Burnout Preventions, Professionalism Heightening, and Enhancing Resiliency (BUPHER)
- Conditions
- Professional-Patient RelationsBurnout, Professional
- Interventions
- Other: Preventing Professionals burnout
- Registration Number
- NCT02963792
- Lead Sponsor
- michal roll
- Brief Summary
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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 1000
- 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.
- 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.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Semi-Structured group intervention Preventing Professionals burnout 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. Structured group intervention Preventing Professionals burnout 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.
- Primary Outcome Measures
Name Time Method Professionalism Culture Scale 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
Abbreviated Burnout Scale 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)
- Secondary Outcome Measures
Name Time Method Moral & Cognitive Courage Scale 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.
Life Events Scale Baseline Assessing life events the individual experienced, such as divorce, a death of a loved one, etc.
The Areas of Work life Scale (AWS) 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
Life satisfaction questionnaire Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively) 3 item questionnaire focused on general life satisfaction.
Specific Life Satisfaction Questionnaire 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).
Jefferson Health Professionals Empathy Scale 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
Work-Life Balance Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively) 6 item questionnaire developed by Greenhaus \& Powell, 2006)
Patient Satisfaction questionnaire 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.
Physician Transcendence Scale (PTS) Baseline A 16 items newly developed questionnaire focused on the physicians' transcendence. Laor, Wolmer \& Hamiel
Demographic information questions Baseline questions concerning gender, age, seniority, specialty, country of birth,
Adapted Professionalism Mini-Evaluation Scale Exercise scale 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.
Professionals Self Care Practices questionnaire 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.
Cynicism in Medicine Questionnaire (CMQ) 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
Perceived Stress Scale (PSS) 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.
Resilient Coping Questionnaire (RCQ) 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)
Brief Resilience Scale (BRS) 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