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

2016년 11월 14일 업데이트: 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.

연구 개요

연구 유형

중재적

등록 (예상)

1000

단계

  • 해당 없음

연락처 및 위치

이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.

참여기준

연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.

자격 기준

공부할 수 있는 나이

18년 이상 (성인, 고령자)

건강한 자원 봉사자를 받아들입니다

연구 대상 성별

모두

설명

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.

공부 계획

이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.

연구는 어떻게 설계됩니까?

디자인 세부사항

  • 주 목적: 건강 서비스 연구
  • 할당: 무작위
  • 중재 모델: 병렬 할당
  • 마스킹: 없음(오픈 라벨)

무기와 개입

참가자 그룹 / 팔
개입 / 치료
실험적: 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.

다른 이름들:
  • Enhancing professional professional conduct
실험적: 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.

다른 이름들:
  • Enhancing professional professional conduct

연구는 무엇을 측정합니까?

주요 결과 측정

결과 측정
측정값 설명
기간
Professionalism Culture Scale
기간: 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
기간: 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)

2차 결과 측정

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

공동 작업자 및 조사자

여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.

연구 기록 날짜

이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.

연구 주요 날짜

연구 시작

2016년 11월 1일

기본 완료 (예상)

2019년 9월 1일

연구 완료 (예상)

2020년 9월 1일

연구 등록 날짜

최초 제출

2016년 9월 4일

QC 기준을 충족하는 최초 제출

2016년 11월 14일

처음 게시됨 (추정)

2016년 11월 15일

연구 기록 업데이트

마지막 업데이트 게시됨 (추정)

2016년 11월 15일

QC 기준을 충족하는 마지막 업데이트 제출

2016년 11월 14일

마지막으로 확인됨

2016년 11월 1일

추가 정보

이 연구와 관련된 용어

개별 참가자 데이터(IPD) 계획

개별 참가자 데이터(IPD)를 공유할 계획입니까?

IPD 계획 설명

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

이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .

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