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Interprofessional Group Intervention to Promote Faculty Wellbeing and Engagement

10. März 2020 aktualisiert von: Susan Hata, MD, Massachusetts General Hospital
A randomized trial of an interprofessional intervention to reduce burnout and enhance professional engagement in physicians, certified nurse midwives, and nurse practitioners.

Studienübersicht

Status

Abgeschlossen

Bedingungen

Intervention / Behandlung

Detaillierte Beschreibung

To test the hypothesis that an intervention involving self-facilitated interprofessional group meetings would result in improvement in wellbeing and to determine whether use of a written curriculum provided increased benefit, the following study is conducted:

Practicing clinical faculty in the Department of Obstetrics and Gynecology at the Massachusetts General Hospital were recruited to participate in three monthly small groups over dinner. Participants were randomized to a control group, which met without any specified guidelines for discussion content, or to receive an intervention which consisted of a one-page discussion guide addressing themes relevant to challenges in the healthcare environment: reframing challenging patient interactions; embracing uncertainty in work; and coping with errors, near misses, and bad outcomes. Outcomes included burnout, empowerment and engagement in work, stress from uncertainty assessed using validated metrics, and perception of of collegiality and community.

All participants were also offered the option of participating in evaluation of biomarkers. To test the hypothesis that an increased sense of bonding and relational connection, and reduced stress levels would be reflected by changes in hormone levels during the meeting and over the course of the study. Faculty who opted into this portion of the study gave the following samples:

Urine Oxytocin before and after the first and third group meetings Salivary Oxytocin before and after the first and third group meetings Salivary Cortisol before and after the first and third group meetings Hair Cortisol at the beginning of the study and at the end of the study (a roughly three month interval).

An optional focus group was conducted after the three monthly sessions.

All participants signed a consent form prior to participating in the study.

Studientyp

Interventionell

Einschreibung (Tatsächlich)

25

Phase

  • Unzutreffend

Kontakte und Standorte

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

Studienorte

  • Vereinigte Staaten
    • Massachusetts
      • Boston, Massachusetts, Vereinigte Staaten, 02114
        • Massachusetts General Hospital

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

  • Kind
  • Erwachsene
  • Älterer Erwachsener

Akzeptiert gesunde Freiwillige

Ja

Studienberechtigte Geschlechter

Alle

Beschreibung

Inclusion Criteria:

  • Physican in the Department of Obstetrics and Gynecology at Massachusetts General Hospital
  • Nurse Practitioner in the Department of Obstetrics and Gynecology at Massachusetts General Hospital
  • Certified Nurse Midwife in the Department of Obstetrics and Gynecology at Massachusetts General Hospital

Exclusion Criteria:

  • None

Studienplan

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

Wie ist die Studie aufgebaut?

Designdetails

  • Hauptzweck: Sonstiges
  • Zuteilung: Zufällig
  • Interventionsmodell: Parallele Zuordnung
  • Maskierung: Single

Waffen und Interventionen

Teilnehmergruppe / Arm
Intervention / Behandlung
Experimental: Intervention
Providers were placed in small groups and given the intervention of a discussion guide to facilitate discussion.
Sonstiges: Discussion Guide
Written list of prompts to facilitate discussion
Kein Eingriff: Control
Providers were placed in small groups and not given a discussion guide to facilitate discussion.

Was misst die Studie?

Primäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Burnout
Zeitfenster: Change over the three month study period. Baseline measurement and immediately after final intervention.

Change from baseline in 2 item Maslach Burnout Inventory scores before and after the intervention.

Minimum score: 2; Maximum score: 14 Higher score = more burnt out (worse outcome)
Change over the three month study period. Baseline measurement and immediately after final intervention.
Stress from Uncertainty
Zeitfenster: Change over the three month study period. Baseline measurement and immediately after final intervention.
Change in scores on Physician Response to Uncertainty Scale before and after intervention Minimum score: 6; Maximum score: 90 Higher score = increased stress due to uncertainty (worse outcome)
Change over the three month study period. Baseline measurement and immediately after final intervention.
Work Engagement
Zeitfenster: Change over the three month study period. Baseline measurement and immediately after final intervention.
Change in scores on Utrecht Work Engagement Scale before and after intervention Minimum score: 0; Maximum score: 54 Higher score = higher engagement at work (better outcome)
Change over the three month study period. Baseline measurement and immediately after final intervention.
Urine oxytocin
Zeitfenster: Two samples were taken one hour apart at baseline, and this was repeated three months later.
Change from baseline in the level of urine oxytocin before and after each intervention. This is an exploratory study so the maximum and minimum values are not known, and any change up or down is interesting.
Two samples were taken one hour apart at baseline, and this was repeated three months later.
Salivary Oxytocin
Zeitfenster: Two samples were taken one hour apart at baseline, and this was repeated three months later
Change from baseline in the level of salivary oxytocin before and after each intervention. This is an exploratory study so the maximum and minimum values are not known, and any change up or down is interesting.
Two samples were taken one hour apart at baseline, and this was repeated three months later
Salivary Cortisol
Zeitfenster: Two samples were taken one hour apart at baseline, and this was repeated three months later
Change from baseline in the level of salivary cortisol before and after each intervention. This is an exploratory study so the maximum and minimum values are not known, and any change up or down is interesting.
Two samples were taken one hour apart at baseline, and this was repeated three months later
Hair Cortisol
Zeitfenster: Change over the three month study period. Baseline measurement and immediately after final intervention.
Change from baseline in hair cortisol levels. Maximum and minimum levels are not known and any change up or down is interesting.
Change over the three month study period. Baseline measurement and immediately after final intervention.
Work Empowerment Scale
Zeitfenster: Change over the three month study period. Baseline measurement and immediately after final intervention.
Minimum score: 12; Maximum score: 84 Change from baseline on Work Empowerment Scale before and after intervention. Higher score = higher empowerment at work (better outcome)
Change over the three month study period. Baseline measurement and immediately after final intervention.

Mitarbeiter und Ermittler

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

Sponsor

Massachusetts General Hospital

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 (Tatsächlich)

1. Mai 2018

Primärer Abschluss (Tatsächlich)

30. September 2018

Studienabschluss (Tatsächlich)

30. September 2018

Studienanmeldedaten

Zuerst eingereicht

3. März 2020

Zuerst eingereicht, das die QC-Kriterien erfüllt hat

10. März 2020

Zuerst gepostet (Tatsächlich)

12. März 2020

Studienaufzeichnungsaktualisierungen

Letztes Update gepostet (Tatsächlich)

12. März 2020

Letztes eingereichtes Update, das die QC-Kriterien erfüllt

10. März 2020

Zuletzt verifiziert

1. März 2020

Mehr Informationen

Begriffe im Zusammenhang mit dieser Studie

Zusätzliche relevante MeSH-Bedingungen

Andere Studien-ID-Nummern

  • 2018P000415

Plan für individuelle Teilnehmerdaten (IPD)

Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?

NEIN

Arzneimittel- und Geräteinformationen, Studienunterlagen

Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt

Nein

Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt

Nein

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