HELLO:一个集群随机对照试验的协议,以加强ICU医疗保健专业人员之间的人际关系和团队凝聚力
Elie Azoulay1, Nancy Kentish Barnes2, Sheila Nainan Myatra3
1Department of Intensive Care and Intensive Medicine, Paris-Cité University. Saint-Louis Hospital, APHP, Paris, France. elie.azoulay@aphp.fr.
Intensive care medicine experimental
|October 7, 2024
概括
"Hello Bundle"的干预旨在通过改善社交互动和支持来减少重症监护室医疗保健专业人员 (HCP) 的倦怠. 该试验将评估其在改善健康和患者护理方面的有效性.
科学领域:
- 医疗保健的沟通 医疗保健的沟通
- 社会心理学 社会心理学
- 积极心理学是积极的心理学.
背景情况:
- 欧洲重症监护医学协会 (ESICM) 成员的高燃烧率 (高达50%) 是一个严重的问题.
- 倦怠的决定因素包括沟通,团队凝聚力,心理支持和福祉促进.
- "Hello Bundle"的干预旨在通过促进积极的社会互动和支持性的工作环境来减轻倦怠.
研究的目的:
- 评估"Hello Bundle"干预措施在减少重症监护病房医疗保健专业人员 (HCP) 倦怠方面的有效性.
- 加强人际关系,改善团队凝聚力,促进ICU环境中的福祉.
主要方法:
- 一个集群随机对照试验 (RCT),涉及至少73个ESICM附属ICU和大约7300名参与者.
- 干预集群将实施6个组成部分的"Hello Bundle"干预,而控制集群将被列入等待名单.
- 主要结局:患有倦怠症的医疗保健工作者比例. 二次结果:情绪疲,非个性化,失去成就,道德气候感知,工作满意度,职业冲突,离开的意图,以及以患者/家庭为中心的护理评级.
主要成果:
- 研究协议描述了评估"Hello Bundle"干预措施对HCP倦怠和相关结果的影响的方法.
- 数据收集将在干预期之前和之后的四周内进行.
- 结果将比较干预和控制集群之间的倦怠率和次要结果,以及干预组内的干预前后情况.
结论:
- 这是第一个大规模的试验,检查了ICU-HCP的医疗保健沟通,社会和积极心理学干预措施.
- 这些发现有可能为解决重症监护机构倦怠问题的有效策略提供有价值的见解.
- 成功实施将有利于医疗保健专业人员和患者护理成果.
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