Clinical trial NCT06491797: Booster of the "More Time for Patients" Program
Official title: Booster of the "More Time for Patients" Program: a Cluster Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Clinical Encounter Quality
Keywords: Health Care Quality, Access and Evaluation
Patient satisfaction
Job satisfaction
Inpatients
Pain Management
Lead sponsor: University Hospital, Geneva
Sponsor class: OTHER
First posted: 2024-07-09
Enrollment: 764
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Intervention group will see immediate reactivation of the program where control intervention will be the program as it is usually applied before the application of the booster measure (applied delayed by three months).
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The goal of this clinical trial is to determine if reactivating a hospital program called "Plus de temps au service des patients" (PTP) can improve the quality of pain management for patients and increase job satisfaction among healthcare professionals. The main questions this study aims to answer are:

* Does reactivating PTP improve the quality of pain management?
* Does reactivating PTP increase healthcare professionals' job satisfaction? In this study, researchers will compare the effects of reactivating the program immediately to reactivating it after a 3-month delay.

Participants in the trial are healthcare professionals who will:

* Select 2 or 3 elements of the program they believe would be most beneficial to reactivate in their hospital units.
* Implement the selected elements for 3 months.
* Complete job satisfaction and burnout questionnaires before and after the study.


Eligibility criteria: Inclusion criteria for the units:

* Implementation of PTP finished at least 6 months previously
* Agreement to the study from both medical head of service and head of unit (IRES)

Inclusion criteria for healthcare professionals:

* Healthcare professionals \>18 yo.
* Healthcare professionals working in a HUG service of medicine or surgery.
* Healthcare professionals include Physicians, Nurses, Assistant Nurses, Pharmacists, Physiotherapists and other physical therapists.
* Provided general informed consent.

Inclusion criteria for patients

* Patients hospitalised in one of the boosted units.
* Cognitive ability to provide satisfaction assessment.

Primary outcomes:
measure: Timely delivery of appropriate analgesic
timeFrame: Timely is operationalized as maximum 6 hours before for reserve pain medication, and up to 1 hour after pain measurement for any medication appropriate to the level of pain.
Secondary outcomes:
measure: Pain VAS documentation
timeFrame: 12 hours
measure: Patient satisfaction - Picker
timeFrame: 1 week after discharge for every patients.
measure: Patient satisfaction - daily
timeFrame: Every day from month 1 to month 3 corresponding to the period of study
measure: Healthcare professionals' satisfaction
timeFrame: Once before the reactivation and once after (month 1 and month 3)
measure: Healthcare professionals' burnout
timeFrame: Once before the reactivation and once after (month 1 and month 3)
measure: Healthcare professionals' risk of turnover
timeFrame: Once before the reactivation and once after (month 1 and month 3)
measure: Healthcare professional's absenteeism rate
timeFrame: At month 1, 2 and 3 corresponding to the period of study
Other outcomes:
Locations:
city: Geneva
country: Switzerland
facility: Geneva University Hospitals
Study officials:
affiliation: University Hospital, Geneva
name: Thomas Agoritsas, MD, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: University Hospital, Geneva
name: Delphine S. Courvoisier, PhD
role: PRINCIPAL_INVESTIGATOR
References: