Burnout Preventions, Professionalism Heightening, and Enhancing Resiliency (BUPHER) (BUPHER)
14 november 2016 uppdaterad av: 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.
Studieöversikt
Status
Okänd
Intervention / Behandling
Studietyp
Interventionell
Inskrivning (Förväntat)
1000
Fas
- Inte tillämpbar
Kontakter och platser
Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.
Deltagandekriterier
Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.
Urvalskriterier
Åldrar som är berättigade till studier
18 år och äldre (Vuxen, Äldre vuxen)
Tar emot friska volontärer
Ja
Kön som är behöriga för studier
Allt
Beskrivning
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.
Studieplan
Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Hälsovårdsforskning
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
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Experimentell: 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. |
Andra namn:
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Experimentell: 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. |
Andra namn:
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Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Professionalism Culture Scale
Tidsram: 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)
|
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Abbreviated Burnout Scale
Tidsram: 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)
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Adapted Professionalism Mini-Evaluation Scale Exercise scale
Tidsram: 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)
Tidsram: 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
Tidsram: 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
Tidsram: 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)
Tidsram: 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
Tidsram: 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
Tidsram: 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)
Tidsram: 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)
|
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Work-Life Balance
Tidsram: 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)
|
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Resilient Coping Questionnaire (RCQ)
Tidsram: 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
Tidsram: 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)
Tidsram: 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)
|
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Patient Satisfaction questionnaire
Tidsram: 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)
|
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Physician Transcendence Scale (PTS)
Tidsram: Baseline
|
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
Tidsram: Baseline
|
questions concerning gender, age, seniority, specialty, country of birth,
|
Baseline
|
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Life Events Scale
Tidsram: Baseline
|
Assessing life events the individual experienced, such as divorce, a death of a loved one, etc.
|
Baseline
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Samarbetspartners och utredare
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Sponsor
Studieavstämningsdatum
Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.
Studera stora datum
Studiestart
1 november 2016
Primärt slutförande (Förväntat)
1 september 2019
Avslutad studie (Förväntat)
1 september 2020
Studieregistreringsdatum
Först inskickad
4 september 2016
Först inskickad som uppfyllde QC-kriterierna
14 november 2016
Första postat (Uppskatta)
15 november 2016
Uppdateringar av studier
Senaste uppdatering publicerad (Uppskatta)
15 november 2016
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
14 november 2016
Senast verifierad
1 november 2016
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- TASMC-16-GL-0426-CTIL
Plan för individuella deltagardata (IPD)
Planerar du att dela individuella deltagardata (IPD)?
JA
IPD-planbeskrivning
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
Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .