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

Burnout, Professional Clinical Trial

— 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

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT02963792
• Other study ID #: TASMC-16-GL-0426-CTIL
• Status: Not yet recruiting
• Phase: N/A
• First received: September 4, 2016
• Last updated: November 14, 2016
• Start date: November 2016
• Est. completion date: September 2020

Study information

• Verified date: November 2016
• Source: Tel-Aviv Sourasky Medical Center
• Contact: Orit Karnieli-Miller, PhD
• Phone: +972502060619
• Email: oritkm[@]gmail.com
• Is FDA regulated: No
• Health authority: Israel: Ministry of Health
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 1000
• Est. completion date: September 2020
• Est. primary completion date: September 2019
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 18 Years and older

Eligibility

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.

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research

Related Conditions & MeSH terms

• Burnout, Professional
• Professional-Patient Relations

Intervention

Other:
• Preventing Professionals burnout

Locations

Country	Name	City	State
n/a

Sponsors (3)

Lead Sponsor	Collaborator
michal roll	Association for Children at Risk, Tel Aviv University

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Professionalism Culture Scale	12 item scale developed by the American Board of Internal Medicine, by (DeLisa, Foye, Jain, Kirshblum, & Christodoulou, 2001	Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)	No
Primary	Abbreviated Burnout Scale	Nine item scale focused on 3 burnout factors (Iverson, Olekalns & Erwin, 1998)	Change (decrease) from baseline to short and long term measurements (after one year, 3 years, respectively)	No
Secondary	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.	Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)	No
Secondary	Cynicism in Medicine Questionnaire (CMQ)	14 item questionnaire developed by Teserman, Morton, Loo, Worthle & Lamberton, 1996	Change (decrease) from baseline to short and long term measurements (after one year, 3 years, respectively)	No
Secondary	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.	Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)	No
Secondary	Jefferson Health Professionals Empathy Scale	20 items questionnaire developed by Hojat, Mangione, Nasca, Cohen, Gonnella, Erdmann & Magee, 2001	Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)	No
Secondary	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	Change (increase in balance) from baseline to short and long term measurements (after one year, 3 years, respectively)	No
Secondary	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.	Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)	No
Secondary	Life satisfaction questionnaire	3 item questionnaire focused on general life satisfaction.	Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)	No
Secondary	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.	Change (decrease) from baseline to short and long term measurements (after one year, 3 years, respectively)	No
Secondary	Work-Life Balance	6 item questionnaire developed by Greenhaus & Powell, 2006)	Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)	No
Secondary	Resilient Coping Questionnaire (RCQ)	24 items questionnaire developed by Wolmer, Hamiel & Laor (2105)	Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)	No
Secondary	Specific Life Satisfaction Questionnaire	12 items questionnaire developed by Karnieli-Miller & Michael to measure satisfaction with different life domains (e.g., relationships, financial etc).	Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)	No
Secondary	Brief Resilience Scale (BRS)	6 item questionnaire developed by Smith et al., 2008	Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)	No
Secondary	Patient Satisfaction questionnaire	23 items questionnaire focused on patient-physician communication skills and satisfaction from care.	Change (increase) from baseline to short and long term measurements (after one year, 3 years, respectively)	No
Secondary	Physician Transcendence Scale (PTS)	A 16 items newly developed questionnaire focused on the physicians' transcendence. Laor, Wolmer & Hamiel	Baseline	No
Secondary	Demographic information questions	questions concerning gender, age, seniority, specialty, country of birth,	Baseline	No
Secondary	Life Events Scale	Assessing life events the individual experienced, such as divorce, a death of a loved one, etc.	Baseline	No