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Burnout Preventions, Professionalism Heightening, and Enhancing Resiliency (BUPHER) (BUPHER)

14. November 2016 aktualisiert von: michal roll

Values and Virtues in Medical Practice: Quasi-Experimental Intervention for Burnout Preventions, Professionalism Heightening, and Enhancing Resiliency (BUPHER) in a Hospital Surgical Division

Due to their difficult and stressful work surgeons are under continuous physical and mental stress exposing them to increased risk for burnout and lack of professionalism. The present intervention focuses on providing time and a safe space to debrief and explore personal and group experiences and dilemmas, as well as acquire coping skills related to burnout, communication and professionalism.

Studienübersicht

Studientyp

Interventionell

Einschreibung (Voraussichtlich)

1000

Phase

  • Unzutreffend

Kontakte und Standorte

Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.

Teilnahmekriterien

Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.

Zulassungskriterien

Studienberechtigtes Alter

18 Jahre und älter (Erwachsene, Älterer Erwachsener)

Akzeptiert gesunde Freiwillige

Ja

Studienberechtigte Geschlechter

Alle

Beschreibung

Inclusion Criteria:

  • All physicians (residents and experts) of the Surgical Division at Tel Aviv Sourasky Medical Center.
  • All medical students studying at the Sackler Faculty of Medicine, Tel Aviv University, and attending a surgery round at the Surgical Division at Tel Aviv Sourasky Medical Center.
  • Patients (and/or family members) in the Surgical Division at Tel Aviv Sourasky Medical Center following their surgery.

Exclusion Criteria:

  • The research will not include children and/or judgment-impaired patients;
  • population not met by inclusion criteria;
  • non-Hebrew speaking patients;
  • ventilated patients;
  • patients in surgical intensive care;
  • patients medically defined as suffering from clouding of conscious or delirium;
  • subjects who decided to stop their participation in the study.

Studienplan

Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.

Wie ist die Studie aufgebaut?

Designdetails

  • Hauptzweck: Versorgungsforschung
  • Zuteilung: Zufällig
  • Interventionsmodell: Parallele Zuordnung
  • Maskierung: Keine (Offenes Etikett)

Waffen und Interventionen

Teilnehmergruppe / Arm
Intervention / Behandlung
Experimental: Structured group intervention

Experimental: Structured group intervention a 'structured' intervention, leaning mostly on tools designed to prevent burnout and promote resilience, including predetermined exercises and topics as discussion goals in each meeting.

Fidelity will be checked and monitored at the end of each meeting, when facilitators fill out a form that summarizes the content, topics and coping skills acquired in each session.

Andere Namen:
  • Enhancing professional professional conduct
Experimental: Semi-Structured group intervention

Experimental: Semi-Structured group intervention a 'semi-structured' intervention, based on tools for developing an emotional discourse, building a supporting team and self reflection.

The 'semi-structured' intervention offers predetermined contents that are discussed through the stories and needs presented by group members.

Fidelity will be checked and monitored at the end of each meeting, when facilitators fill out a form that summarizes the content, topics and coping skills acquired in each session.

Andere Namen:
  • Enhancing professional professional conduct

Was misst die Studie?

Primäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Professionalism Culture Scale
Zeitfenster: Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
12 item scale developed by the American Board of Internal Medicine, by (DeLisa, Foye, Jain, Kirshblum, & Christodoulou, 2001
Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
Abbreviated Burnout Scale
Zeitfenster: Change (decrease) from baseline to short and long term measurements (after one year, 3 years, respectively)
Nine item scale focused on 3 burnout factors (Iverson, Olekalns & Erwin, 1998)
Change (decrease) from baseline to short and long term measurements (after one year, 3 years, respectively)

Sekundäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Adapted Professionalism Mini-Evaluation Scale Exercise scale
Zeitfenster: Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
originally included 24 items developed by Cruess, McIlroy, Cruess, Ginsburg, and Steinert (2006). Translated and adapted by the research team, and now include 31 items.
Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
Cynicism in Medicine Questionnaire (CMQ)
Zeitfenster: Change (decrease) from baseline to short and long term measurements (after one year, 3 years, respectively)
14 item questionnaire developed by Teserman, Morton, Loo, Worthle & Lamberton, 1996
Change (decrease) from baseline to short and long term measurements (after one year, 3 years, respectively)
Moral & Cognitive Courage Scale
Zeitfenster: Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
A newly developed questionnaire focused on self efficacy to intervene when a physician acts immorally and actual experience with acting in such cases.
Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
Jefferson Health Professionals Empathy Scale
Zeitfenster: Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
20 items questionnaire developed by Hojat, Mangione, Nasca, Cohen, Gonnella, Erdmann & Magee, 2001
Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
The Areas of Work life Scale (AWS)
Zeitfenster: Change (increase in balance) from baseline to short and long term measurements (after one year, 3 years, respectively)
29 items questionnaire developed by Leiter & Maslach, 2004 to measure 6 factors related to work load, control, appreciation, community, fairness and values
Change (increase in balance) from baseline to short and long term measurements (after one year, 3 years, respectively)
Professionals Self Care Practices questionnaire
Zeitfenster: Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
43 items comprised from two questionnaires focused on different aspects of self care (Teng, Yen & Fetzer & Shananfelt et al., 2005). the combination of these two questionnaires was assessed by Karnieli-Miller & Michael.
Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
Life satisfaction questionnaire
Zeitfenster: Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
3 item questionnaire focused on general life satisfaction.
Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
Perceived Stress Scale (PSS)
Zeitfenster: Change (decrease) from baseline to short and long term measurements (after one year, 3 years, respectively)
10 item scale focused on perceived stress in the clinics (4 items validated in Ben-Zur & Michael) and 6 items developed by the research team to assess concern and fear from medical mistakes and hierarchy.
Change (decrease) from baseline to short and long term measurements (after one year, 3 years, respectively)
Work-Life Balance
Zeitfenster: Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
6 item questionnaire developed by Greenhaus & Powell, 2006)
Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
Resilient Coping Questionnaire (RCQ)
Zeitfenster: Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
24 items questionnaire developed by Wolmer, Hamiel & Laor (2105)
Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
Specific Life Satisfaction Questionnaire
Zeitfenster: Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
12 items questionnaire developed by Karnieli-Miller & Michael to measure satisfaction with different life domains (e.g., relationships, financial etc).
Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
Brief Resilience Scale (BRS)
Zeitfenster: Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
6 item questionnaire developed by Smith et al., 2008
Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
Patient Satisfaction questionnaire
Zeitfenster: Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
23 items questionnaire focused on patient-physician communication skills and satisfaction from care.
Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
Physician Transcendence Scale (PTS)
Zeitfenster: Baseline
A 16 items newly developed questionnaire focused on the physicians' transcendence. Laor, Wolmer & Hamiel
Baseline
Demographic information questions
Zeitfenster: Baseline
questions concerning gender, age, seniority, specialty, country of birth,
Baseline
Life Events Scale
Zeitfenster: Baseline
Assessing life events the individual experienced, such as divorce, a death of a loved one, etc.
Baseline

Mitarbeiter und Ermittler

Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.

Studienaufzeichnungsdaten

Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.

Haupttermine studieren

Studienbeginn

1. November 2016

Primärer Abschluss (Voraussichtlich)

1. September 2019

Studienabschluss (Voraussichtlich)

1. September 2020

Studienanmeldedaten

Zuerst eingereicht

4. September 2016

Zuerst eingereicht, das die QC-Kriterien erfüllt hat

14. November 2016

Zuerst gepostet (Schätzen)

15. November 2016

Studienaufzeichnungsaktualisierungen

Letztes Update gepostet (Schätzen)

15. November 2016

Letztes eingereichtes Update, das die QC-Kriterien erfüllt

14. November 2016

Zuletzt verifiziert

1. November 2016

Mehr Informationen

Begriffe im Zusammenhang mit dieser Studie

Andere Studien-ID-Nummern

  • TASMC-16-GL-0426-CTIL

Plan für individuelle Teilnehmerdaten (IPD)

Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?

JA

Beschreibung des IPD-Plans

The participants data will be shared with the research team from the Department of Medical Education, Sackler Faculty of Medicine, Tel Aviv University and Cohen-Harris Resilience Center

Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .

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