Multidisciplinary Teamwork Perceptions When Mobilizing Ventilated Neurosurgery Patients

Multidisciplinary Communication Clinical Trial

Official title:

Multidisciplinary Teamwork Perceptions When Mobilizing Ventilated Neurosurgery Patients

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05583487
• Other study ID #: STU-2022-0903
• Status: Completed
• Phase: N/A
• Start date: November 1, 2022
• Est. completion date: February 1, 2023

Study information

• Verified date: February 2023
• Source: University of Texas Southwestern Medical Center
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of this research study is to decide if using a nurse-led mobility protocol affects teamwork perceptions, when mobilizing ventilated neurosurgery patients. Participants will mobilize ventilated neurosurgery patients according to either facility standard procedures or a piloted nurse-led mobility protocol. Each selected patient will be mobilized once during his/her hospitalization for the purposes of this study. Patient mobility may take up to 1 hour. Following this, participating staff will be asked to complete a survey used to measure teamwork perceptions. Participants will be given up to 30 minutes to complete the survey. Total study duration is 3 months.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 28
• Est. completion date: February 1, 2023
• Est. primary completion date: January 24, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• adult (18 years of age or older)
• male or female registered nurses or licensed vocational nurses, patient care technicians, respiratory therapists, and physical therapists
• currently employed by the medical center
• currently care for neurosurgery patients in a part time or full-time capacity
• may work during day shift and/or night shift hours.

Exclusion Criteria:

• staff members employed by an agency outside of the medical center
• staff not routinely assigned to care for neurosurgery patients on the neurosurgical ICU (float pool staff)

Related Conditions & MeSH terms

• Multidisciplinary Communication

Intervention

Other:
• Nurse-led progressive mobility protocol
The nurse-led mobility progression protocol incorporates a checklist for four primary team members belonging to each discipline to follow before, during, and after providing mobility for each patient. It outlines steps to progress patient mobility from in-bed mobility activities to out-of-bed activities as tolerated. This protocol intervention was created and designed based upon a review of previously conducted studies' interventions and findings, as well as expert guidelines established in the literature. Furthermore, multidisciplinary experts at the medical center who work with ventilated neurosurgery patients were consulted to form the protocol to further establish hemodynamic, neurological, respiratory, and physiological patient safety parameters. This intervention has not been implemented in previous studies and will be piloted for this study.
• Standard of Care
For the purposes of the current study, the control group of multidisciplinary teams requested to mobilize the ventilated neurosurgery patient, may also consist of the primary nurse, RT, PT, and PCT. They will be asked to progressively mobilize the patient to the best of their ability according to standard of care procedures, incorporating any resources the medical center provides including, but not limited to, written information, equipment, ThinkLift, etc.

Locations

Country	Name	City	State
United States	University of Texas Southwestern Medical Center	Dallas	Texas

Sponsors (1)

Lead Sponsor	Collaborator
University of Texas Southwestern Medical Center

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Teamwork perceptions	Will be measured using the reliable and valid Nursing Teamwork Survey (NTS) established by Beatrice Kalisch, PhD. The NTS is composed of items with Likert-type scale ranging from 1-5. Higher scores indicate more positive perceptions of teamwork, while lower scores indicate more negative perceptions of teamwork. This scale has been tested and has good psychometric properties including adequate validity and reliability. The minimum total score is 33, while the highest possible score is 165 per participant.	Will take each participant no more than 30 minutes to complete. Each participant will take this once following each patient mobility instance.