Clinical trial NCT03283891: Effects on Nurses' Quality of Working Life of an Educational Intervention to Strengthen Their Humanistic Practice
Official title: Effects on Nurses' Quality of Working Life and on Patients' Quality of Life of an Educational Intervention to Strengthen Humanistic Practice Among Haemodialysis Nurses in Switzerland: A Mixed Methods Cluster Randomised Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Patient-Centered Care
Keywords: Educational intervention
Watson's theory of human caring
Quality of working life of haemodialysis nurses
Quality of life of haemodialysis patients
Lead sponsor: Institut et Haute Ecole de la Santé la Source
Sponsor class: OTHER
Collaborators: name: Universite du Quebec en Outaouais
name: Université de Sherbrooke
name: School of Management and Engineering Vaud
name: Université de Montréal
name: University of Lausanne Hospitals
name: Swiss National Science Foundation
First posted: 2017-09-14
Enrollment: 241
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Mixed methods cluster randomised controlled trial
Primary purpose: OTHER

Brief summary: Haemodialysis (HD) patients constitute a vulnerable population with considerable health needs. They are often older persons with comorbid chronic conditions. Despite the substantial technical care they receive, these patients indicate that the quality of the human relationship that develops with nurses-the pivotal element in the care this population receives-can become therapeutic. This feature of the human relationship constitutes the cornerstone of the humanistic practice (caring practice) that all nurses should adhere to. However, according to some authors, such practice tends to fade over time. In 2012, a pilot study allowed to test an educational intervention based on Watson's Theory of Human Caring, the aim of which was to optimise nurses' humanistic practices. The intervention, first developed in Quebec and adapted in Switzerland by a committee of experts, was delivered to a group of nine HD nurses (Canton of Vaud, Switzerland) and evaluated. Preliminary results (qualitative and quantitative) showed the intervention to be highly feasible and acceptable. Moreover, in terms of preliminary outcomes, participating nurses appeared to strengthen their caring attitudes/behaviours toward HD patients post-intervention. Quantitative analyses of patients' questionnaires showed that HD patients perceived significant changes in nurses' caring attitudes/behaviours and maintained their level of quality of life (QoL) over time, which is a definite gain for this population. In light of these positive results, it is important to pursue this line of investigation in order to examine more accurately the intervention's effects on both nurses and patients. To this end, the investigators propose conducting a mixed-methods cluster randomised controlled trial (RCT) to assess the effects of an educational intervention to strengthen humanistic practice among nurses working in HD units in French Switzerland, on perceived quality of the nurse-patient relationship (NPR), nurses' team cohesion, nurses' quality of working life (QoWL), and HD patients' QoL. Knowledge acquired in the course of the study will contribute to strengthen nurses' humanistic practice, a key factor in HD patients' QoL.


Eligibility criteria: Inclusion Criteria:

* Nurses:

  1. have at least 6 months' work experience in the department;
  2. consent to take part in the study. In addition, nurses who intend to leave the HD unit in the 3 months to come will be excluded
* Patients

  1. be at least 18 years of age and under active treatment for at least 6 months;
  2. understand and read French;
  3. able to provide informed consent.

Exclusion Criteria:

* Nurses:

  1. intention to leave the HD unit in the 3 months after the beginning of the project
* Patients

  1. being diagnosed with dementia
  2. being a new HD patient

Primary outcomes:
measure: Nurse-patient relationship (NPR)
timeFrame: 30 months
measure: Nurses' team cohesion
timeFrame: 30 months
measure: Nurses' quality of working life (QoWL) - nurses
timeFrame: 30 months
Secondary outcomes:
measure: Hemodyalisis patients' quality of life (QoL)
timeFrame: 30 months
measure: Nurse-patient relationship (NPR) - patients
timeFrame: 30 months
Other outcomes:
Locations:
city: Delémont
country: Switzerland
facility: Hôpital du Jura
state: Jura
city: Martigny
country: Switzerland
facility: Hôpital du Valais - Martigny
state: Vallais
city: Monthey
country: Switzerland
facility: Hôpital Riviera-Chablais (HRC)
state: Vallais
city: Sierre
country: Switzerland
facility: Hôpital du Valais - Sierre
state: Vallais
city: Sion
country: Switzerland
facility: Hôpital du Valais - Sion
state: Vallais
city: Lausanne
country: Switzerland
facility: Centre hospitalier universitaire vaudois (CHUV)
state: Vaud
city: Morges
country: Switzerland
facility: Hôpital de Morges - Ensemble hospitalier de la Côte
state: Vaud
city: Payerne
country: Switzerland
facility: Hôpital intercantonal de la Broye (HIB)
state: Vaud
city: Yverdon-les-Bains
country: Switzerland
facility: Établissements hospitaliers du Nord vaudois (eHnv)
state: Vaud
city: Genève
country: Switzerland
facility: Hôpitaux Universitaires de Genève (HUG)
Study officials:
affiliation: Haute Ecole de la Santé La Source
name: Philippe Delmas, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Antonini M, Bellier-Teichmann T, O'reilly L, Cara C, Brousseau S, Weidmann J, Roulet-Schwab D, Ledoux I, Konishi M, Pasquier J, Delmas P. Effects of an educational intervention to strengthen humanistic practice on haemodialysis nurses' caring attitudes and behaviours and quality of working life: a cluster randomised controlled trial. BMC Nurs. 2021 Dec 20;20(1):255. doi: 10.1186/s12912-021-00729-6.
citation: Delmas P, O'Reilly L, Cara C, Brousseau S, Weidmann J, Roulet-Schwab D, Ledoux I, Pasquier J, Antonini M, Bellier-Teichmann T. Effects on nurses' quality of working life and on patients' quality of life of an educational intervention to strengthen humanistic practice among hemodialysis nurses in Switzerland: a protocol for a mixed-methods cluster randomized controlled trial. BMC Nurs. 2018 Nov 21;17:47. doi: 10.1186/s12912-018-0320-0. eCollection 2018.