HELLO: a protocol for a cluster randomized controlled trial to enhance interpersonal relationships and team cohesion among ICU healthcare professionals
Abstract Background Mental health symptoms among healthcare professionals (HCP) in intensive care units (ICUs) are a significant concern affecting both HCP well-being and patient care outcomes. Cross-sectional studies among members of the European Society of Intensive Care Medicine (ESICM) report up...
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SpringerOpen
2024-10-01
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| Series: | Intensive Care Medicine Experimental |
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| Online Access: | https://doi.org/10.1186/s40635-024-00677-w |
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| author | Elie Azoulay Nancy Kentish Barnes Sheila Nainan Myatra Maria-Cruz Martin Delgado Yaseen Arabi Carole Boulanger Giovanni Mistraletti Maria Theodorakopoulou Vernon Van Heerden José-Artur Paiva Oktay Demirkýran Gabriel Heras La Calle Abdulrahman Al Fares Gaston Burghi Guy Francois Anita Barth Jan De Waele Samir Jaber Michael Darmon Maurizio Cecconi |
| author_facet | Elie Azoulay Nancy Kentish Barnes Sheila Nainan Myatra Maria-Cruz Martin Delgado Yaseen Arabi Carole Boulanger Giovanni Mistraletti Maria Theodorakopoulou Vernon Van Heerden José-Artur Paiva Oktay Demirkýran Gabriel Heras La Calle Abdulrahman Al Fares Gaston Burghi Guy Francois Anita Barth Jan De Waele Samir Jaber Michael Darmon Maurizio Cecconi |
| author_sort | Elie Azoulay |
| collection | DOAJ |
| description | Abstract Background Mental health symptoms among healthcare professionals (HCP) in intensive care units (ICUs) are a significant concern affecting both HCP well-being and patient care outcomes. Cross-sectional studies among members of the European Society of Intensive Care Medicine (ESICM) report up to 50% burnout rates. Determinants of burnout include communication, team cohesion, psychological support, and well-being promotion. We designed the 'Hello Bundle' intervention to mitigate burnout among ICU-HCPs by fostering positive social interactions and a supportive work environment. This justification synthesizes evidence from social psychology, positive psychology, and healthcare communication research to support the intervention. The 'Hello Bundle' aims to enhance interpersonal relationships, improve team cohesion, and reduce burnout rates. The six components include: Hello campaign posters, email reminders, integrating greetings in morning huddles, hello jars, lead-by-example initiatives, and a daily updated hello board in each ICU. This protocol describes a cluster randomized controlled trial to evaluate the effectiveness of the intervention. Methods This protocol describes a cluster randomized controlled trial (RCT) conducted among ESICM-affiliated ICUs, consisting of at least 73 clusters with in average of 50 respondents per cluster, totaling approximately 7300 participants. Intervention clusters will implement the 6-component Hello Bundle between October 14 and November 10, 2024, while control clusters will be wait-listed to receive the intervention in January 2025 after the RCT concludes. Clusters will be matched based on ICU size (fewer or more than 20 beds), region, and average 2023 mortality. The primary outcome is the proportion of HCPs with burnout between intervention and control clusters at the end of the intervention. Secondary outcomes include comparing the following between clusters: (1) number of HCPs with high emotional exhaustion; (2) number with high depersonalization; (3) number with loss of accomplishment; (4) perception of ethical climate (5) satisfaction at work (VAS); (6) professional conflicts; (7) intention to leave the ICU (VAS); (8) patient-centered care rating; (9) family-centered care rating. The last secondary outcome is the comparison of burnout rates before and after the intervention in the intervention cluster. Outcomes will be based on HCP reports collected within four weeks before and after the intervention. Discussion This is the first large trial of healthcare communication, social, and positive psychology intervention among ICU-HCPs. It holds the potential to provide valuable insights into effective strategies for addressing burnout in ICU settings, ultimately benefiting both HCPs and patients. Trial registration: This trial was registered on ClinicalTrials.Gov on June 18, 2024. Registration: NCT06453616. |
| format | Article |
| id | doaj-art-d4f2c61a65774264bc5c6ff6d59913dc |
| institution | Kabale University |
| issn | 2197-425X |
| language | English |
| publishDate | 2024-10-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Intensive Care Medicine Experimental |
| spelling | doaj-art-d4f2c61a65774264bc5c6ff6d59913dc2025-01-26T12:10:20ZengSpringerOpenIntensive Care Medicine Experimental2197-425X2024-10-0112111210.1186/s40635-024-00677-wHELLO: a protocol for a cluster randomized controlled trial to enhance interpersonal relationships and team cohesion among ICU healthcare professionalsElie Azoulay0Nancy Kentish Barnes1Sheila Nainan Myatra2Maria-Cruz Martin Delgado3Yaseen Arabi4Carole Boulanger5Giovanni Mistraletti6Maria Theodorakopoulou7Vernon Van Heerden8José-Artur Paiva9Oktay Demirkýran10Gabriel Heras La Calle11Abdulrahman Al Fares12Gaston Burghi13Guy Francois14Anita Barth15Jan De Waele16Samir Jaber17Michael Darmon18Maurizio Cecconi19Department of Intensive Care and Intensive Medicine, Paris-Cité University. Saint-Louis Hospital, APHPDepartment of Intensive Care and Intensive Medicine, Paris-Cité University. Saint-Louis Hospital, APHPDepartment of Anaesthesiology, Critical Care and Pain, Tata Memorial Hospital, Homi Bhabha National Institute MumbaiDepartment Intensive Care Medicine Hospital 12 de Octubre. Research Institute “Hospital 12 de Octubre (imas12)”, Universidad Complutense de MadridIntensive Care Department, King Abdullah International Medical Research Center, King Abdulaziz Medical City, Ministry of National Guard Health - Affairs, and College of Medicine, King Saud Bin Abdulaziz University for Health SciencesRoyal Devon University NHS Foundation TrustDipartimento di Fisiopatologia medico-chirurgica e dei trapianti. A.S.S.T. Ovest Milanese, Università degli Studi di Milano, Ospedale Civile di LegnanoFirst Department of Critical Care and Pulmonary Diseases, Evangelismos General Hospital of Athens, National and Kapodistrian University of AthensDepartment of Anesthesiology, Critical Care and Pain Medicine, Faculty of Medicine, Hadassah Medical Center, Hebrew University of JerusalemIntensive Care Department, Centro Hospitalar Universitario S. Joao, Faculty of Medicine, University of Porto, Grupo Infecao e SepsisDepartment of Intensive Care, Cerrahpaşa Faculty of Medicine, Istanbul University-CerrahpaşaInternational Research Project for the Humanisation of Intensive Care Units, Proyecto HU-CI, Humanizing Healthcare Foundation. Intensive Care Unit, Hospital Universitario de JaénDepartment of Anesthesia, Critical Care Medicine, and Pain Medicine, Al-Amiri Hospital, Ministry of Health, Kuwait Extracorporeal Life Support Program, Al-Amiri Center for Respiratory and Cardiac Failure, Ministry of HealthIntensive Care Unit, Hospital Maciel, ASSE-MontevideoEuropean Society of Intensive Care Medicine (ESICM)European Society of Intensive Care Medicine (ESICM)Department of Intensive Care Medicine, Ghent University Hospital, Department of Internal Medicine and Pediatrics, Faculty of Medicine and Health Sciences, Ghent UniversityDepartment of Anesthesia and Intensive Care unit, Regional University Hospital of Montpellier, St-Eloi Hospital, University of Montpellier, CEDEX 5, France; PhyMedExp, University of Montpellier, INSERM U1046, CNRS UMRDepartment of Intensive Care and Intensive Medicine, Paris-Cité University. Saint-Louis Hospital, APHPDepartment of Biomedical Sciences, Humanitas University, Via Levi Montalcini, Pieve Emanuele, MI. 2IRCCS Humanitas Research Hospital, Via Manzoni 56, RozzanoAbstract Background Mental health symptoms among healthcare professionals (HCP) in intensive care units (ICUs) are a significant concern affecting both HCP well-being and patient care outcomes. Cross-sectional studies among members of the European Society of Intensive Care Medicine (ESICM) report up to 50% burnout rates. Determinants of burnout include communication, team cohesion, psychological support, and well-being promotion. We designed the 'Hello Bundle' intervention to mitigate burnout among ICU-HCPs by fostering positive social interactions and a supportive work environment. This justification synthesizes evidence from social psychology, positive psychology, and healthcare communication research to support the intervention. The 'Hello Bundle' aims to enhance interpersonal relationships, improve team cohesion, and reduce burnout rates. The six components include: Hello campaign posters, email reminders, integrating greetings in morning huddles, hello jars, lead-by-example initiatives, and a daily updated hello board in each ICU. This protocol describes a cluster randomized controlled trial to evaluate the effectiveness of the intervention. Methods This protocol describes a cluster randomized controlled trial (RCT) conducted among ESICM-affiliated ICUs, consisting of at least 73 clusters with in average of 50 respondents per cluster, totaling approximately 7300 participants. Intervention clusters will implement the 6-component Hello Bundle between October 14 and November 10, 2024, while control clusters will be wait-listed to receive the intervention in January 2025 after the RCT concludes. Clusters will be matched based on ICU size (fewer or more than 20 beds), region, and average 2023 mortality. The primary outcome is the proportion of HCPs with burnout between intervention and control clusters at the end of the intervention. Secondary outcomes include comparing the following between clusters: (1) number of HCPs with high emotional exhaustion; (2) number with high depersonalization; (3) number with loss of accomplishment; (4) perception of ethical climate (5) satisfaction at work (VAS); (6) professional conflicts; (7) intention to leave the ICU (VAS); (8) patient-centered care rating; (9) family-centered care rating. The last secondary outcome is the comparison of burnout rates before and after the intervention in the intervention cluster. Outcomes will be based on HCP reports collected within four weeks before and after the intervention. Discussion This is the first large trial of healthcare communication, social, and positive psychology intervention among ICU-HCPs. It holds the potential to provide valuable insights into effective strategies for addressing burnout in ICU settings, ultimately benefiting both HCPs and patients. Trial registration: This trial was registered on ClinicalTrials.Gov on June 18, 2024. Registration: NCT06453616.https://doi.org/10.1186/s40635-024-00677-wMental healthNursesBurnoutPsychologyShortage |
| spellingShingle | Elie Azoulay Nancy Kentish Barnes Sheila Nainan Myatra Maria-Cruz Martin Delgado Yaseen Arabi Carole Boulanger Giovanni Mistraletti Maria Theodorakopoulou Vernon Van Heerden José-Artur Paiva Oktay Demirkýran Gabriel Heras La Calle Abdulrahman Al Fares Gaston Burghi Guy Francois Anita Barth Jan De Waele Samir Jaber Michael Darmon Maurizio Cecconi HELLO: a protocol for a cluster randomized controlled trial to enhance interpersonal relationships and team cohesion among ICU healthcare professionals Intensive Care Medicine Experimental Mental health Nurses Burnout Psychology Shortage |
| title | HELLO: a protocol for a cluster randomized controlled trial to enhance interpersonal relationships and team cohesion among ICU healthcare professionals |
| title_full | HELLO: a protocol for a cluster randomized controlled trial to enhance interpersonal relationships and team cohesion among ICU healthcare professionals |
| title_fullStr | HELLO: a protocol for a cluster randomized controlled trial to enhance interpersonal relationships and team cohesion among ICU healthcare professionals |
| title_full_unstemmed | HELLO: a protocol for a cluster randomized controlled trial to enhance interpersonal relationships and team cohesion among ICU healthcare professionals |
| title_short | HELLO: a protocol for a cluster randomized controlled trial to enhance interpersonal relationships and team cohesion among ICU healthcare professionals |
| title_sort | hello a protocol for a cluster randomized controlled trial to enhance interpersonal relationships and team cohesion among icu healthcare professionals |
| topic | Mental health Nurses Burnout Psychology Shortage |
| url | https://doi.org/10.1186/s40635-024-00677-w |
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