Nurse Practitioner Led Implementation of Team Huddles in Long-Term Care Homes

NCT ID: NCT05387213

Last Updated: 2022-05-24

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

COMPLETED

Clinical Phase

NA

Total Enrollment

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-14

Study Completion Date

2021-11-01

Brief Summary

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A pre-experimental design to conduct a process evaluation and to compare the outcomes after implementing team huddles for the intervention and control groups.

Detailed Description

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Staff working in long-term care (LTC) homes during COVID-19 frequently reported lack of communication, collaboration, and teamwork, all of which are associated with staff dissatisfaction, health concerns, perceived of lack of support and moral distress. The purpose of this study was to introduced regular huddles, led by a Nurse Practitioner, to support LTC staff during COVID-19. The objectives were to evaluate the process of huddle implementation and to examine differences between staff attending and not attending the huddles on outcomes of moral distress, job satisfaction, perceived support from the Nurse Practitioner, and health and mental health. Furthermore, we hypothesize that regular huddles can lead to improvements in resident-centred care and resident outcomes.

Conditions

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Moral Distress Job Satisfaction Mental Health Physical Health Support

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Huddle attendees

Participants in this arm participated in huddles

Group Type EXPERIMENTAL

Team Huddles

Intervention Type BEHAVIORAL

Brief multidisciplinary meeting occurring twice a week for staff working at a LTC home led by a Nurse Practitioner. Huddles focused on discussing resident-care and staff-wellbeing.

Huddle non-attendees

Participants in this arm did not participate in huddles

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Team Huddles

Brief multidisciplinary meeting occurring twice a week for staff working at a LTC home led by a Nurse Practitioner. Huddles focused on discussing resident-care and staff-wellbeing.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* All staff working at the LTC home
* All residents living in the home between January and December 2021

Exclusion Criteria

* N/A
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Canadian Foundation for Health Improvement

UNKNOWN

Sponsor Role collaborator

Canadian Institutes of Health Research (CIHR)

OTHER_GOV

Sponsor Role collaborator

Centre for Aging and Brain Health Innovation

OTHER

Sponsor Role collaborator

Walter & Maria Schroeder Institute for Brain Innovation and Recovery

UNKNOWN

Sponsor Role collaborator

Toronto Rehabilitation Institute

OTHER

Sponsor Role lead

Responsible Party

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Katherine McGilton

Senior Scientist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Katherine S McGilton

Role: PRINCIPAL_INVESTIGATOR

KITE Research Institute - Toronto Rehabilitation Institute

Locations

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Long-Term Care Home

Kitchener, Ontario, Canada

Site Status

Long-Term Care Home

Sarnia, Ontario, Canada

Site Status

Countries

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Canada

References

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Dolbier CL, Webster JA, McCalister KT, Mallon MW, Steinhardt MA. Reliability and validity of a single-item measure of job satisfaction. Am J Health Promot. 2005 Jan-Feb;19(3):194-8. doi: 10.4278/0890-1171-19.3.194.

Reference Type BACKGROUND
PMID: 15693347 (View on PubMed)

Schwendimann R, Dhaini S, Ausserhofer D, Engberg S, Zuniga F. Factors associated with high job satisfaction among care workers in Swiss nursing homes - a cross sectional survey study. BMC Nurs. 2016 Jun 6;15:37. doi: 10.1186/s12912-016-0160-8. eCollection 2016.

Reference Type BACKGROUND
PMID: 27274334 (View on PubMed)

McGilton KS. Development and psychometric testing of the Supportive Supervisory Scale. J Nurs Scholarsh. 2010 Jun;42(2):223-32. doi: 10.1111/j.1547-5069.2009.01323.x.

Reference Type BACKGROUND
PMID: 20618606 (View on PubMed)

Iaboni A, Quirt H, Engell K, Kirkham J, Stewart S, Grigorovich A, Kontos P, McMurray J, Levy A, Bingham K, Rodrigues K, Astell A, Flint AJ, Maxwell C. Barriers and facilitators to person-centred infection prevention and control: results of a survey about the Dementia Isolation Toolkit. BMC Geriatr. 2022 Jan 25;22(1):74. doi: 10.1186/s12877-022-02759-4.

Reference Type BACKGROUND
PMID: 35078424 (View on PubMed)

Edbrooke-Childs J, Hayes J, Sharples E, Gondek D, Stapley E, Sevdalis N, Lachman P, Deighton J. Development of the Huddle Observation Tool for structured case management discussions to improve situation awareness on inpatient clinical wards. BMJ Qual Saf. 2018 May;27(5):365-372. doi: 10.1136/bmjqs-2017-006513. Epub 2017 Sep 19.

Reference Type BACKGROUND
PMID: 28928167 (View on PubMed)

McGilton KS, Krassikova A, Wills A, Bethell J, Boscart V, Escrig-Pinol A, Iaboni A, Vellani S, Maxwell C, Keatings M, Stewart SC, Sidani S. Nurse practitioner led implementation of huddles for staff in long term care homes during the COVID-19 pandemic. BMC Geriatr. 2023 Nov 2;23(1):713. doi: 10.1186/s12877-023-04382-3.

Reference Type DERIVED
PMID: 37919676 (View on PubMed)

Related Links

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http://www.statcan.gc.ca/en/survey/household/3226

Statistics Canada. Canadian Community Health Survey 2022.

Other Identifiers

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20-6298

Identifier Type: -

Identifier Source: org_study_id

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