Booster of the "More Time for Patients" Program
NCT Number: NCT06491797
Status: NOT_YET_RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Clinical Encounter Quality
Interventions: BEHAVIORAL: Immediate reactivation
Sponsor: University Hospital, Geneva
Sex: ALL
Age: ADULT, OLDER_ADULT
Enrollment: 764
Study Design: Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: DOUBLE (PARTICIPANT, OUTCOMES_ASSESSOR)|Primary Purpose: HEALTH_SERVICES_RESEARCH
Start Date: 2024-08-01
Completion Date: 2025-10-01
Locations: Geneva University Hospitals, Geneva, 1205, Switzerland

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.

Primary Outcome Measures: Timely delivery of appropriate analgesic, Quality of pain management as recorded through the timely delivery of an appropriate level painkiller after any pain Visual Analog Scale (VAS) ≥4. VAS score range from 0 to 10, 0 being no pain and 10 being the worse pain imaginable., 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 Outcome Measures: Pain VAS documentation, Patients stay will be divided in 12 hours segments and documentation will be considered adequate when 90% of the segments have at least 1 pain Visual Analog Scale score documented. VAS score range from 0 to 10, 0 being no pain and 10 being the worse pain imaginable., 12 hours|Patient satisfaction - Picker, Patient satisfaction is already routinely collected via continuous Picker satisfaction questionnaires. They are sent one week after patient discharge to all patients with a valid email address., 1 week after discharge for every patients.|Patient satisfaction - daily, Daily patient satisfaction is already routinely collected in a 3 level scale going from 1 dissatisfied to 3 fully satisfied. Surveys are realized at the bedside, often by nurse assistant in the early afternoon., Every day from month 1 to month 3 corresponding to the period of study|Healthcare professionals' satisfaction, Healthcare professionals' satisfaction will be evaluated using the satisfaction with work scale. All item range from extremely dissatisfied to extremely satisfied., Once before the reactivation and once after (month 1 and month 3)|Healthcare professionals' burnout, Burnout will be assessed using the Copenhagen burnout inventory. The Copenhagen Burnout Inventory is a three dimensions scale evaluating the personal, the professional and the relational components of burnout. Each dimension is scored on a scale ranging from 0 to 100, 0 being no burnout and 100 being the maximum burnout., Once before the reactivation and once after (month 1 and month 3)|Healthcare professionals' risk of turnover, Risk of turnover will be investigated by the following validated single item "If it were possible and you would keep a similar salary, would you like to change profession to take up another one or to keep the same profession but without patient care?" Three answers are possible: "No, I do not want to", "Perhaps", and "Yes, I do want to", Once before the reactivation and once after (month 1 and month 3)|Healthcare professional's absenteeism rate, If given consent by the participants, individual monthly absenteeism rate will be extracted from the human resources of the hospital. For all others, absenteeism rate will be extracted aggergated at the unit level., At month 1, 2 and 3 corresponding to the period of study