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"Impact of a Programme to Improve Interaction Among Professionals on the Management of Task Interruptions" (IMPACTT)

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ClinicalTrials.gov Identifier: NCT03786874
Recruitment Status : Not yet recruiting
First Posted : December 25, 2018
Last Update Posted : December 25, 2018
Sponsor:
Information provided by (Responsible Party):
Nantes University Hospital

Brief Summary:

In 2017, all IMPACTT investigators experimented in coordinated manner on multifacet intervention program, proposed by the present research protocol, with 2 teams from healthcare units from the PDL region. This experiment followed collaborative work aiming to raise team awareness on task interruptions. Given the existing data in the literature, the investigators hypothesise that the implementation of a multifacet program focusing on interactions within a team could enable the percentage of task interruptions linked to interactions between coordination functions and healthcare provision activities to be decreased by 33%. This decrease would concern task interruptions that are avoidable, in order to improve healthcare safety and teamwork.

Also, the main objective of this project is to measure the impact of a program on the evolution of the characteristics of avoidable task interruptions. The project combines quantitative data (observations, questionnaire) and qualitative data (interviews).


Condition or disease Intervention/treatment Phase
Quality of Life Other: Identify work interruptions Other: Understand work interruptions Other: Act to limited work interruptions Not Applicable

Detailed Description:

This research is a controlled, randomised, blind, pragmatic intervention study (36 months). From the list of volunteering teams meeting inclusion criteria, a random selection will be made. This will enable the formation of two groups of 20 teams each (control group and experimental group). An observational method coupled with a validated questionnaire transfer will allow teams to be questioned about their avoidable task interruptions (control group and experimental group).

The multifacet intervention program is based the concept of teamwork implementation. Targeting potential for improvement will be decided and implemented by each team (experimental group).

Statistics analysis will be conducted on teams before and after the implementation of the program. The assessment criteria will be: the evolution of characteristics of the task interruptions observed (interactions between coordination functions and care delivery functions, prevalence, avoidability, duration, resumption of tasks, social representations of task interruptions).


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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 40 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Intervention Model Description:

Case group:

Healthcare teams benefiting first the implementation of the coaching model other (centered round the following steps: identify, understand and act) : just after the first measure

Control group:

Healthcare teams benefiting first the implementation of the coaching model (centered round the following steps: identify, understand and act) : after the second measure (impact of the device on case group).

Masking: None (Open Label)
Primary Purpose: Other
Official Title: "Impact of a Programme to Improve Interaction Among Professionals on the Management of Task Interruptions"
Estimated Study Start Date : January 1, 2019
Estimated Primary Completion Date : January 1, 2021
Estimated Study Completion Date : January 1, 2022

Arm Intervention/treatment
Active Comparator: 20 teams the first year (G1)
control group
Other: Identify work interruptions
estimate baseline characteristics of the collaborative working model (proportion expressed as a percentage)

Other: Understand work interruptions
Team-review of the results of the task interruption and professional representations, identify activities to protect from task interruption

Experimental: 20 teams second year (G2)
case group with implementation of the multi-unit team accompaniment intervention.
Other: Identify work interruptions
estimate baseline characteristics of the collaborative working model (proportion expressed as a percentage)

Other: Understand work interruptions
Team-review of the results of the task interruption and professional representations, identify activities to protect from task interruption

Other: Act to limited work interruptions
Adaptation of organizations; Awareness raising and Coaching for change




Primary Outcome Measures :
  1. proportion of avoidable task interruptions [ Time Frame: 1 year ]
    Results from Dual Perspectives Method (DPM)

  2. sources and frequencies of task interruptions [ Time Frame: 1 year ]
    Results from Auto-administered questionnaire (TAA-KH-S)


Secondary Outcome Measures :
  1. prevalence of task interruptions [ Time Frame: 1 year ]
    Time measurement of the duration of task interruption upon restart of work



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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • volunteering healthcare teams from healthcare centres in the PDL region,
  • public and private legal statuses;
  • with at least one activity in standard medical and/or surgical hospitalisation unit,
  • agreeing to take part in the project,
  • formalising their commitment to the multifacet program (see section 4),
  • including 50 professionals at the most,
  • including at least the following professional categories: medical, paramedical, administrative, managerial and medical-technical/psycho-social.

Exclusion Criteria:

  • Healthcare teams who do not belong to a healthcare unit in the PDL region
  • Healthcare teams who do not work in a medical and/or surgical hospitalisation unit.
  • Paediatric healthcare teams
  • Teams that have already been subjected to a methodological support program from one of the co-investigating units on how to manage task interruptions,
  • Teams that do not meet the criteria for commitment to the multifacet program
  • Teams of more than 50 members
  • Teams who do not include the following professional categories: medical, paramedical, administrative, managerial, medical-technical/psycho-social.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03786874


Locations
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France
CHU de Nantes
Nantes, France
Sponsors and Collaborators
Nantes University Hospital

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Responsible Party: Nantes University Hospital
ClinicalTrials.gov Identifier: NCT03786874     History of Changes
Other Study ID Numbers: RC18_0047
First Posted: December 25, 2018    Key Record Dates
Last Update Posted: December 25, 2018
Last Verified: December 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Nantes University Hospital:
Risk management
health & safety
task interruptions
teamwork