Implementazione Della Job Rotation Per lo Sviluppo Delle Competenze Infermieristiche e il Miglioramento Della Salute Organizzativa in un Dipartimento di Scienze Cardiovascolari: Un Protocollo di Ricerca
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 86
- 试验地点
- 1
- 主要终点
- Change in clinical and professional nursing competence
研究概览
简要总结
This prospective, monocentric observational study aims to evaluate the implementation of a Job Rotation (JR) program in the Department of Cardiovascular Sciences at Fondazione Policlinico Universitario A. Gemelli IRCCS. The primary objective is to assess the impact of JR on the development of professional and clinical nursing competencies, as well as on organizational health and burnout levels. The study involves two groups of nurses: one participating in a structured JR program with bimonthly rotations across intensive, medical, surgical, and rehabilitation units; and a control group continuing routine activities. Outcomes will be measured using validated tools, including the Italian Nurse Competence Scale - Short Form (I-NPCS-SF), the Italian Nurse Competence Scale (INCS), the Maslach Burnout Inventory - HSS, and the QISO questionnaire. The research investigates whether JR improves competency, reduces burnout, and enhances perceived organizational health.
详细描述
Job Rotation (JR) is an organizational practice where employees are periodically transferred between roles, departments, or different tasks within the same organization. This approach has been adopted in various sectors to promote flexibility, foster the development of new skills, and maintain existing competencies. It also helps reduce job monotony and enhances professional engagement. In the healthcare field, particularly in nursing, JR is emerging as a promising strategy to address key challenges such as burnout, staff shortages, and the need to adapt quickly to dynamic and complex care environments.
In specialized areas such as cardiology, which includes intensive care, medical-surgical units, and cardiac rehabilitation, JR can support the development of transversal competencies in emergency management, the use of advanced technologies, and interprofessional collaboration. The alternating roles allow nurses to gain practical skills and a comprehensive understanding of the patient care pathway, ultimately improving care quality and emergency responsiveness.
Implementing a JR protocol in a Department of Cardiovascular Sciences may foster a more flexible and competent nursing workforce and promote a collaborative and resilient work environment. Periodic transfers between specialized areas may help nurses broaden their competencies, better adapt to workload variations, and improve both operational efficiency and job satisfaction. JR could also enhance team cohesion and mutual support, reducing long-term adverse events and improving care quality.
Primary Objective To assess the impact of Job Rotation (JR) in the Department of Cardiovascular Sciences on nursing professional and clinical competencies, organizational health, and burnout levels.
Secondary Objectives To evaluate the effectiveness of JR in maintaining or improving professional and clinical nursing competencies.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
盲法说明
Due to the nature of the organizational intervention, neither participants nor investigators are blinded to group assignment. Nurses are aware of their participation in the job rotation program, and data collection is conducted openly by the research team.
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Registered nurses employed in the Department of Cardiovascular Sciences at Fondazione Policlinico Universitario A. Gemelli IRCCS
- •Willing and able to provide written informed consent
- •Willing to participate in the job rotation program or remain in their original unit, depending on group assignment
排除标准
- •Nurses with certified physical or psychological limitations that prevent participation in job rotation
- •Nurses who do not provide informed consent
研究组 & 干预措施
Job Rotation Group
Nurses in this group will participate in a structured job rotation program involving bimonthly rotations across various units in the Department of Cardiovascular Sciences, including intensive care, medical, surgical, and rehabilitation units. The intervention aims to enhance clinical and professional competencies, organizational health, and reduce burnout.
干预措施: Job Rotation Program (Behavioral)
No Job Rotation
Nurses in this group will continue performing their usual clinical duties in their original units, without participating in the job rotation program. This group will be used as a comparator to assess the effects of the intervention.
干预措施: No Job Rotation (Standard Care) (Behavioral)
结局指标
主要结局
Change in clinical and professional nursing competence
时间窗: JR group: T0 (baseline) and T1 (2 months, end of rotation); Control group: T0 only (baseline)
Competence will be assessed using the Italian Nurse Competence Scale - Short Form (I-NPCS-SF). All participants (JR and control groups) will complete the assessment at baseline (T0). Only the Job Rotation (JR) group will complete a second assessment after the rotation period (T1, 2 months). The higher the overall I-NPCS-SF score (%), the higher the clinical and/or professional competencies.
次要结局
- Change in burnout levels(JR group: T0 (baseline) and T1 (2 months, end of rotation); Control group: T0 only (baseline))
- Change in job satisfaction(JR group: T0 (baseline) and T1 (2 months, end of rotation); Control group: T0 only (baseline))
- Change in perceived organizational health(JR group: T0 (baseline) and T1 (2 months, end of rotation); Control group: T0 only (baseline))
- Association between number of completed rotation cycles and competence scores (JR group only)(Baseline (prior to the first rotation cycle) and at the end of each subsequent bimonthly cycle, if applicable.)
研究者
Manuela Cavalletti
Nursing Director, Principal Investigator, Dr.
Fondazione Policlinico Universitario Agostino Gemelli IRCCS