"Impact of a Programme to Improve Interaction Among Professionals on the Management of Task Interruptions"

NCT ID: NCT03786874

Last Updated: 2018-12-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-01-01

Study Completion Date

2022-01-01

Brief Summary

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In 2017, all IMPACTT investigators experimented in coordinated manner on multifacet intervention program, proposed by the present research protocol, with 2 teams from healthcare units from the PDL region. This experiment followed collaborative work aiming to raise team awareness on task interruptions. Given the existing data in the literature, the investigators hypothesise that the implementation of a multifacet program focusing on interactions within a team could enable the percentage of task interruptions linked to interactions between coordination functions and healthcare provision activities to be decreased by 33%. This decrease would concern task interruptions that are avoidable, in order to improve healthcare safety and teamwork.

Also, the main objective of this project is to measure the impact of a program on the evolution of the characteristics of avoidable task interruptions. The project combines quantitative data (observations, questionnaire) and qualitative data (interviews).

Detailed Description

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This research is a controlled, randomised, blind, pragmatic intervention study (36 months). From the list of volunteering teams meeting inclusion criteria, a random selection will be made. This will enable the formation of two groups of 20 teams each (control group and experimental group). An observational method coupled with a validated questionnaire transfer will allow teams to be questioned about their avoidable task interruptions (control group and experimental group).

The multifacet intervention program is based the concept of teamwork implementation. Targeting potential for improvement will be decided and implemented by each team (experimental group).

Statistics analysis will be conducted on teams before and after the implementation of the program. The assessment criteria will be: the evolution of characteristics of the task interruptions observed (interactions between coordination functions and care delivery functions, prevalence, avoidability, duration, resumption of tasks, social representations of task interruptions).

Conditions

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Quality of Life

Keywords

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Risk management health & safety task interruptions teamwork

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Case group:

Healthcare teams benefiting first the implementation of the coaching model other (centered round the following steps: identify, understand and act) : just after the first measure

Control group:

Healthcare teams benefiting first the implementation of the coaching model (centered round the following steps: identify, understand and act) : after the second measure (impact of the device on case group).
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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20 teams the first year (G1)

control group

Group Type ACTIVE_COMPARATOR

Identify work interruptions

Intervention Type OTHER

estimate baseline characteristics of the collaborative working model (proportion expressed as a percentage)

Understand work interruptions

Intervention Type OTHER

Team-review of the results of the task interruption and professional representations, identify activities to protect from task interruption

20 teams second year (G2)

case group with implementation of the multi-unit team accompaniment intervention.

Group Type EXPERIMENTAL

Identify work interruptions

Intervention Type OTHER

estimate baseline characteristics of the collaborative working model (proportion expressed as a percentage)

Understand work interruptions

Intervention Type OTHER

Team-review of the results of the task interruption and professional representations, identify activities to protect from task interruption

Act to limited work interruptions

Intervention Type OTHER

Adaptation of organizations; Awareness raising and Coaching for change

Interventions

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Identify work interruptions

estimate baseline characteristics of the collaborative working model (proportion expressed as a percentage)

Intervention Type OTHER

Understand work interruptions

Team-review of the results of the task interruption and professional representations, identify activities to protect from task interruption

Intervention Type OTHER

Act to limited work interruptions

Adaptation of organizations; Awareness raising and Coaching for change

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* volunteering healthcare teams from healthcare centres in the PDL region,
* public and private legal statuses;
* with at least one activity in standard medical and/or surgical hospitalisation unit,
* agreeing to take part in the project,
* formalising their commitment to the multifacet program (see section 4),
* including 50 professionals at the most,
* including at least the following professional categories: medical, paramedical, administrative, managerial and medical-technical/psycho-social.

Exclusion Criteria

* Healthcare teams who do not belong to a healthcare unit in the PDL region
* Healthcare teams who do not work in a medical and/or surgical hospitalisation unit.
* Paediatric healthcare teams
* Teams that have already been subjected to a methodological support program from one of the co-investigating units on how to manage task interruptions,
* Teams that do not meet the criteria for commitment to the multifacet program
* Teams of more than 50 members
* Teams who do not include the following professional categories: medical, paramedical, administrative, managerial, medical-technical/psycho-social.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nantes University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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CHU de Nantes

Nantes, , France

Site Status

Countries

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France

References

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Teigne D, Cazet L, Mabileau G, Terrien N. Task interruptions from the perspective of work functions: The development of an observational tool applied to inpatient hospital care in France The Team'IT tool. PLoS One. 2023 Mar 9;18(3):e0282721. doi: 10.1371/journal.pone.0282721. eCollection 2023.

Reference Type DERIVED
PMID: 36893207 (View on PubMed)

Other Identifiers

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RC18_0047

Identifier Type: -

Identifier Source: org_study_id