Patient/Caregiver Perceived Quality of Care

Maternal and Child Health Clinical Trial

Official title:

Organizational Environment, Staff Well-being and Patient/Caregiver Perceived Quality of Care in a Maternal and Child Health Hospital in Italy

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06013124
• Other study ID #: RC 46/20
• Status: Recruiting
• Start date: January 26, 2021
• Est. completion date: December 15, 2024

Study information

• Verified date: August 2023
• Source: IRCCS Burlo Garofolo
• Contact: Raffaella Dobrina, MSC
• Phone: +39 040 3785111
• Email: raffaella.dobrina[@]burlo.trieste.it
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Hospitals quality, safety, and staff workload problems are common in all countries. Findings from the multicountry Nurse forecasting in Europe (RN4CAST) cross sectional study show that patient risk of mortality within a 30 days of hospital stay increases of 7% when a patient is added to the nurse-patient 1:6 proportion in a surgical unit; in Italy, the ratio was found to be 9.5 patients per nurse. Organizational environment, health workers wellbeing and work satisfaction were also found to impact patient safety and perceived patient satisfaction; hospitals nurses high workload, work dissatisfaction and burnout were found related to poor patients outcomes. In a systematic review and meta-analysis, an association of more than 60% between physicians and nurses development of burnout and patient safety in pediatric settings was found; when health workers wellness and teamwork in wards was poor lower perceptions of safety culture was found. Moreover, occupational exposure to medically complex children and their families along with direct care providers unexpressed grief further increase pediatric settings staff risk of developing burnout syndrome and compassion fatigue. Recent findings of Covid-19 pandemic negative impact on health workers well-being worldwide also enhances the risk of compromising the quality of care provided. The aim of this study is to evaluate factors that affect health workers well-being, their perception of work environment and patient/caregiver satisfaction and perceived quality of care in a maternal and child health hospital.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 100
• Est. completion date: December 15, 2024
• Est. primary completion date: December 15, 2024
• Gender: All
• Age group: 6 Years to 60 Years

Eligibility

Inclusion Criteria:

• Health workers directly involved in patients care and employed for more than 6 months

• Patients (adults, school-aged children)

• Caregivers of children

Exclusion Criteria:

• Health workers employed for less than 6 months

Related Conditions & MeSH terms

• Maternal and Child Health

Intervention

Other:
• Work environment, well-being, customer satisfaction
Evaluation hospital work environment, staff well-being features and patients/caregivers satisfaction and perceived quality of care

Locations

Country	Name	City	State
Italy	IRCCS Burlo Garofolo	Trieste

Sponsors (1)

Lead Sponsor	Collaborator
IRCCS Burlo Garofolo

Country where clinical trial is conducted

Italy, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Hospital Work environment	Evaluated by validated questionnaire	Through study completion, an average of 3 year
Primary	Staff well-being	Evaluated by validated questionnaire	Through study completion, an average of 3 year
Primary	Patients/caregivers satisfaction	Evaluated by validated questionnaire	Through study completion, an average of 3 year
Primary	Patients/caregivers perceived quality of care	Evaluated by validated questionnaire	Through study completion, an average of 3 year