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

14 de noviembre de 2016 actualizado por: 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.

Descripción general del estudio

Tipo de estudio

Intervencionista

Inscripción (Anticipado)

1000

Fase

  • No aplica

Contactos y Ubicaciones

Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.

Criterios de participación

Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.

Criterio de elegibilidad

Edades elegibles para estudiar

18 años y mayores (Adulto, Adulto Mayor)

Acepta Voluntarios Saludables

Géneros elegibles para el estudio

Todos

Descripción

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.

Plan de estudios

Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.

¿Cómo está diseñado el estudio?

Detalles de diseño

  • Propósito principal: Investigación de servicios de salud
  • Asignación: Aleatorizado
  • Modelo Intervencionista: Asignación paralela
  • Enmascaramiento: Ninguno (etiqueta abierta)

Armas e Intervenciones

Grupo de participantes/brazo
Intervención / Tratamiento
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.

Otros nombres:
  • 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.

Otros nombres:
  • Enhancing professional professional conduct

¿Qué mide el estudio?

Medidas de resultado primarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Professionalism Culture Scale
Periodo de tiempo: 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
Periodo de tiempo: 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)

Medidas de resultado secundarias

Medida de resultado
Medida Descripción
Periodo de tiempo
Adapted Professionalism Mini-Evaluation Scale Exercise scale
Periodo de tiempo: 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)
Periodo de tiempo: 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
Periodo de tiempo: 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
Periodo de tiempo: 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)
Periodo de tiempo: 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
Periodo de tiempo: 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
Periodo de tiempo: 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)
Periodo de tiempo: 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
Periodo de tiempo: 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)
Periodo de tiempo: 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
Periodo de tiempo: 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)
Periodo de tiempo: 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
Periodo de tiempo: 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)
Periodo de tiempo: Baseline
A 16 items newly developed questionnaire focused on the physicians' transcendence. Laor, Wolmer & Hamiel
Baseline
Demographic information questions
Periodo de tiempo: Baseline
questions concerning gender, age, seniority, specialty, country of birth,
Baseline
Life Events Scale
Periodo de tiempo: Baseline
Assessing life events the individual experienced, such as divorce, a death of a loved one, etc.
Baseline

Colaboradores e Investigadores

Aquí es donde encontrará personas y organizaciones involucradas en este estudio.

Fechas de registro del estudio

Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados ​​por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.

Fechas importantes del estudio

Inicio del estudio

1 de noviembre de 2016

Finalización primaria (Anticipado)

1 de septiembre de 2019

Finalización del estudio (Anticipado)

1 de septiembre de 2020

Fechas de registro del estudio

Enviado por primera vez

4 de septiembre de 2016

Primero enviado que cumplió con los criterios de control de calidad

14 de noviembre de 2016

Publicado por primera vez (Estimar)

15 de noviembre de 2016

Actualizaciones de registros de estudio

Última actualización publicada (Estimar)

15 de noviembre de 2016

Última actualización enviada que cumplió con los criterios de control de calidad

14 de noviembre de 2016

Última verificación

1 de noviembre de 2016

Más información

Términos relacionados con este estudio

Otros números de identificación del estudio

  • TASMC-16-GL-0426-CTIL

Plan de datos de participantes individuales (IPD)

¿Planea compartir datos de participantes individuales (IPD)?

Descripción del plan IPD

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

Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .

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