Clinical trial NCT05235035: PAIN Empathy Assessment in Sleep Deprived Emergency & Acute Care Clinicians
Official title: The Effect of Sleep Misalignment on the Cognitive Empathetic Ability to Recognize Pain and to Evaluate the Pain Intensity in Others as Competence for Qualitative Care
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Empathy
Sleep
Pain
Keywords: cognitive empathy
health care professionals
pain recognition
pain assessment
sleep misalignment
quality of care
Lead sponsor: Claude Bernard University
Sponsor class: OTHER
First posted: 2022-02-10
Enrollment: 30
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Health Care Professionals:

Nurses, nursing assistants, child care nurses and volunteer doctors from the department of anesthesia and general resuscitation and thoracic cardiac pediatric

Brief summary: Cognitive Empathy is relevant in clinical practice and will be assessed based on the accuracy of pain recognition and the pain intensity evaluation in a computerised task using facial expressions. Repeated measures across day and night shifts will provide the basis to understand the impact of shift work on those abilities in health care professionals.

Detailed description: Assessment and management of the pain patients experience is one of the key skills needed in the field of anesthesiology. The consideration of non-verbal cues is essential, especially the recognition of facial expressions. The human ability to recognize emotions in others depends on the capacity for empathy of an individual, specifically cognitive empathy. In the clinical context empathy is understood as a set of skills and competences rather than a character trait. It may therefore vary due to various parameters. Currently there is no research available on the influence of shift work on the human ability to recognize pain in facial expressions. However, work schedules that do not fit the natural circadian rhythm are known to alter the processing of emotions. In particular the ability to judge the intensity of an emotion is influenced. Therefore, the hypothesis of the present study will be, that shift work impairs the pain assessment performance of an individual. To test this hypothesis, the effect of shift work on the performance in recognizing and assessing pain intensity of faces by health care professionals in the anesthesia department will be assessed. A repeated measures assessment will be used.

Eligibility criteria: Exclusion criteria:

* refuse to participate
* not working night shifts
* no patient contact

Inclusion criteria:

* working day and night shifts
* health care professional with patient contact

Primary outcomes:
measure: Comparison of pain recognition accuracy during day or night
timeFrame: 1 day, 1 night
measure: Comparison in pain intensity on NPRS - numerical pain rating scale
timeFrame: 1 day, 1 night
Secondary outcomes:
measure: Prior Shift - Total Sleep Time in h compared between shift types
timeFrame: 1 day, 1 night
measure: Nap Time during Shift in h compared between shift types
timeFrame: 1 day, 1 night
measure: Empathy - Jefferson Scale of Physician Empathy
timeFrame: 1 day
measure: Prior Shift Recovery Quality on 5 point Likert Scale compared between shift types
timeFrame: 1 day, 1 night
measure: Comparison of speed in pain recognition task as cognitive performance during day or night shift
timeFrame: 1 day, 1 night
measure: Health Care Professional Work Expertise in years
timeFrame: 1 day
measure: Shift Work Expertise in years
timeFrame: 1 day
Other outcomes:
Locations:
city: Lyon
country: France
facility: Claude Bernard University
Study officials:
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