Booster of the "More Time for Patients" Program: a Cluster Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- University Hospital, Geneva
- Enrollment
- 764
- Locations
- 1
- Primary Endpoint
- Timely delivery of appropriate analgesic
Study Overview
Brief Summary
The goal of this clinical trial is to determine if reactivating a hospital program called "Plus de temps au service des patients" (PTP) can improve the quality of pain management for patients and increase job satisfaction among healthcare professionals. The main questions this study aims to answer are:
- Does reactivating PTP improve the quality of pain management?
- Does reactivating PTP increase healthcare professionals' job satisfaction? In this study, researchers will compare the effects of reactivating the program immediately to reactivating it after a 3-month delay.
Participants in the trial are healthcare professionals who will:
- Select 2 or 3 elements of the program they believe would be most beneficial to reactivate in their hospital units.
- Implement the selected elements for 3 months.
- Complete job satisfaction and burnout questionnaires before and after the study.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- Double (Participant, Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •for the units:
- •Implementation of PTP finished at least 6 months previously
- •Agreement to the study from both medical head of service and head of unit (IRES)
- •Inclusion criteria for healthcare professionals:
- •Healthcare professionals >18 yo.
- •Healthcare professionals working in a HUG service of medicine or surgery.
- •Healthcare professionals include Physicians, Nurses, Assistant Nurses, Pharmacists, Physiotherapists and other physical therapists.
- •Provided general informed consent.
- •Inclusion criteria for patients
- •Patients hospitalised in one of the boosted units.
- •Cognitive ability to provide satisfaction assessment.
Exclusion Criteria
- Not provided
Arms & Interventions
Immediate reactivation
Our intervention will be booster measure of the existing PTP elements that will be designed for each unit that has been randomized to the immediate intervention group. The booster will consist in a reactivation through audit and feedback of 2-3 elements of the PTP program. The selection of the elements to boost will be done locally in each unit through a coordinated discussion between representants of the PTP organization and representants of the unit's medical and nursing professionals. This will create an adaptable intervention that will feature selected standards among the list of 36 existing standards. The boost will be performed over 3 months
Intervention: Immediate reactivation (Behavioral)
Delayed reactivation
The control intervention will also be PTP as applied usually, in the control group before the application of the booster measure (applied delayed by three months).
Outcomes
Primary Outcomes
Timely delivery of appropriate analgesic
Time Frame: Timely is operationalized as maximum 6 hours before for reserve pain medication, and up to 1 hour after pain measurement for any medication appropriate to the level of pain.
Quality of pain management as recorded through the timely delivery of an appropriate level painkiller after any pain Visual Analog Scale (VAS) ≥4. VAS score range from 0 to 10, 0 being no pain and 10 being the worse pain imaginable.
Secondary Outcomes
- Pain VAS documentation(12 hours)
- Healthcare professionals' burnout(Once before the reactivation and once after (month 1 and month 3))
- Healthcare professional's absenteeism rate(At month 1, 2 and 3 corresponding to the period of study)
- Healthcare professionals' satisfaction(Once before the reactivation and once after (month 1 and month 3))
- Healthcare professionals' risk of turnover(Once before the reactivation and once after (month 1 and month 3))
- Patient satisfaction - daily(Every day from month 1 to month 3 corresponding to the period of study)
- Patient satisfaction - Picker(1 week after discharge for every patients.)
Investigators
Thomas Agoritsas
Professor
University Hospital, Geneva