers. A prospective study. J Nerv Ment Dis. 1989 Jun;177(6):317-28. doi: 10.1097/00005053-198906000-00001.
- Wiig S, Aase K, Billett S, Canfield C, Roise O, Nja O, Guise V, Haraldseid-Driftland C, Ree E, Anderson JE, Macrae C; RiH-team. Defining the boundaries and operational concepts of resilience in the resilience in healthcare research program. BMC Health Serv Res. 2020 Apr 19;20(1):330. doi: 10.1186/s12913-020-05224-3.
- Sisto A, Vicinanza F, Campanozzi LL, Ricci G, Tartaglini D, Tambone V. Towards a Transversal Definition of Psychological Resilience: A Literature Review. Medicina (Kaunas). 2019 Nov 16;55(11):745. doi: 10.3390/medicina55110745.
- Schwappach DL, Boluarte TA. The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountability. Swiss Med Wkly. 2009 Jan 10;139(1-2):9-15. doi: 10.4414/smw.2009.12417.
- Bourne T, Shah H, Falconieri N, Timmerman D, Lees C, Wright A, Lumsden MA, Regan L, Van Calster B. Burnout, well-being and defensive medical practice among obstetricians and gynaecologists in the UK: cross-sectional survey study. BMJ Open. 2019 Nov 25;9(11):e030968. doi: 10.1136/bmjopen-2019-030968.
- Schiess C, Schwappach D, Schwendimann R, Vanhaecht K, Burgstaller M, Senn B. A Transactional "Second-Victim" Model-Experiences of Affected Healthcare Professionals in Acute-Somatic Inpatient Settings: A Qualitative Metasynthesis. J Patient Saf. 2021 Dec 1;17(8):e1001-e1018. doi: 10.1097/PTS.0000000000000461.
- Sovold LE, Naslund JA, Kousoulis AA, Saxena S, Qoronfleh MW, Grobler C, Munter L. Prioritizing the Mental Health and Well-Being of Healthcare Workers: An Urgent Global Public Health Priority. Front Public Health. 2021 May 7;9:679397. doi: 10.3389/fpubh.2021.679397. eCollection 2021.
- Jacobs B, McGovern J, Heinmiller J, Drenkard K. Engaging Employees in Well-Being: Moving From the Triple Aim to the Quadruple Aim. Nurs Adm Q. 2018 Jul/Sep;42(3):231-245. doi: 10.1097/NAQ.0000000000000303.
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimated)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- ILISABIO22_AP09
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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