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

14 novembre 2016 aggiornato da: 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.

Panoramica dello studio

Tipo di studio

Interventistico

Iscrizione (Anticipato)

1000

Fase

  • Non applicabile

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

18 anni e precedenti (Adulto, Adulto più anziano)

Accetta volontari sani

Sessi ammissibili allo studio

Tutto

Descrizione

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.

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Ricerca sui servizi sanitari
  • Assegnazione: Randomizzato
  • Modello interventistico: Assegnazione parallela
  • Mascheramento: Nessuno (etichetta aperta)

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: 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.

Altri nomi:
  • Enhancing professional professional conduct
Sperimentale: 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.

Altri nomi:
  • Enhancing professional professional conduct

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Professionalism Culture Scale
Lasso di tempo: 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
Lasso di tempo: 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)

Misure di risultato secondarie

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

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio

1 novembre 2016

Completamento primario (Anticipato)

1 settembre 2019

Completamento dello studio (Anticipato)

1 settembre 2020

Date di iscrizione allo studio

Primo inviato

4 settembre 2016

Primo inviato che soddisfa i criteri di controllo qualità

14 novembre 2016

Primo Inserito (Stima)

15 novembre 2016

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Stima)

15 novembre 2016

Ultimo aggiornamento inviato che soddisfa i criteri QC

14 novembre 2016

Ultimo verificato

1 novembre 2016

Maggiori informazioni

Termini relativi a questo studio

Altri numeri di identificazione dello studio

  • TASMC-16-GL-0426-CTIL

Piano per i dati dei singoli partecipanti (IPD)

Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?

Descrizione del piano 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

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

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