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Burnout Preventions, Professionalism Heightening, and Enhancing Resiliency (BUPHER) (BUPHER)

Primary Purpose

Professional-Patient Relations, Burnout, Professional

Status
Unknown status
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Preventing Professionals burnout
Sponsored by
michal roll
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Professional-Patient Relations focused on measuring Professionalism, Burnout prevention, Resiliency, Student education

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • 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.

Exclusion Criteria:

  • 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.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Experimental

    Arm Label

    Structured group intervention

    Semi-Structured group intervention

    Arm Description

    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.

    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.

    Outcomes

    Primary Outcome Measures

    Professionalism Culture Scale
    12 item scale developed by the American Board of Internal Medicine, by (DeLisa, Foye, Jain, Kirshblum, & Christodoulou, 2001
    Abbreviated Burnout Scale
    Nine item scale focused on 3 burnout factors (Iverson, Olekalns & Erwin, 1998)

    Secondary Outcome Measures

    Adapted Professionalism Mini-Evaluation Scale Exercise scale
    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.
    Cynicism in Medicine Questionnaire (CMQ)
    14 item questionnaire developed by Teserman, Morton, Loo, Worthle & Lamberton, 1996
    Moral & Cognitive Courage Scale
    A newly developed questionnaire focused on self efficacy to intervene when a physician acts immorally and actual experience with acting in such cases.
    Jefferson Health Professionals Empathy Scale
    20 items questionnaire developed by Hojat, Mangione, Nasca, Cohen, Gonnella, Erdmann & Magee, 2001
    The Areas of Work life Scale (AWS)
    29 items questionnaire developed by Leiter & Maslach, 2004 to measure 6 factors related to work load, control, appreciation, community, fairness and values
    Professionals Self Care Practices questionnaire
    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.
    Life satisfaction questionnaire
    3 item questionnaire focused on general life satisfaction.
    Perceived Stress Scale (PSS)
    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.
    Work-Life Balance
    6 item questionnaire developed by Greenhaus & Powell, 2006)
    Resilient Coping Questionnaire (RCQ)
    24 items questionnaire developed by Wolmer, Hamiel & Laor (2105)
    Specific Life Satisfaction Questionnaire
    12 items questionnaire developed by Karnieli-Miller & Michael to measure satisfaction with different life domains (e.g., relationships, financial etc).
    Brief Resilience Scale (BRS)
    6 item questionnaire developed by Smith et al., 2008
    Patient Satisfaction questionnaire
    23 items questionnaire focused on patient-physician communication skills and satisfaction from care.
    Physician Transcendence Scale (PTS)
    A 16 items newly developed questionnaire focused on the physicians' transcendence. Laor, Wolmer & Hamiel
    Demographic information questions
    questions concerning gender, age, seniority, specialty, country of birth,
    Life Events Scale
    Assessing life events the individual experienced, such as divorce, a death of a loved one, etc.

    Full Information

    First Posted
    September 4, 2016
    Last Updated
    November 14, 2016
    Sponsor
    michal roll
    Collaborators
    Association for Children at Risk, Tel Aviv University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT02963792
    Brief Title
    Burnout Preventions, Professionalism Heightening, and Enhancing Resiliency (BUPHER)
    Acronym
    BUPHER
    Official Title
    Values and Virtues in Medical Practice: Quasi-Experimental Intervention for Burnout Preventions, Professionalism Heightening, and Enhancing Resiliency (BUPHER) in a Hospital Surgical Division
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2016
    Overall Recruitment Status
    Unknown status
    Study Start Date
    November 2016 (undefined)
    Primary Completion Date
    September 2019 (Anticipated)
    Study Completion Date
    September 2020 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor-Investigator
    Name of the Sponsor
    michal roll
    Collaborators
    Association for Children at Risk, Tel Aviv University

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    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.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Professional-Patient Relations, Burnout, Professional
    Keywords
    Professionalism, Burnout prevention, Resiliency, Student education

