Impact at Two Years of an Intervention Program on the Empowerment of Medical and Nursing Teams in a French Hospital

NCT04010773 | Completed

• 1 other identifier: RC17_0014
• Study Type: observational
• Target: 1,191
• Locations: 1 country
• Sites: 1

Brief Summary

Health in France asks public hospitals to promote quality of working life (QWL), seen as a performance factor. Consistently with empowerment literature, they define QWL as giving workers mastery over their working life. The problem is, French hospitals follow a bureaucratic model, defined by a managerial culture of control and a stratified organization, which weakens mastery of their work, and hinders their commitment and performance. Main objective of CHRYSALIDE, is to create a managerial and organizational transition program of 1 year, and to test its effect at two years on workers empowerment in an university hospital Sub-Center (SC), in comparison with another SC from the same University Hospital Center (CHU) in a randomized controlled study design.

Conditions

Empowerment

Keywords

Empowerment; leadership; intervention; psycho-social intervention; motivation; working conditions; occupational health

Outcome Measures

Primary Outcomes (1)

• Structural empowerment, assessed with the Conditions for Work Effectiveness Questionnaire II (CWEQII).

  This self-reported questionnaire is composed of 19 items about how the worker perceives his work environment. They allow calculation of 6 sub-scores and 1 global score of structural empowerment, reflecting access to the aspects of work environment known to mediate the control of workers over their job. The subscores are "formal power", "informal power", "opportunity", "information", "support" and "resources". They are calculated by summing their specific items, and dividing by 3, except for "informal power" for which the sum is divided by 4. Every sub-score is between 1 and 5. The global score of structural empowerment is calculated by summing the 6 sub-scores. The global score is between 5 and 30. There is not any threshold for the sub-scores and the global score: the higher the scores, the more empowering the working conditions are. The global score is the primary outcome in this study. Safety issue : No.

  12 months and 24 months after initial measure.

Secondary Outcomes (1)

• Psychological empowerment, assessed with the Psychological Empowerment Scale (PES).

  12 months and 24 months after initial measure.

Interventions

collective and psycho-social intervention OTHER

The intervention duration is 1 year. It combine (1) In each unit, working groups aimed at improving QWL, (2) counseling and training of directors and frontline managers, and (3) in each unit, concertation meeting between workers, front-line managers and directors.

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

all professionals working in the care services of the experimental and control UPHs.

You may qualify if:

• Working in one of the care units of the SC that has been randomly selected to benefit from the intervention.

You may not qualify if:

• Criteria for not including UHPs
• Capacity-building or major reorganization planned during the study period. Criteria for not including services
• Chiefdom of the service opposed to the intervention.
• Refusal to participate in the study.
• Physical or psychological condition that prevents the completion of questionnaires.

Sponsors & Collaborators

• Nantes University Hospital: lead

Study Sites (1)

Nantes University Hospital

Nantes, 44093, France

Location

Related Publications (4)

• Cougot B, Gillet N, Moret L, Gauvin J, Caillet P, Fleury-Bahi G, Lesot J, Ollierou F, Armant A, Peltier A, Fouquereau E, Getz I, Bach-Ngohou K, Tripodi D. Relationship between Empowering Leadership and Stress in a French University Hospital: A Cross-Sectional Study Combining the Measurement of Perceived Stress and Salivary Cortisol. J Nurs Manag. 2024 Jan 31;2024:8839893. doi: 10.1155/2024/8839893. eCollection 2024.

  PMID: 40224754 DERIVED

• Cougot B, Gillet N, Morin AJS, Gauvin J, Ollierou F, Moret L, Tripodi D. A longitudinal investigation of structural empowerment profiles among healthcare employees. J Nurs Scholarsh. 2024 May;56(3):417-429. doi: 10.1111/jnu.12950. Epub 2023 Dec 13.

  PMID: 38093467 DERIVED

• Cougot B, Gillet N, Gauvin J, Caillet P, Fleury-Bahi G, Ollierou F, Armant A, Peltier A, Getz I, Bach-Ngohou K, Tripodi D, Moret L. Impact of empowering leadership on emotional exhaustion: A controlled interventional study in a large French university hospital complex. J Nurs Manag. 2022 Nov;30(8):4234-4250. doi: 10.1111/jonm.13829. Epub 2022 Oct 17.

  PMID: 36190480 DERIVED

• Cougot B, Gauvin J, Gillet N, Bach-Ngohou K, Lesot J, Getz I, Deparis X, Longuenesse C, Armant A, Bataille E, Leclere B, Fleury-Bahi G, Moret L, Tripodi D. Impact at two years of an intervention on empowerment among medical care teams: study protocol of a randomised controlled trial in a large French university hospital. BMC Health Serv Res. 2019 Dec 3;19(1):927. doi: 10.1186/s12913-019-4724-7.

  PMID: 31796029 DERIVED

MeSH Terms

Conditions

Empowerment

Condition Hierarchy (Ancestors)

Social Behavior; Behavior

Study Officials

• Baptiste Cougot

  Nantes University Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Target Duration: 2 Years
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 27, 2019
• First Posted: July 8, 2019
• Study Start: January 16, 2018
• Primary Completion: October 30, 2020
• Study Completion: August 30, 2021
• Last Updated: September 13, 2021

Record last verified: 2019-06

Locations

FR (1)