Clinical trial NCT05251246: Impact of Stress and Sleep Management on Emergency Professionals
Official title: Recovery Optimisation in Emergency Medicine Addressing Stress Adaptation Techniques
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Healthy
Keywords: sleep deprivation
recovery management program
Stress, Psychological
Stress, Physiological
Emergency Service
Hospital
nurses
physicians
Lead sponsor: Hospices Civils de Lyon
Sponsor class: OTHER
Collaborators: name: Institut National de la Santé Et de la Recherche Médicale, France
First posted: 2022-02-22
Enrollment: 62
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: SINGLE_GROUP
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The investigators hypothesize that a recovery management program could have an impact on emergency nurses and physicians by improving their sleep and reducing their psychological and physiological responses when dealing with stressful situations during their professional practice. The REST study consists in developing a recovery management program for emergency professionals. The following strategies would be proposed :

* sleep management according to their schedules by anticipation and recovery,
* stress management through cardio-feedback techniques (cardiac coherence) also called controlled breathing techniques and mental imagery.

The objectives are to evaluate the impact of this program on the physiological and psychological stress of the emergency professionals during their professional activity, as well as on their sleep. To do so, their respiratory and heart rates, as well as their activity and resting times will be recorded continuously for one week. At the end of each shift, the emergency professionals will report and evaluate the 3 most stressful events.


Eligibility criteria: Inclusion Criteria:

* Nurses or physicians
* In current position for at least one year
* Full time or minimum three shifts per week
* Location: Emergency Department of the Edouard Herriot Hospital or the South Lyon Hospital
* Free and informed consent

Exclusion Criteria:

* Caregivers on leave during the enrollment period
* Pregnant, parturient or breastfeeding caregivers
* Participation in another study

Primary outcomes:
measure: Comparison of the recovery capacity for self-reported stressful events after the recovery management program
timeFrame: 30 minutes post-stressful events
Secondary outcomes:
measure: Evaluation of the perceived stress of the emergency professionals across one week of shift work before and after implementation of the recovery management program.
timeFrame: 2 days (Day22 & Day51)
measure: Evaluation of the perceived stress of the emergency professionals during the shift work before and after implementation of the recovery management program
timeFrame: 6 days (each shift between Day 15 - Day 21 & Day 44-51)
measure: Evaluation of the psychological markers of stress for self-reported stressful events before and after implementation of the recovery management program.
timeFrame: 6 days (between Day 15- Day 21 & Day 44-51))
measure: Comparison of the sleep time and latency of sleep times before and after implementation of the recovery management program.
timeFrame: 7 days (Day 15-Day 21)
measure: Evaluation of the subjective perception of somnolence before and after implementation of the recovery management program.
timeFrame: 6 days (each shift between Day 15- Day 21 & Day 44-51)
measure: Evaluation of mental fatigue before and after implementation of the recovery management program
timeFrame: 6 days (each shift between Day 15- Day 21 & Day 44-51)
measure: Evaluation of the overall sleepiness before and after implementation of the recovery management program
timeFrame: 2 days (Day 22 & Day 51)
measure: Evaluation of the sleep quality before and after implementation of the recovery management program
timeFrame: 2 days (Day 22 & Day 51)
measure: Evaluation of bedtime arousal before and after implementation of the recovery management program
timeFrame: 2 days (Day 22 & Day 51)
measure: Evaluation of the evolution of the perceived quality of sleep before and after implementation of the recovery management program.
timeFrame: 1 day (Day 51)
measure: Evaluation of the job satisfaction before and after implementation of the recovery management program
timeFrame: 2 days (Day 22 & Day 51)
measure: Evaluation of the reported adverse events before and after implementation of the recovery management program
timeFrame: Day 15- Day 21 & Day 44-51
Other outcomes:
Locations:
city: Pierre-Bénite
country: France
facility: Hôpital Lyon Sud
Study officials:
affiliation: Hospices Civils de Lyon
name: Marion DOUPLAT, MD
role: PRINCIPAL_INVESTIGATOR
affiliation: Laboratoire RESHAPE, Université Lyon 1
name: Stéphanie MAZZA, Prof
role: STUDY_DIRECTOR
References: