Clinical trial NCT01576614: The Role of Off-shift Robotic Telerounding Between Physicians and Nurses in the Surgical Intensive Care Unit
Official title: A Prospective Randomized Study on the Role of Off-shift Robotic Telerounding on the Collaboration Between Physicians and Nurses in the Surgical Intensive Care Unit
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Off-shift Robotic Telerounding
Keywords: Comparing telephone VS RTP in SICU rounding practices
Lead sponsor: Lahey Clinic
Sponsor class: OTHER
First posted: 2012-04-12
Enrollment: 35
Sex: ALL
Minimum age (years): 18
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Full time Nursing and Physician Staff providing rounding services in the Surgical Intensive Care Unit

Brief summary: Hypothesis: The use of a mobile robotic telepresence system for off-hours rounding in the surgical intensive care unit has an impact on nurse-physician collaboration.

Study question: Does the addition of mobile video communication provided by RTP affect nurse-physician collaboration during off shift rounding in the surgical intensive care unit when compared to the more common clinical practice of off-shift rounding using the telephone?

Detailed description: This is a mixed-method study, involving both surveys and ethnographic fieldwork. The research team will utilize the Collaboration and Satisfaction About Care Decisions (CSACD) survey instrument at regular intervals to assess nurse-physician collaboration. The instrument is validated and reliable and has been extensively tested. Permission was obtained to use the instrument. The ethnographic investigation will run concurrently and be performed by a doctoral student from Massachusetts Institute of Technology (MIT). No part of the study will involve patient intervention. The study will be conducted in the surgical intensive care unit (SICU).

The survey-based portion of the study is a prospective, randomized, crossover-controlled trial; it will generate ordinal data regarding nurse-physician collaboration and satisfaction. The ethnographic portion of the study will involve observation and interviews. The MIT student will engage in unobtrusive observational shadowing of APs and nurses throughout the study, and will formally interview each observed AP and nurse twice during the entire length of the study: once at the onset of the study, and once as the study draws to conclusion. This observational shadowing will include visits to the SICU. All participants will be consented for the study. Consent for and implementation of these methods will be undertaken in a manner consistent with current best research practice; extensive measures will be taken to protect staff confidentiality.

Eligibility criteria: Inclusion Criteria:

* Full time registered nursing staff
* Resident physicians and critical care attending physicians

Exclusion Criteria:

* Non-registered nursing staff

Primary outcomes:
measure: Collaboration and Satisfaction Survey About Care Decisions using CSACD Scores
timeFrame: One Year
Secondary outcomes:
Other outcomes:
Locations:
city: Burlington
country: United States
facility: Lahey Clinic
state: Massachusetts
Study officials:
affiliation: Lahey Clinic
name: Timothy N. Liesching, MD
role: PRINCIPAL_INVESTIGATOR
References: