"Impact of a Programme to Improve Interaction Among Professionals on the Management of Task Interruptions"

Not Applicable

• Conditions: Quality of Life
• Interventions: Other: Identify work interruptions; Other: Understand work interruptions; Other: Act to limited work interruptions

• Registration Number: NCT03786874
• Lead Sponsor: Nantes University Hospital

Brief Summary

In 2017, all IMPACTT investigators experimented in coordinated manner on multifacet intervention program, proposed by the present research protocol, with 2 teams from healthcare units from the PDL region. This experiment followed collaborative work aiming to raise team awareness on task interruptions. Given the existing data in the literature, the investigators hypothesise that the implementation of a multifacet program focusing on interactions within a team could enable the percentage of task interruptions linked to interactions between coordination functions and healthcare provision activities to be decreased by 33%. This decrease would concern task interruptions that are avoidable, in order to improve healthcare safety and teamwork.

Also, the main objective of this project is to measure the impact of a program on the evolution of the characteristics of avoidable task interruptions. The project combines quantitative data (observations, questionnaire) and qualitative data (interviews).

Detailed Description

This research is a controlled, randomised, blind, pragmatic intervention study (36 months). From the list of volunteering teams meeting inclusion criteria, a random selection will be made. This will enable the formation of two groups of 20 teams each (control group and experimental group). An observational method coupled with a validated questionnaire transfer will allow teams to be questioned about their avoidable task interruptions (control group and experimental group).

The multifacet intervention program is based the concept of teamwork implementation. Targeting potential for improvement will be decided and implemented by each team (experimental group).

Statistics analysis will be conducted on teams before and after the implementation of the program. The assessment criteria will be: the evolution of characteristics of the task interruptions observed (interactions between coordination functions and care delivery functions, prevalence, avoidability, duration, resumption of tasks, social representations of task interruptions).

Study Timeline

• Status Verified: 2018-12
• Study First Submitted: 2018-12-11
• Study First Submitted QC: 2018-12-20
• Last Update Submitted: 2018-12-20
• Study First Posted: 2018-12-26
• Last Update Posted: 2018-12-26
• Study Start: 2019-01-01
• Primary Completion: 2021-01-01
• Study Completion: 2022-01-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• volunteering healthcare teams from healthcare centres in the PDL region,
• public and private legal statuses;
• with at least one activity in standard medical and/or surgical hospitalisation unit,
• agreeing to take part in the project,
• formalising their commitment to the multifacet program (see section 4),
• including 50 professionals at the most,
• including at least the following professional categories: medical, paramedical, administrative, managerial and medical-technical/psycho-social.

Exclusion Criteria

• Healthcare teams who do not belong to a healthcare unit in the PDL region
• Healthcare teams who do not work in a medical and/or surgical hospitalisation unit.
• Paediatric healthcare teams
• Teams that have already been subjected to a methodological support program from one of the co-investigating units on how to manage task interruptions,
• Teams that do not meet the criteria for commitment to the multifacet program
• Teams of more than 50 members
• Teams who do not include the following professional categories: medical, paramedical, administrative, managerial, medical-technical/psycho-social.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
20 teams the first year (G1)	Understand work interruptions	control group
20 teams second year (G2)	Understand work interruptions	case group with implementation of the multi-unit team accompaniment intervention.
20 teams the first year (G1)	Identify work interruptions	control group
20 teams second year (G2)	Act to limited work interruptions	case group with implementation of the multi-unit team accompaniment intervention.
20 teams second year (G2)	Identify work interruptions	case group with implementation of the multi-unit team accompaniment intervention.

Primary Outcome Measures

Name	Time	Method
proportion of avoidable task interruptions	1 year	Results from Dual Perspectives Method (DPM)
sources and frequencies of task interruptions	1 year	Results from Auto-administered questionnaire (TAA-KH-S)

Secondary Outcome Measures

Name	Time	Method
prevalence of task interruptions	1 year	Time measurement of the duration of task interruption upon restart of work

Trial Locations

Locations (1)

CHU de Nantes; 🇫🇷 Nantes, France