Effect of Positive Attitudes on Behavior and Wellness

Study Overview
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Brief Summary
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The COVID-19 pandemic has undoubtedly elevated levels of stress to people all over the globe, but none more than to the providers on the front-line. The purpose of the study is to first, assess the effects of the pandemic on burnout, team cohesion, and resiliency among healthcare providers battling COVID-19 together in a medical ICU (MICU). Secondly, the investigators hope to then assess the effects of simple positive feedback on transforming culture and attitudes during times of major stress.

Official Title
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The Impact of Positive Reinforcement on Teamwork Climate, Resiliency, and Burnout During the COVID-19 Pandemic: the TEAM-ICU Study (Transforming Employee Attitudes Via Messaging Strengthens Interconnection, Communication, and Unity)

Conditions
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Burnout, Stress, Emotional

Intervention / Treatment
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* Behavioral: Positive feedback


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Front-line healthcare providers in the Medical Intensive Care Unit (MICU): nurses, respiratory therapists, resident physicians, fellow physicians, and attending physicians Exclusion Criteria: Healthcare providers providing only consultatory care in the MICU Front-line healthcare providers not working in the MICU during the study period

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Positive feedback<br>Participants in the study will provide consistent positive feedback to the colleagues they work with in the medical ICU (MICU) over a 4 week duration. | Behavioral: Positive feedback<br>* Participants will submit positive feedback comments to their colleagues (anonymously or signed, participant-dependent) through an anonymous survey link, a minimum of twice weekly to 6 uniquely different individuals over a 4 week period (total minimum 24 unique individuals over the study period).<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Teamwork climate, as measured by selected items from the validated Safety Attitude Questionnaire (SAQ) | The SAQ measures teamwork climate, safety climate, job satisfaction, stress recognition, perceptions of management, and working conditions. The six items assessing teamwork climate will be used. 5 point likert scale is used. Mean of the items - 1 * 25 will convert each participant's results to a 100 point scale (0, 25, 50, 75, 100 points). | 4 weeks | 
| Resiliency, as measured by the validated Brief Resilience Scale (BRS) | The BRS is comprised of 6 items on a likert scale. Responses varying from 1-5 for all six items give a total range of 6-30. This sum will be divided by the total number of questions for a final score. | 4 weeks | 
| Burnout, as validated by the single-item burnout scale inventory | This single item inventory provides 5 definitions of burnout that the participant will choose that most closely fits their personal level of burnout at the moment | 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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wellness, healthcare, burnout, COVID