Nurse Practitioner Led Implementation of Team Huddles in Long-Term Care Homes

NCT05387213 | Completed

• 1 other identifier: 20-6298
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 2

Brief Summary

A pre-experimental design to conduct a process evaluation and to compare the outcomes after implementing team huddles for the intervention and control groups.

Conditions

Moral Distress; Job Satisfaction; Mental Health; Physical Health; Support

Outcome Measures

Primary Outcomes (5)

• Overall morals distress and situations associated with COVID-19 in LTC settings contributing to moral distress were measured in the intervention and control arms using the Moral Distress in Dementia Care Instrument (Iaboni et al., 2021).

  Moral Distress in Dementia Care is a ten-item checklist, where respondents are asked to rate moral distress associated with each item on a 5-point scale ranging from none (1) to an extremely large amount (5). Higher scores represent more moral distress.

  20 weeks

• Overall job satisfaction with current role was measured in the intervention and control arms using a single question asking, "How satisfied are you overall with your current job in the LTC home?" (Dolbier et al., 2005)

  The single-item question was high reliability and validity (Dolbier et al., 2005) and has been used in previous studies in LTC homes (Schwendimann et al., 2016). Respondents rate job satisfaction on a 4-point scale ranging from strongly dissatisfied (1) to strongly satisfied (4), where higher scores indicate more satisfaction.

  20 weeks

• Overall health was measured in the intervention and control arms using a single question from Statistics Canada (2022) asking, "In general, how would you say your health is?"

  Respondents rate their health on a 5-point scale ranging from poor (0) to excellent (4), where higher scores indicate better health.

  20 weeks

• Mental health was measured in the intervention and control arms using a single question from Statistics Canada (2022) asking, "In general, how would you say your mental health is?"

  Respondents rate their mental health on a 5-point scale ranging from poor (0) to excellent (4), where higher scores indicate better mental health.

  20 weeks

• Perceived support from the nurse practitioner leading the huddles was measured in the intervention and control arms, assessed using the Supportive Supervisory Scale (McGilton 2010).

  The 5-item scale asks respondents to rate their perception of support from the nurse practitioner in 5 situations on a 5-point scale ranging from never (0) to always (5), where higher scores indicate more perceived support.

  20 weeks

Secondary Outcomes (9)

• The duration of each huddle in minutes was recorded by the nurse practitioner using the Huddle Observation Tool (HOT) (Edbrooke-Childs et al., 2018) as part of process evaluation.

  15 weeks

• The attendance of different staff categories (i.e. personal support worker, registered practical nurse) at each huddle was recorded by the nurse practitioner using HOT (Edbrooke-Childs et al., 2018) as part of process evaluation.

  15 weeks

• The frequency of delivery of huddles by the nurse practitioner was self-reported using HOT (Edbrooke-Childs et al., 2018) as part of process evaluation.

  15 weeks

• Adherence to huddle structure was self-reported by the nurse practitioner using HOT (Edbrooke-Childs et al., 2018) as part of process evaluation.

  15 weeks

• Depressive symptoms of residents residing on the intervention and control units will be measured with the Depression Rating Scale before and after implementation of huddles.

  1 year

Study Arms (2)

Huddle attendees

EXPERIMENTAL

Participants in this arm participated in huddles

Behavioral: Team Huddles

Huddle non-attendees

NO INTERVENTION

Participants in this arm did not participate in huddles

Interventions

Team Huddles BEHAVIORAL

Brief multidisciplinary meeting occurring twice a week for staff working at a LTC home led by a Nurse Practitioner. Huddles focused on discussing resident-care and staff-wellbeing.

Huddle attendees

Eligibility Criteria

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

You may qualify if:

• All staff working at the LTC home
• All residents living in the home between January and December 2021

You may not qualify if:

• N/A

Sponsors & Collaborators

• Toronto Rehabilitation Institute: lead
• Canadian Foundation for Health Improvement: collaborator
• Canadian Institutes of Health Research (CIHR): collaborator
• Centre for Aging and Brain Health Innovation: collaborator
• Walter & Maria Schroeder Institute for Brain Innovation and Recovery: collaborator

Study Sites (2)

Long-Term Care Home

Kitchener, Ontario, N2A 1Y5, Canada

Location

Long-Term Care Home

Sarnia, Ontario, Canada

Location

Related Publications (6)

• Dolbier CL, Webster JA, McCalister KT, Mallon MW, Steinhardt MA. Reliability and validity of a single-item measure of job satisfaction. Am J Health Promot. 2005 Jan-Feb;19(3):194-8. doi: 10.4278/0890-1171-19.3.194.

  PMID: 15693347 BACKGROUND

• Schwendimann R, Dhaini S, Ausserhofer D, Engberg S, Zuniga F. Factors associated with high job satisfaction among care workers in Swiss nursing homes - a cross sectional survey study. BMC Nurs. 2016 Jun 6;15:37. doi: 10.1186/s12912-016-0160-8. eCollection 2016.

  PMID: 27274334 BACKGROUND

• McGilton KS. Development and psychometric testing of the Supportive Supervisory Scale. J Nurs Scholarsh. 2010 Jun;42(2):223-32. doi: 10.1111/j.1547-5069.2009.01323.x.

  PMID: 20618606 BACKGROUND

• Iaboni A, Quirt H, Engell K, Kirkham J, Stewart S, Grigorovich A, Kontos P, McMurray J, Levy A, Bingham K, Rodrigues K, Astell A, Flint AJ, Maxwell C. Barriers and facilitators to person-centred infection prevention and control: results of a survey about the Dementia Isolation Toolkit. BMC Geriatr. 2022 Jan 25;22(1):74. doi: 10.1186/s12877-022-02759-4.

  PMID: 35078424 BACKGROUND

• Edbrooke-Childs J, Hayes J, Sharples E, Gondek D, Stapley E, Sevdalis N, Lachman P, Deighton J. Development of the Huddle Observation Tool for structured case management discussions to improve situation awareness on inpatient clinical wards. BMJ Qual Saf. 2018 May;27(5):365-372. doi: 10.1136/bmjqs-2017-006513. Epub 2017 Sep 19.

  PMID: 28928167 BACKGROUND

• McGilton KS, Krassikova A, Wills A, Bethell J, Boscart V, Escrig-Pinol A, Iaboni A, Vellani S, Maxwell C, Keatings M, Stewart SC, Sidani S. Nurse practitioner led implementation of huddles for staff in long term care homes during the COVID-19 pandemic. BMC Geriatr. 2023 Nov 2;23(1):713. doi: 10.1186/s12877-023-04382-3.

  PMID: 37919676 DERIVED

Related Links

• Statistics Canada. Canadian Community Health Survey 2022.

MeSH Terms

Conditions

Psychological Well-Being

Condition Hierarchy (Ancestors)

Personal Satisfaction; Behavior

Study Officials

• Katherine S McGilton

  KITE Research Institute - Toronto Rehabilitation Institute

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Senior Scientist

Study Record Dates

• First Submitted: May 13, 2022
• First Posted: May 24, 2022
• Study Start: May 14, 2021
• Primary Completion: November 1, 2021
• Study Completion: November 1, 2021
• Last Updated: May 24, 2022

Record last verified: 2022-05

Data Sharing

• IPD Sharing: Will not share

Locations

CA (2)