Feasibility and Acceptability of a Chaplain-Led Post-Code Debrief Intervention

NCT04874272 | Completed

• 1 other identifier: 2006053247
• Study Type: interventional
• Target: 110
• Locations: 1 country
• Sites: 1

Brief Summary

The objective of this study is to increase the frequency and effectiveness of post code debriefs by piloting a novel intervention tool and partnering clinicians with board certified chaplains trained to facilitate group processes. A post code debrief will involve two aspects: a technical debrief (a discussion to process the technical, procedural aspects of a medical code/cardiopulmonary arrest), which will be led by a clinician, and an emotional debrief (a discussion to process the emotional, existential impact of a medical code/cardiopulmonary arrest), which will be led by a chaplain.

Conditions

Health Personnel Attitude

Outcome Measures

Primary Outcomes (3)

• Evaluate and describe current stress of clinical staff who participate in CPA events

  Participants complete surveys at 1 and 6 weeks post-CPA event

  6 weeks

• Pilot the debrief tool on one unit of the hospital

  Participants participate in the intervention (debrief) and complete surveys at 1 and 6 weeks post-CPA event

  6 weeks

• Pilot the debrief tool hospital-wide

  Participants participate in the intervention (debrief) and complete surveys at 1 and 6 weeks post-CPA event

  6 weeks

Study Arms (3)

Pre-Intervention

NO INTERVENTION

Pre-intervention: participants complete research surveys about codes and are asked to participate in an interview with the research team.

Pilot (Single Unit Recruitment)

EXPERIMENTAL

Pilot intervention: participants participate in a chaplain led post-code debrief, participants complete research surveys about codes.

Other: Chaplain led post-code debrief

Pilot (Hospital-wide Recruitment)

EXPERIMENTAL

Pilot intervention: participants participate in a chaplain led post-code debrief, participants complete research surveys about codes.

Other: Chaplain led post-code debrief

Interventions

Chaplain led post-code debrief OTHER

an emotional debrief (a discussion to process the emotional, existential impact of a medical code/cardiopulmonary arrest), which will be led by a chaplain

Pilot (Hospital-wide Recruitment); Pilot (Single Unit Recruitment)

Eligibility Criteria

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

You may qualify if:

• Code event occurs on an adult inpatient unit at IU Health Methodist Hospital
• Cardiopulmonary arrest where cardiopulmonary resuscitation (CPR) was performed for at least one minute
• Code event occurs when at least two chaplains are available in the hospital.
• Patient involved is an inpatient
• Patient involved is over the age of 18
• Code is called on the overhead paging system
• Employee of participating hospital site
• Actively involved in the CPA in one of the following capacities:
• Gave compressions
• Administered medication
• Provided respiratory support
• Gave clinical orders or directions to staff
• Documented interventions during CPA
• Proficient in written and spoken English

Sponsors & Collaborators

• Indiana University: lead
• Indiana University Health: collaborator
• Daniel F. Evans Center for Spiritual and Religious Values in Healthcare: collaborator

Study Sites (1)

IU Health Methodist Hospital

Indianapolis, Indiana, 46202, United States

Location

Study Officials

• Shelley E Varner Perez, MDiv, MPH

  Indiana University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SEQUENTIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Senior Program Manager, Research Chaplain

Model Details: Phased single group study. Phase (arm) 1: Participants complete a survey Phase (arm) 2- Pilot (single hospital unit): Participants attend a chaplain led post-code debrief, complete a survey Phase (arm) 3 (multiple hospital units): Participants attend a chaplain led post-code debrief, complete a survey. During all phases participants may be approached to complete an additional interview with the research team.

Study Record Dates

• First Submitted: April 30, 2021
• First Posted: May 5, 2021
• Study Start: November 6, 2020
• Primary Completion: August 12, 2022
• Study Completion: August 12, 2022
• Last Updated: February 23, 2023

Record last verified: 2023-02

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)