Ignite Creation Date:
2024-05-06 @ 8:27 PM
Last Modification Date:
2024-10-26 @ 3:28 PM
Study NCT ID:
NCT06389773
Status:
NOT_YET_RECRUITING
Last Update Posted:
2024-04-29
First Post:
2024-04-25
Brief Title:
Teamwork for Resilient Staff and Safe Care in ICU
Sponsor:
Kings College London
Organization:
Kings College London
Study Overview
Official Title:
Fostering Teamwork for Resilient Staff and Safe Care Driving Post-pandemic Recovery and Renewal in Intensive Care Units
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-04
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
FEARLESS_ICU
Brief Summary:
The goal of this ethnographic study is to observe how healthcare professionals work together in an intensive care unit ICU The main questions it aims to answer are
How do healthcare staff work together in everyday ICU settings
What helps people work together in ICUs
What challenges do staff face in working together in ICUs
How have teamwork practices changed since the COVID-19 pandemic
Researchers will shadow staff during their day-to-day work Key staff members will also be interviewed about their perceptions and experiences of teamwork
How do healthcare staff work together in everyday ICU settings
What helps people work together in ICUs
What challenges do staff face in working together in ICUs
How have teamwork practices changed since the COVID-19 pandemic
Researchers will shadow staff during their day-to-day work Key staff members will also be interviewed about their perceptions and experiences of teamwork
Detailed Description:
Teamwork impacts staff wellbeing and patient outcomes This study focuses on the factors that facilitate or challenge teamworking practices in ICUs A rapid ethnographic approach including observation and interviews ensures that what people say they do and what they actually do match up in practice This project has two interrelated components observation and one-on-one interviews
Observations A researcher will shadow various healthcare professionals in 10 different ICU units These observations will cover multiple professions and different shift patterns including handovers ward rounds and multi-disciplinary team meetings This allows for a range of interactions to be covered which will elucidate how healthcare professionals work together Written consent will be obtained from each healthcare professional shadowed and researchers will observe in 20-minute blocks where possible to minimize burden Researchers will record their observations in the form of fieldnotes which will be either hand-written or recorded on a dedicated iPad Fieldnotes will later be expanded on typed up and pseudonymized During this observation period researchers may engage in informal discussions with healthcare professionals to clarify what they observe where appropriate though these will not be audio recorded Additionally while patients and their family members will provide verbal consent where possible for the researcher to be present in the room or at the bedside data will not be collected on them
All three members of the research team will visit each site however one researcher will remain at the site for the duration of the research period Each site will incur a minimum of 75 observation hours over the course of four weeks
Interviews To supplement the observations researchers will conduct one-on-one semi-structured interviews with key healthcare professionals in each study site Initially these individuals will be identified and approached by the researcher during the observation phase Researchers will then employ a snowball method to identify further potential healthcare professionals to include At least 15 healthcare professionals per site will be interviewed for this study All healthcare professionals will provide their written consent for the interview
Data analysis All formal interview audio recordings will be recorded using a Dictaphone voice recorder with the participants consent These recordings will be transcribed using a Kings College London approved transcription service and anonymised Thematic analysis will be conducted to identify recurring themes Braun and Clarke 2006 The transcripts will be read and reread for familiarization before coding the data During the coding process a code book will be created with a list of codes and descriptions to accompany To validate the coding each researcher will code a small random selection of the transcripts using the code book Coding will be discussed to reach an agreement Field notes obtained through observation will be spoken aloud by the researcher using a Dictaphone voice recorder and sent to the transcription service The transcripts will be anonymized and uploaded to NVivo to be thematically analysed The analysis will focus on answering the research questions using constructs from the conceptual frameworks to sensitize the analysis
Observations A researcher will shadow various healthcare professionals in 10 different ICU units These observations will cover multiple professions and different shift patterns including handovers ward rounds and multi-disciplinary team meetings This allows for a range of interactions to be covered which will elucidate how healthcare professionals work together Written consent will be obtained from each healthcare professional shadowed and researchers will observe in 20-minute blocks where possible to minimize burden Researchers will record their observations in the form of fieldnotes which will be either hand-written or recorded on a dedicated iPad Fieldnotes will later be expanded on typed up and pseudonymized During this observation period researchers may engage in informal discussions with healthcare professionals to clarify what they observe where appropriate though these will not be audio recorded Additionally while patients and their family members will provide verbal consent where possible for the researcher to be present in the room or at the bedside data will not be collected on them
All three members of the research team will visit each site however one researcher will remain at the site for the duration of the research period Each site will incur a minimum of 75 observation hours over the course of four weeks
Interviews To supplement the observations researchers will conduct one-on-one semi-structured interviews with key healthcare professionals in each study site Initially these individuals will be identified and approached by the researcher during the observation phase Researchers will then employ a snowball method to identify further potential healthcare professionals to include At least 15 healthcare professionals per site will be interviewed for this study All healthcare professionals will provide their written consent for the interview
Data analysis All formal interview audio recordings will be recorded using a Dictaphone voice recorder with the participants consent These recordings will be transcribed using a Kings College London approved transcription service and anonymised Thematic analysis will be conducted to identify recurring themes Braun and Clarke 2006 The transcripts will be read and reread for familiarization before coding the data During the coding process a code book will be created with a list of codes and descriptions to accompany To validate the coding each researcher will code a small random selection of the transcripts using the code book Coding will be discussed to reach an agreement Field notes obtained through observation will be spoken aloud by the researcher using a Dictaphone voice recorder and sent to the transcription service The transcripts will be anonymized and uploaded to NVivo to be thematically analysed The analysis will focus on answering the research questions using constructs from the conceptual frameworks to sensitize the analysis
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None