An Exploratory Study on Professional Contributions and Social Value in High-Acuity Medical Care Settings
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 1,350
- 主要终点
- Number of preliminary social value domains with potential relevance for future indicator development identified in high-acuity medical care settings
研究概览
简要总结
This study will explore experiences in high-acuity medical care settings, such as emergency, trauma, intensive care, and related clinical areas. These settings often involve heavy workloads, complex care decisions, teamwork, and communication among many people.
The study will invite healthcare professionals, patients, important family caregivers, and other related people to share their experiences. Participants may complete questionnaires, take part in interviews, or complete a later online survey. The study will ask about work experiences, care experiences, communication, support needs, teamwork, and the value of professional contributions in these settings.
The goal of this study is to better understand important but less visible contributions in high-acuity medical care, such as teaching, coordination, communication, and support. The findings may help identify areas that can be considered in future research, hospital improvement, workforce development, and policy discussion.
详细描述
Traditional healthcare policy and management often rely on return on investment (ROI), financial indicators, or other easily quantifiable performance measures to evaluate system outcomes. However, in high-acuity medical care settings such as emergency, trauma, intensive care, and complex critical care, the workload, professional responsibility, decision-making pressure, and team coordination required of healthcare professionals may not be fully reflected through conventional output or financial indicators.
Healthcare professionals in these settings often work under high pressure and high uncertainty, while also facing challenges related to professional development, knowledge transfer, and workforce retention. Some professional contributions, such as teaching, mentoring, cross-disciplinary collaboration, quality improvement, and informal coordination, may represent important but less visible forms of value. If these contributions are not adequately recognized or measured, they may influence professional identity, perceived value, role burden, and long-term workforce stability.
This observational, non-interventional study focuses on high-acuity medical care settings and their relevant stakeholders. The study aims to explore experiences and perceptions related to institutional processes, professional contributions, team interactions, care experiences, and perceived value. Social Return on Investment (SROI) will be used as a conceptual framework to explore value domains that may have public meaning or intrinsic importance but are not easily assigned a market price. Systemic CPR (Communication, Professional Engagement, Relationship) will be used as an observational concept to organize experience domains related to communication, professional engagement, and relationships within the care system.
The study will be conducted in two phases.
In the first phase, healthcare professionals working in high-acuity medical care settings will be invited to complete questionnaires related to work experience, burnout, and moral injury. The Maslach Burnout Inventory - Human Services Survey (MBI-HSS) and the Moral Injury Symptom Scale - Health Professionals Version (MISS-HP) will be used. Qualitative interviews will also be conducted to explore work experiences, care processes, professional contributions, team collaboration, institutional support, and perceived value. Patients, important family caregivers, and other relevant stakeholders may also be invited to participate in interviews to provide perspectives on care experiences and service processes.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Adults aged 18 years or older who are able to understand the study information and provide informed consent or agreement to participate.
- •Healthcare professionals working in hospital-based high-acuity clinical areas, such as emergency departments, trauma and critical care, intensive care units, respiratory care units, and related settings. Eligible participants may include physicians, nurses, allied health professionals, case managers, registry or data management personnel, and administrative staff involved in these areas.
- •Patients who have received care in high-acuity medical care settings.
- •Important family members or main caregivers who have accompanied, cared for, or supported decision-making for patients in high-acuity medical care settings.
- •Public-sector or emergency response personnel involved in emergency care, rescue, health, or social service systems related to high-acuity medical care.
- •For the first phase, healthcare professionals may be invited to complete questionnaires and/or participate in qualitative interviews. Patients, important family caregivers, and other relevant stakeholders may be invited to participate in qualitative interviews. For the second phase, eligible stakeholder groups may be invited to complete an anonymous online survey.
排除标准
- •Individuals who decline to participate after receiving the study explanation.
- •Individuals who do not meet the inclusion criteria.
- •Individuals who are unable to understand the study information or complete the study procedures.
结局指标
主要结局
Number of preliminary social value domains with potential relevance for future indicator development identified in high-acuity medical care settings
时间窗: Through completion of qualitative interview, questionnaire, and survey data collection, up to 54 months
Preliminary social value domains with potential relevance for future indicator development will be identified and summarized from qualitative interview data, relevant open-ended questionnaire or survey responses, and questionnaire or online survey data. Qualitative analysis will be used to summarize participants' experiences and perceived value in high-acuity medical care settings. Descriptive quantitative summaries of questionnaire and survey data may be used to support the interpretation of these domains. The measure will be the number of distinct preliminary social value domains identified as potentially relevant to future indicator development. Results will be reported as the number of domains and a de-identified narrative summary of each domain. The study may provide potential indicator domains or recommendations for future evaluation, but it will not establish definitive or validated indicators.
次要结局
未报告次要终点