    7. Study Design

    Primary Purpose
    Health Services Research
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    1000 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Structured group intervention
    Arm Type
    Experimental
    Arm Description
    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.
    Arm Title
    Semi-Structured group intervention
    Arm Type
    Experimental
    Arm Description
    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.
    Intervention Type
    Other
    Intervention Name(s)
    Preventing Professionals burnout
    Other Intervention Name(s)
    Enhancing professional professional conduct
    Primary Outcome Measure Information:
    Title
    Professionalism Culture Scale
    Description
    12 item scale developed by the American Board of Internal Medicine, by (DeLisa, Foye, Jain, Kirshblum, & Christodoulou, 2001
    Time Frame
    Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
    Title
    Abbreviated Burnout Scale
    Description
    Nine item scale focused on 3 burnout factors (Iverson, Olekalns & Erwin, 1998)
    Time Frame
    Change (decrease) from baseline to short and long term measurements (after one year, 3 years, respectively)
    Secondary Outcome Measure Information:
    Title
    Adapted Professionalism Mini-Evaluation Scale Exercise scale
    Description
    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.
    Time Frame
    Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
    Title
    Cynicism in Medicine Questionnaire (CMQ)
    Description
    14 item questionnaire developed by Teserman, Morton, Loo, Worthle & Lamberton, 1996
    Time Frame
    Change (decrease) from baseline to short and long term measurements (after one year, 3 years, respectively)
    Title
    Moral & Cognitive Courage Scale
    Description
    A newly developed questionnaire focused on self efficacy to intervene when a physician acts immorally and actual experience with acting in such cases.
    Time Frame
    Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
    Title
    Jefferson Health Professionals Empathy Scale
    Description
    20 items questionnaire developed by Hojat, Mangione, Nasca, Cohen, Gonnella, Erdmann & Magee, 2001
    Time Frame
    Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
    Title
    The Areas of Work life Scale (AWS)
    Description
    29 items questionnaire developed by Leiter & Maslach, 2004 to measure 6 factors related to work load, control, appreciation, community, fairness and values
    Time Frame
    Change (increase in balance) from baseline to short and long term measurements (after one year, 3 years, respectively)
    Title
    Professionals Self Care Practices questionnaire
    Description
    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.
    Time Frame
    Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
    Title
    Life satisfaction questionnaire
    Description
    3 item questionnaire focused on general life satisfaction.
    Time Frame
    Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
    Title
    Perceived Stress Scale (PSS)
    Description
    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.
    Time Frame
    Change (decrease) from baseline to short and long term measurements (after one year, 3 years, respectively)
    Title
    Work-Life Balance
    Description
    6 item questionnaire developed by Greenhaus & Powell, 2006)
    Time Frame
    Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
    Title
    Resilient Coping Questionnaire (RCQ)
    Description
    24 items questionnaire developed by Wolmer, Hamiel & Laor (2105)
    Time Frame
    Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
    Title
    Specific Life Satisfaction Questionnaire
    Description
    12 items questionnaire developed by Karnieli-Miller & Michael to measure satisfaction with different life domains (e.g., relationships, financial etc).
    Time Frame
    Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
    Title
    Brief Resilience Scale (BRS)
    Description
    6 item questionnaire developed by Smith et al., 2008
    Time Frame
    Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
    Title
    Patient Satisfaction questionnaire
    Description
    23 items questionnaire focused on patient-physician communication skills and satisfaction from care.
    Time Frame
    Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)
    Title
    Physician Transcendence Scale (PTS)
    Description
    A 16 items newly developed questionnaire focused on the physicians' transcendence. Laor, Wolmer & Hamiel
    Time Frame
    Baseline
    Title
    Demographic information questions
    Description
    questions concerning gender, age, seniority, specialty, country of birth,
    Time Frame
    Baseline
    Title
    Life Events Scale
    Description
    Assessing life events the individual experienced, such as divorce, a death of a loved one, etc.
    Time Frame
    Baseline

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: 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. Exclusion Criteria: 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.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Orit Karnieli-Miller, PhD
    Phone
    +972502060619
    Email
    oritkm@gmail.com
    First Name & Middle Initial & Last Name or Official Title & Degree
    Nathaniel Laor, MD; PhD
    Phone
    +972546441354
    Email
    nlaor@me.com

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes
    IPD Sharing Plan Description
    The participants data will be shared with the research team from the Department of Medical Education, Sackler Faculty of Medicine, Tel Aviv University and Cohen-Harris Resilience Center

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    Burnout Preventions, Professionalism Heightening, and Enhancing Resiliency (BUPHER)

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