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Ethics Communication in Groups Among Healthcare Professionals (The Ethics-com Study).

NCT ID: NCT05146102

Last Updated: 2021-12-06

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

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-11-01

Study Completion Date

2022-05-15

Brief Summary

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Moral distress has been described as a condition with frustration, guilt, anger and as one reason for health care professionals to leave the profession. Ethics communication in groups has been showed to work as support for health care professionals in ethically difficult situations and further work as a tool to improve the ethical climate and prevent moral distress. Our research group has developed the "one to five-step method" for interprofessional ethical communication in groups. The overall aim of this project: is to implement and evaluate a method for organized interprofessional communication about ethical issues in healthcare.

Detailed Description

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Ethically difficult situations are a part of the everyday clinical practice for health care professionals and concerns difficult judgements, prioritization and crucial decisions. Being unable or prevented to act according to one's moral conviction for what is good and right care may increase the risk for health care professionals to experience moral distress. Moral distress has been described as a condition with frustration, guilt, anger and as one reason for health care professionals to leave the profession. Ethics communication in groups has been showed to work as support for health care professionals in ethically difficult situations and further work as a tool to improve the ethical climate and prevent moral distress. Our research group has developed the "one to five-step method" for interprofessional ethical communication in groups. The method is a stepwise support for facilitating ethics communication in clinical practice when the situations occurs. The overall aim of this project: is to implement and evaluate a method for organized interprofessional communication about ethical issues in healthcare.

Significance: The study can generate knowledge about ethics communication in groups in line with the " one to five step method", reduce moral distress, create improved ethical climate for healthcare professionals and in turn open up prerequisites for good care.

Conditions

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Ethics Support

Keywords

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ethics support ethical rounds healthcare personnel

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

The interventiongroup is offered organized interprofessional sessions, once a month, for six months at their workplace. In the the controlgroup, organized interprofessional sessions are not planned at the wards.
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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ethics communication in group, in line with "the one to five-step method"

Healthcare professionals working as "ethical representatives" at the current ward (n=5) have recently gone through a basic ethics program. They will continue by going through an education program for facilitating ethics communication in group, in line with "the one to five-step method"

* The education program has a theoretical and practical approach, which includes the theoretical base of the ethical communication in groups and practicing "the one to five method"
* Thereafter, each "ethical representative" will facilitate interprofessional sessions at a clinical ward, once a month, for six months at their workplace. Gathering meetings for feedback will be offered for the "ethical representatives" once a month.

Group Type EXPERIMENTAL

ethics communication in group, in line with "the one to five-step method"

Intervention Type OTHER

Healthcare professionals working as "ethical representatives" at the current ward (n=5) have recently gone through a basic ethics program. They will continue by going through an education program for facilitating ethics communication in group, in line with "the one to five-step method"

The education program has a theoretical and practical approach, which includes the theoretical base of the ethical communication in groups and practicing "the one to five method" Thereafter, each "ethical representative" will facilitate interprofessional sessions at a clinical ward, once a month, for six months at their workplace. Gathering meetings for feedback will be offered for the "ethical representatives" once a month.

No organized ethics communication in group

Healthcare professionals working as "ethical representatives" at the current ward (n=5) have recently gone through a basic ethics program. They have not being educated in "the one to five-step method and organized interprofessional sessions are not planned at the wards.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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ethics communication in group, in line with "the one to five-step method"

Healthcare professionals working as "ethical representatives" at the current ward (n=5) have recently gone through a basic ethics program. They will continue by going through an education program for facilitating ethics communication in group, in line with "the one to five-step method"

The education program has a theoretical and practical approach, which includes the theoretical base of the ethical communication in groups and practicing "the one to five method" Thereafter, each "ethical representative" will facilitate interprofessional sessions at a clinical ward, once a month, for six months at their workplace. Gathering meetings for feedback will be offered for the "ethical representatives" once a month.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* healthcare professionals working at included wards

Exclusion Criteria

\-
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Umeå University

OTHER

Sponsor Role lead

Responsible Party

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Margareta Brännström

professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Margareta Brännström

Role: PRINCIPAL_INVESTIGATOR

Umea university, department of nursing, Umeå, Sweden

Locations

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Margareta Brännström

Skellefteå, Umeå Universitet, Sweden

Site Status RECRUITING

Umeå university

Umeå, Umeå Universitet, Sweden

Site Status RECRUITING

Countries

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Sweden

Central Contacts

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Margareta Brännström

Role: CONTACT

Phone: 0761111286

Email: [email protected]

Facility Contacts

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Margareta Brännström, Professor

Role: primary

Margareta Brännström, PhD

Role: primary

Catarina Fischer Grönlund, PhD

Role: backup

References

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Margareta B, Ulf I, C FG. Effects of ethics communication in health care: a cluster randomised controlled trial. BMC Med Ethics. 2025 Jul 26;26(1):106. doi: 10.1186/s12910-025-01270-w.

Reference Type DERIVED
PMID: 40713613 (View on PubMed)

Other Identifiers

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Ethics-com001

Identifier Type: -

Identifier Source: org_study_id