Interprofessional Collaborative Communication in Acute Care Hospital Teams (SCRIPT)
The SCRIPT Programme (GIM): Structuring Communication Relationships for Interprofessional Teamwork to Achieve Interprofessional Education for Collaborative Patient-Centered Practice (IECPCP)
研究概览
详细说明
A recent literature review commissioned by Health Canada for the Inter-Professional Education for Collaborative Patient-Centred Practice initiative (IECPCP) reported evidence that collaborative practice improves patient outcomes in specific populations. Interprofessional collaborative teaching and practicing are poorly articulated in the literature, however. Studies are needed that can develop a trial-based body of evidence to support education and practice of effective interprofessional care.
The SCRIPT project will attempt to develop sustainable transformation in the conduct, learning and evaluation of interprofessional teamwork in the Toronto Academic Health Science Network (TAHSN). SCRIPT has investigated interprofessional work relations in general internal medicine units at TAHSN hospitals using fieldwork observations and interview methods. These data were foundational for SCRIPT's design of a unit-based staff intervention intended to promote more--and more-effective--informal interprofessional communication and collaboration between GIM staff members outside of traditional, structured meeting times like morning report and bullet rounds.
The intervention is designed as part of a pragmatic trial. We will ask GIM division staff of intervention teams to implement a 4-step communication protocol in face-to-face, patient-related interaction. The steps are:
- introduce oneself by name;
- state one's role or responsibility in relation to the patient under discussion;
- describe the issue, problem, or plan relating to the target patient;
- elicit feedback from the other participant(s) in the interaction with a prompt, e.g., "do you have any concerns," or, "is there something else I should consider?"
The intervention will be evaluated as a cluster randomized controlled trial among five large Toronto (Canada) teaching hospitals. Two medical clinical teaching units and associated ward teams of nurses and other health professionals from each hospital's GIM division will be allocated at random to enact the intervention. Two other GIM CTUs in each hospital will continue their usual interprofessional practice, without intervention. In total, there are 20 CTUs, 10 in the treatment group and 10 in the control group. Intervention CTUs will be compared with control CTUs on the outcomes of interest.
研究类型
注册 (预期的)
阶段
- 不适用
联系人和位置
学习地点
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Ontario
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Toronto、Ontario、加拿大、M4N 3M5
- SunnyBrook Health Sciences Centre
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Toronto、Ontario、加拿大、M5G 1X5
- Mount Sinai Hospital
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参与标准
资格标准
适合学习的年龄
- 孩子
- 成人
- 年长者
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Patients admitted to divisions of General Internal Medicine
- Health care providers working in divisions of General Internal Medicine
学习计划
研究是如何设计的?
设计细节
- 主要用途:卫生服务研究
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
研究衡量的是什么?
主要结果指标
结果测量 |
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unplanned hospital readmission 7 days post-discharge and 30 days post-discharge
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次要结果测量
结果测量 |
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length of stay in hospital for GIM patients' index admission
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measurement survey of staff members' perceptions of interprofessional collaboration
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patient satisfaction measured by a large standardized, cross-site survey regime
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calls placed to staff members' paging devices
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use of evidence-based, optimal prescription drug therapy
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合作者和调查者
合作者
调查人员
- 首席研究员:Merrick Zwarenstein, MB BCh, MS、Institute for Clinical Evaluative Sciences, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
出版物和有用的链接
一般刊物
- Reeves S, Russell A, Zwarenstein M, Kenaszchuk C, Conn LG, Doran D, Sinclair L, Lingard L, Oandasan I, Thorpe K, Austin Z, Beales J, Hindmarsh W, Whiteside C, Hodges B, Nasmith L, Silver I, Miller KL, Vogwill V, Strauss S. Structuring communication relationships for interprofessional teamwork (SCRIPT): a Canadian initiative aimed at improving patient-centred care. J Interprof Care. 2007 Feb;21(1):111-4. doi: 10.1080/13561820600991595. No abstract available.
- Zwarenstein M, Reeves S, Russell A, Kenaszchuk C, Conn LG, Miller KL, Lingard L, Thorpe KE. Structuring Communication Relationships for Interprofessional Teamwork (SCRIPT): a cluster randomized controlled trial. Trials. 2007 Sep 18;8:23. doi: 10.1186/1745-6215-8-23.
研究记录日期
研究主要日期
学习开始
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
其他研究编号
- Health Canada 102117
此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.
Face-to-face communication interactions的临床试验
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Oslo University HospitalCentre for Appearance Research, University of the West of England, UK邀请报名
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Maureen LyonJohns Hopkins University; University of Miami; St. Jude Children's Research Hospital; Howard University 和其他合作者完全的