Effects on Nurses' Quality of Working Life of an Educational Intervention to Strengthen Their Humanistic Practice

NCT ID: NCT03283891

Last Updated: 2021-02-03

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 241 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2017-09-01
• Study Completion Date: 2020-02-01

Brief Summary

Haemodialysis (HD) patients constitute a vulnerable population with considerable health needs. They are often older persons with comorbid chronic conditions. Despite the substantial technical care they receive, these patients indicate that the quality of the human relationship that develops with nurses-the pivotal element in the care this population receives-can become therapeutic. This feature of the human relationship constitutes the cornerstone of the humanistic practice (caring practice) that all nurses should adhere to. However, according to some authors, such practice tends to fade over time. In 2012, a pilot study allowed to test an educational intervention based on Watson's Theory of Human Caring, the aim of which was to optimise nurses' humanistic practices. The intervention, first developed in Quebec and adapted in Switzerland by a committee of experts, was delivered to a group of nine HD nurses (Canton of Vaud, Switzerland) and evaluated. Preliminary results (qualitative and quantitative) showed the intervention to be highly feasible and acceptable. Moreover, in terms of preliminary outcomes, participating nurses appeared to strengthen their caring attitudes/behaviours toward HD patients post-intervention. Quantitative analyses of patients' questionnaires showed that HD patients perceived significant changes in nurses' caring attitudes/behaviours and maintained their level of quality of life (QoL) over time, which is a definite gain for this population. In light of these positive results, it is important to pursue this line of investigation in order to examine more accurately the intervention's effects on both nurses and patients. To this end, the investigators propose conducting a mixed-methods cluster randomised controlled trial (RCT) to assess the effects of an educational intervention to strengthen humanistic practice among nurses working in HD units in French Switzerland, on perceived quality of the nurse-patient relationship (NPR), nurses' team cohesion, nurses' quality of working life (QoWL), and HD patients' QoL. Knowledge acquired in the course of the study will contribute to strengthen nurses' humanistic practice, a key factor in HD patients' QoL.

Conditions

Patient-Centered Care

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: OTHER
• Blinding Strategy: SINGLE

Study Groups

educational intervention

Various pedagogical activities to mobilise Watson's ten Carative Factors

Group Type: EXPERIMENTAL

Educational intervention - humanistic nursing practice

Intervention Type: OTHER

Four educational sessions:

• Acquisition of core concepts of caring practice (I)
• Acquisition of core concepts of caring practice (II)
• Search for meaning: Influencing hope in persons through humanistic practice
• Enacting different caring attitudes and behaviours in an intermediary simulation exercise with actor

control

No intervention during the different times of measurement. Educational intervention will be delivered after the last measure.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Educational intervention - humanistic nursing practice

Four educational sessions:

• Acquisition of core concepts of caring practice (I)
• Acquisition of core concepts of caring practice (II)
• Search for meaning: Influencing hope in persons through humanistic practice
• Enacting different caring attitudes and behaviours in an intermediary simulation exercise with actor

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Nurses:

1. have at least 6 months' work experience in the department;

2. consent to take part in the study. In addition, nurses who intend to leave the HD unit in the 3 months to come will be excluded

• Patients

1. be at least 18 years of age and under active treatment for at least 6 months;

2. understand and read French;

3. able to provide informed consent.

Exclusion Criteria

• Nurses:

1. intention to leave the HD unit in the 3 months after the beginning of the project

• Patients

1. being diagnosed with dementia

2. being a new HD patient

• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Universite du Quebec en Outaouais

OTHER

Sponsor Role: collaborator

Université de Sherbrooke

OTHER

Sponsor Role: collaborator

School of Management and Engineering Vaud

UNKNOWN

Sponsor Role: collaborator

Université de Montréal

OTHER

Sponsor Role: collaborator

University of Lausanne Hospitals

OTHER

Sponsor Role: collaborator

Swiss National Science Foundation

OTHER

Sponsor Role: collaborator

Institut et Haute Ecole de la Santé la Source

OTHER

Sponsor Role: lead

Responsible Party

Philippe Delmas

Inf, Ph.D, Ex.MBA., Professeur Ordinaire HES-SO

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Philippe Delmas, PhD

Role: PRINCIPAL_INVESTIGATOR

Haute Ecole de la Santé La Source

Locations

Hôpital du Jura

Delémont, Canton of Jura, Switzerland

Centre hospitalier universitaire vaudois (CHUV)

Lausanne, Canton of Vaud, Switzerland

Hôpital de Morges - Ensemble hospitalier de la Côte

Morges, Canton of Vaud, Switzerland

Hôpital intercantonal de la Broye (HIB)

Payerne, Canton of Vaud, Switzerland

Établissements hospitaliers du Nord vaudois (eHnv)

Yverdon-les-Bains, Canton of Vaud, Switzerland

Hôpital du Valais - Martigny

Martigny-Ville, Valais, Switzerland

Hôpital Riviera-Chablais (HRC)

Monthey, Valais, Switzerland

Hôpital du Valais - Sierre

Sierre, Valais, Switzerland

Hôpital du Valais - Sion

Sion, Valais, Switzerland

Hôpitaux Universitaires de Genève (HUG)

Geneva, , Switzerland

Countries

Switzerland

References

Antonini M, Bellier-Teichmann T, O'reilly L, Cara C, Brousseau S, Weidmann J, Roulet-Schwab D, Ledoux I, Konishi M, Pasquier J, Delmas P. Effects of an educational intervention to strengthen humanistic practice on haemodialysis nurses' caring attitudes and behaviours and quality of working life: a cluster randomised controlled trial. BMC Nurs. 2021 Dec 20;20(1):255. doi: 10.1186/s12912-021-00729-6.

Reference Type: DERIVED

PMID: 34930206 (View on PubMed)

Delmas P, O'Reilly L, Cara C, Brousseau S, Weidmann J, Roulet-Schwab D, Ledoux I, Pasquier J, Antonini M, Bellier-Teichmann T. Effects on nurses' quality of working life and on patients' quality of life of an educational intervention to strengthen humanistic practice among hemodialysis nurses in Switzerland: a protocol for a mixed-methods cluster randomized controlled trial. BMC Nurs. 2018 Nov 21;17:47. doi: 10.1186/s12912-018-0320-0. eCollection 2018.

Reference Type: DERIVED

PMID: 30479561 (View on PubMed)

Other Identifiers

FNS 10001C_172588

Identifier Type: -

Identifier Source: org_study_id