Burnout Preventions, Professionalism Heightening, and Enhancing Resiliency (BUPHER) (BUPHER)
2016年11月14日 更新者：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.
調査の概要
研究の種類
介入
入学 (予想される)
1000
段階
- 適用できない
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
18年歳以上 (大人、高齢者)
健康ボランティアの受け入れ
はい
受講資格のある性別
全て
説明
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.
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：ヘルスサービス研究
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
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実験的：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. |
他の名前：
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実験的：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. |
他の名前：
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Professionalism Culture Scale
時間枠：Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
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12 item scale developed by the American Board of Internal Medicine, by (DeLisa, Foye, Jain, Kirshblum, & Christodoulou, 2001
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Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
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Abbreviated Burnout Scale
時間枠：Change (decrease) from baseline to short and long term measurements (after one year, 3 years, respectively)
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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)
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Adapted Professionalism Mini-Evaluation Scale Exercise scale
時間枠：Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
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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.
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Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
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Cynicism in Medicine Questionnaire (CMQ)
時間枠：Change (decrease) from baseline to short and long term measurements (after one year, 3 years, respectively)
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14 item questionnaire developed by Teserman, Morton, Loo, Worthle & Lamberton, 1996
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Change (decrease) from baseline to short and long term measurements (after one year, 3 years, respectively)
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Moral & Cognitive Courage Scale
時間枠：Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
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A newly developed questionnaire focused on self efficacy to intervene when a physician acts immorally and actual experience with acting in such cases.
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Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
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Jefferson Health Professionals Empathy Scale
時間枠：Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
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20 items questionnaire developed by Hojat, Mangione, Nasca, Cohen, Gonnella, Erdmann & Magee, 2001
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Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
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The Areas of Work life Scale (AWS)
時間枠：Change (increase in balance) from baseline to short and long term measurements (after one year, 3 years, respectively)
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29 items questionnaire developed by Leiter & Maslach, 2004 to measure 6 factors related to work load, control, appreciation, community, fairness and values
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Change (increase in balance) from baseline to short and long term measurements (after one year, 3 years, respectively)
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Professionals Self Care Practices questionnaire
時間枠：Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
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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.
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Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
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Life satisfaction questionnaire
時間枠：Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
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3 item questionnaire focused on general life satisfaction.
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Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
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Perceived Stress Scale (PSS)
時間枠：Change (decrease) from baseline to short and long term measurements (after one year, 3 years, respectively)
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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.
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Change (decrease) from baseline to short and long term measurements (after one year, 3 years, respectively)
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Work-Life Balance
時間枠：Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
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6 item questionnaire developed by Greenhaus & Powell, 2006)
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Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
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Resilient Coping Questionnaire (RCQ)
時間枠：Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
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24 items questionnaire developed by Wolmer, Hamiel & Laor (2105)
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Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
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Specific Life Satisfaction Questionnaire
時間枠：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)
|
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Brief Resilience Scale (BRS)
時間枠：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
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Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
|
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Patient Satisfaction questionnaire
時間枠：Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
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23 items questionnaire focused on patient-physician communication skills and satisfaction from care.
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Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
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Physician Transcendence Scale (PTS)
時間枠：Baseline
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A 16 items newly developed questionnaire focused on the physicians' transcendence.
Laor, Wolmer & Hamiel
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Baseline
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Demographic information questions
時間枠：Baseline
|
questions concerning gender, age, seniority, specialty, country of birth,
|
Baseline
|
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Life Events Scale
時間枠：Baseline
|
Assessing life events the individual experienced, such as divorce, a death of a loved one, etc.
|
Baseline
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協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始
2016年11月1日
一次修了 (予想される)
2019年9月1日
研究の完了 (予想される)
2020年9月1日
試験登録日
最初に提出
2016年9月4日
QC基準を満たした最初の提出物
2016年11月14日
最初の投稿 (見積もり)
2016年11月15日
学習記録の更新
投稿された最後の更新 (見積もり)
2016年11月15日
QC基準を満たした最後の更新が送信されました
2016年11月14日
最終確認日
2016年11月1日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
- TASMC-16-GL-0426-CTIL
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
はい
IPD プランの説明
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
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。