PAIN Empathy Assessment in Sleep Deprived Emergency & Acute Care Clinicians

NCT05235035 | Completed

• 1 other identifier: PAIN-EASE
• Study Type: observational
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Cognitive Empathy is relevant in clinical practice and will be assessed based on the accuracy of pain recognition and the pain intensity evaluation in a computerised task using facial expressions. Repeated measures across day and night shifts will provide the basis to understand the impact of shift work on those abilities in health care professionals.

Conditions

Empathy; Sleep; Pain

Keywords

cognitive empathy; health care professionals; pain recognition; pain assessment; sleep misalignment; quality of care

Outcome Measures

Primary Outcomes (2)

• Comparison of pain recognition accuracy during day or night

  Pain recognition ability measured as accuracy (percentage correct responses / total responses) when subliminally presented with faces of different emotions in a computerised task : 48 trials including 1/3 of painful stimuli and 2/3 of non-pain stimuli (other distractor emotions are happy, disgusted, sad, angry, surprised). Stimuli from Delaware Pain Database. The change of accuracy during a shift (baseline measure at beginning of shift, post measure after shift) is compared between a day shift and a night shift

  1 day, 1 night

• Comparison in pain intensity on NPRS - numerical pain rating scale

  Pain assessment ability is measured as intensity rating on the common NPRS 11-point Likert scale of 0 - 10 (0 representing no pain and 10 indicating maximum pain) when consciously presented with faces (48 trials) showing pain in different intensity levels in a computerized task including neutral distractors. Stimuli from Delaware Pain Database. The change of intensity evaluation during a shift (baseline measure at beginning of shift, post measure after shift) is compared between a day shift and a night shift

  1 day, 1 night

Secondary Outcomes (7)

• Prior Shift - Total Sleep Time in h compared between shift types

  1 day, 1 night

• Nap Time during Shift in h compared between shift types

  1 day, 1 night

• Empathy - Jefferson Scale of Physician Empathy

  1 day

• Prior Shift Recovery Quality on 5 point Likert Scale compared between shift types

  1 day, 1 night

• Comparison of speed in pain recognition task as cognitive performance during day or night shift

  1 day, 1 night

Study Arms (1)

health care professionals

Staff from the department of anesthesia and general resuscitation and thoracic cardiac pediatric with patient contact that regularly works in shifts including night shifts

Behavioral: Night shift work

Interventions

Night shift work BEHAVIORAL

Subjects are exposed to irregular sleep and sleep misalignment due to hospital night shifts.

health care professionals

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Health Care Professionals: Nurses, nursing assistants, child care nurses and volunteer doctors from the department of anesthesia and general resuscitation and thoracic cardiac pediatric

You may not qualify if:

• refuse to participate
• not working night shifts
• no patient contact
• working day and night shifts
• health care professional with patient contact

Sponsors & Collaborators

• Claude Bernard University: lead

Study Sites (1)

Claude Bernard University

Lyon, France

Location

Related Publications (16)

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  PMID: 16823021 BACKGROUND

• Geyer NM, Coetzee SK, Ellis SM, Uys LR. Relationship of nurses' intrapersonal characteristics with work performance and caring behaviors: A cross-sectional study. Nurs Health Sci. 2018 Sep;20(3):370-379. doi: 10.1111/nhs.12416. Epub 2018 Feb 28.

  PMID: 29488674 BACKGROUND

• Guadagni V, Burles F, Ferrara M, Iaria G. The effects of sleep deprivation on emotional empathy. J Sleep Res. 2014 Dec;23(6):657-663. doi: 10.1111/jsr.12192. Epub 2014 Aug 13.

  PMID: 25117004 BACKGROUND

• Hirsh AT, Jensen MP, Robinson ME. Evaluation of nurses' self-insight into their pain assessment and treatment decisions. J Pain. 2010 May;11(5):454-61. doi: 10.1016/j.jpain.2009.09.004. Epub 2009 Dec 16.

  PMID: 20015702 BACKGROUND

• Hojat, M. (2016). Empathy in health professions education and patient care.

  BACKGROUND

• Killgore WDS, Balkin TJ, Yarnell AM, Capaldi VF 2nd. Sleep deprivation impairs recognition of specific emotions. Neurobiol Sleep Circadian Rhythms. 2017 Jan 21;3:10-16. doi: 10.1016/j.nbscr.2017.01.001. eCollection 2017 Jun.

  PMID: 31236499 BACKGROUND

• Kozlowski D, Hutchinson M, Hurley J, Rowley J, Sutherland J. The role of emotion in clinical decision making: an integrative literature review. BMC Med Educ. 2017 Dec 15;17(1):255. doi: 10.1186/s12909-017-1089-7.

  PMID: 29246213 BACKGROUND

• Kyle SD, Beattie L, Spiegelhalder K, Rogers Z, Espie CA. Altered emotion perception in insomnia disorder. Sleep. 2014 Apr 1;37(4):775-83. doi: 10.5665/sleep.3588.

  PMID: 24899765 BACKGROUND

• Kang Y, Moyle W, Venturato L. Korean nurses' attitudes towards older people with dementia in acute care settings. Int J Older People Nurs. 2011 Jun;6(2):143-52. doi: 10.1111/j.1748-3743.2010.00254.x. Epub 2010 Oct 28.

  PMID: 21539719 BACKGROUND

• Mercer SW, Reynolds WJ. Empathy and quality of care. Br J Gen Pract. 2002 Oct;52 Suppl(Suppl):S9-12.

  PMID: 12389763 BACKGROUND

• Merkel SI, Voepel-Lewis T, Shayevitz JR, Malviya S. The FLACC: a behavioral scale for scoring postoperative pain in young children. Pediatr Nurs. 1997 May-Jun;23(3):293-7.

  PMID: 9220806 BACKGROUND

• Owens JA. Sleep loss and fatigue in healthcare professionals. J Perinat Neonatal Nurs. 2007 Apr-Jun;21(2):92-100; quiz 101-2. doi: 10.1097/01.JPN.0000270624.64584.9d.

  PMID: 17505227 BACKGROUND

• Rosen IM, Gimotty PA, Shea JA, Bellini LM. Evolution of sleep quantity, sleep deprivation, mood disturbances, empathy, and burnout among interns. Acad Med. 2006 Jan;81(1):82-5. doi: 10.1097/00001888-200601000-00020.

  PMID: 16377826 BACKGROUND

• Sampson FC, Goodacre SW, O'Cathain A. The Reality of Pain Scoring in the Emergency Department: Findings From a Multiple Case Study Design. Ann Emerg Med. 2019 Oct;74(4):538-548. doi: 10.1016/j.annemergmed.2019.02.018. Epub 2019 Apr 5.

  PMID: 30955987 BACKGROUND

• Tempesta D, Socci V, De Gennaro L, Ferrara M. Sleep and emotional processing. Sleep Med Rev. 2018 Aug;40:183-195. doi: 10.1016/j.smrv.2017.12.005. Epub 2017 Dec 22.

  PMID: 29395984 BACKGROUND

MeSH Terms

Conditions

Pain

Interventions

Shift Work Schedule

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Personnel Staffing and Scheduling; Personnel Management; Organization and Administration; Health Services Administration

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: January 7, 2022
• First Posted: February 10, 2022
• Study Start: January 12, 2022
• Primary Completion: June 30, 2022
• Study Completion: November 4, 2022
• Last Updated: November 8, 2022

Record last verified: 2022-11

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)