Clinical trial NCT05636371: Written Communication in the Intensive Care Unit
Official title: Impact of WRitten Communication on the ICU Team Experience
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Communication
Satisfaction, Patient
Burnout
Lead sponsor: Rush University Medical Center
Sponsor class: OTHER
First posted: 2022-12-05
Enrollment: 166
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: OTHER

Brief summary: The goal of this study is to compare the experience of intensive care unit (ICU) families and care providers before and after the implementation of an approach whereby clinicians initiate written communication with families

The main questions it aims to answer are

1. Is ICU care-provider initiated written communication feasible and acceptable to participants?
2. Does ICU care-provider initiated written communication affect the experience of families and care providers?

Participants will complete surveys and participate in interviews during a 3 month pre-implementation phase and a 3 month post-implementation phase


Eligibility criteria: Inclusion criteria (family members or surrogates)

• Self-identify as one of the patient's decision makers

Exclusion criteria (family members or surrogates)

* Cannot read or understand English
* Unwilling to participate in study procedures

Inclusion criteria for care providers (physicians, physician assistants, and nurses)

• Work during the day shift

Exclusion criteria for care providers (physicians, physician assistants, and nurses)

• None

Primary outcomes:
measure: Family Inpatient Communication Survey (FICS)
timeFrame: 5 days after ICU admission
measure: Family Inpatient Communication Survey (FICS)
timeFrame: 10 days after ICU admission
measure: Nurse-Physician Collaboration Scale (NPCS)
timeFrame: 3 months before the intervention
measure: Nurse-Physician Collaboration Scale (NPCS)
timeFrame: 3 months after the intervention
measure: Maslach Burnout Inventory (MBI)
timeFrame: 3 months before the intervention
measure: Maslach Burnout Inventory (MBI)
timeFrame: 3 months after the intervention
Secondary outcomes:
measure: The Acceptability, Appropriateness and Feasibility of Intervention Survey (AIM, IAM and FIM)
timeFrame: 3 months after the intervention
measure: The Post Study System Usability Questionnaire (PSSUQ)
timeFrame: 3 months after the intervention
measure: The User Experience Questionnaire (UEQ)
timeFrame: 3 months after the intervention
Other outcomes:
measure: Qualitative analysis
timeFrame: 3 months after the intervention
Locations:
city: Chicago
country: United States
facility: Rush University Medical Center
state: Illinois
Study officials:
References:
citation: Greenberg JA, Basapur S, Quinn TV, Bulger JL, Schwartz NH, Oh SK, Ritz EM, Glover CM, Shah RC. Daily Written Care Summaries for Families of Critically Ill Patients: A Randomized Controlled Trial. Crit Care Med. 2022 Sep 1;50(9):1296-1305. doi: 10.1097/CCM.0000000000005583. Epub 2022 May 23.
citation: Grant M. Resolving communication challenges in the intensive care unit. AACN Adv Crit Care. 2015 Apr-Jun;26(2):123-30. doi: 10.1097/NCI.0000000000000076.
citation: Kerlin MP, McPeake J, Mikkelsen ME. Burnout and Joy in the Profession of Critical Care Medicine. Crit Care. 2020 Mar 24;24(1):98. doi: 10.1186/s13054-020-2784-z.
citation: Wright AA, Katz IT. Beyond Burnout - Redesigning Care to Restore Meaning and Sanity for Physicians. N Engl J Med. 2018 Jan 25;378(4):309-311. doi: 10.1056/NEJMp1716845. No abstract available.