Clinical trial NCT05146102: Ethics Communication in Groups Among Healthcare Professionals (The Ethics-com Study).
Official title: Ethics Communication in Groups Among Healthcare Professionals (The Ethics-com Study).
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Ethics Support
Keywords: ethics support
ethical rounds
healthcare personnel
Lead sponsor: Umeå University
Sponsor class: OTHER
First posted: 2021-12-06
Enrollment: 100
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: SINGLE_GROUP
Intervention model description: 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 purpose: OTHER

Brief summary: 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: 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.

Eligibility criteria: Inclusion Criteria:

* healthcare professionals working at included wards

Exclusion Criteria:

-

Primary outcomes:
measure: moral distress meausered by using the Meausure of Moral Distress for Health care Professionals (MMD-HP) and the Moral Distress Thermometer
timeFrame: Change from Baseline moral distress at 6 months
Secondary outcomes:
measure: ethical climate meausered by the Swedish ethical climate questionnaire (SwECQ)
timeFrame: Change from Baseline ethical climate at 6 months
measure: experiences
timeFrame: at 6 month
Other outcomes:
Locations:
city: Skellefteå
country: Sweden
facility: Margareta Brännström
state: Umeå Universitet
city: Umeå
country: Sweden
facility: Umeå university
state: Umeå Universitet
Study officials:
affiliation: Umea university, department of nursing, Umeå, Sweden
name: Margareta Brännström
role: PRINCIPAL_INVESTIGATOR
References: