Psychological Intervention on Burnout in ICU Caregivers

NCT01959750 | Completed

• 1 other identifier: CER 08-220 (NAC08-069)
• Study Type: interventional
• Target: 166
• Locations: 1 country
• Sites: 1

Brief Summary

ICU caregivers face up to a demanding job with a high level of technical skills, a stressful environment, and a heavy work load. They run a high risk of developing burnout that can impact on their welfare, performance, and patient care. Burnout favours absenteeism and staff quitting their jobs, whereas the shortage of ICU caregivers already started. No randomised controlled intervention aimed at reducing such distresses had been run until now. This study allowed finding a new method of psychological support applicable in the special environment of ICU. Our findings suggest that psychologists specifically assigned to treat ICU caregivers might be beneficial on their burnout.

Conditions

Burnout; Anxiety; Depression

Outcome Measures

Primary Outcomes (1)

• Measurement of the changes in the levels of anxiety, depression, and burnout in nurses and nursing auxiliaries.

  Anxiety (HA) and depression (HD) were identified by the validated French version of the Hospital Anxiety and Depression Scale (HADS), which is composed of 14 items, self-rated using a 4-point Likert scale (0 to 3). The sub-scale scores of anxiety and depression range respectively from 0 to 7 (no distress), 8 to 10 (borderline), 11 to 15 (significant) and 16 to 21 (severe distress). Burnout was evaluated using the Maslach Burnout Inventory (MBI) in its Fontaine French version; it is composed of 22 questions on a 7-point Likert scale (0 to 6). This tool measures the 3 dimensions of burnout independently: emotional exhaustion, depersonalisation, and personal accomplishment. Scores of ≥ 27, ≥ 10, or ≤33 respectively for the 3 dimensions, can be a sign of burnout. A severe burnout can also be defined as the cumulated score of MBI of \> -9.

  At the beginning , at the end and 6 months after the end of the intervention.

Secondary Outcomes (1)

• Composite measurement of the changes of ICU activity and absenteeism before, during, just after and six months after the intervention.

  4 three-months time periods (cf. Description).

Other Outcomes (1)

• Measurement of staff quitting their jobs

  At the end of the intervention

Study Arms (2)

Intervention Group

EXPERIMENTAL

Behavioral: problem-based sessions

Control Group

NO INTERVENTION

Interventions

problem-based sessions BEHAVIORAL

weekly sessions for small groups of caregivers, led by two psychologists acting as moderators and using a systemic approach, as suggested in other peer-support groups using a problem-based method

Intervention Group

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• all ICU caregivers rrom the University Hospital of Geneva

You may not qualify if:

• refusals

Sponsors & Collaborators

• University Hospital, Geneva: lead

Study Sites (1)

University Hopitals of Geneva

Geneva, Switzerland

Location

MeSH Terms

Conditions

Burnout, Psychological; Anxiety Disorders; Depression

Condition Hierarchy (Ancestors)

Stress, Psychological; Behavioral Symptoms; Behavior; Mental Disorders

Study Officials

• Bara Ricou, Professor

  University Hospitals of Geneva

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: September 23, 2013
• First Posted: October 10, 2013
• Study Start: April 1, 2009
• Primary Completion: December 1, 2009
• Study Completion: September 1, 2013
• Last Updated: October 10, 2013

Record last verified: 2013-10

Locations

CH (1)