Work Time Schedule Changes for Nurse Managers

NCT06406478 | Recruiting

• 1 other identifier: #23-001694
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 2

Brief Summary

The goal of this clinical trial is to explore how working a 4-day schedule impacts nurse manager wellbeing and job performance. The main questions it aims to answer are:

• Do those working 4-days have improved wellbeing with reduced levels of burnout and work/family conflict when compared to those in the control group?
• Do levels of sleep, heart rate variability, and physical activity significantly differ between those working the 4-day schedule change and those in the control group?
• Are nurse manager satisfaction, patient satisfaction, and patient quality outcomes different among those working the 4-day schedule change and those in the control group? Researchers will compare those working the 4-day schedule change to those working the standard 5-day schedule to determine causality between the intervention and the outcomes. Participants will:
• Complete an initial visit to learn about the study.
• Begin wearing an OURA ring, which will collect data on physical activity, sleep, and heart rate variability. They will need to download the Oura Ring app on their phone and log in weekly to sync data so that the researchers may access it.
• Complete the first survey on the online REDCap platform (baseline).
• Begin the work schedule that was assigned to them.
• Clock in and out of work each shift.
• Take the follow-up survey online (month 3).
• Take the final survey online (month 6).

Conditions

Work-Related Condition

Outcome Measures

Primary Outcomes (2)

• work family conflict

  Work family conflict will be measured with the Work-Family and Family-Work Conflict Scale + Work-Life Balance scale with 11 items. Work-Family Conflict is determined with a mean of score of responses for items 1 through 5; higher scores reflect more work-family conflict. Family-Work Conflict is determined with the mean of score of responses for items 6 through 10; higher scores reflect more family-work conflict. Work-Life Balance: Item score.

  0, 3, and 6 months

• Burnout

  Burnout will be measured with the Oldenburg Burnout Inventory with 16 items. Disengagement in burnout is the sum of items: 1, 3(Reverse), 6(Reverse), 7, 9(Reverse), 11(Reverse), 13, and 15. Exhaustion is the sum of items: 2(Reverse), 4(Reverse), 5, 8(Reverse), 10, 12(Reverse), 14, and 16. Full Burnout is the sum of the two scales: Disengagement and exhaustion.

  0, 3, and 6 months

Secondary Outcomes (11)

• Hospital rate of Central Line-associated Bloodstream Infection (CLABSI)

  6 months

• Hospital rate of center-association urinary tract infections (CAUTI)

  6 months

• Hospital rate of falls

  6 months

• Hospital rate of hospital acquired pressure injuries

  6 months

• Nurse manager satisfaction as assessed by the National Database of Nursing Quality Indicators (NDNQI)

  6 months

Study Arms (2)

Intervention Group

EXPERIMENTAL

The intervention group will begin working only four days a week as a schedule change.

Behavioral: Schedule Change

Control Group

ACTIVE COMPARATOR

The control group will continue to work five days per week, receiving standard practice for the schedule policies at the participating study sites.

Behavioral: No Schedule Change

Interventions

Schedule Change BEHAVIORAL

This 4-day workweek is defined by any 4 ten hour shifts between Sunday and Saturday. It will be up to the discretion of participants in the intervention group to coordinate which 4 days they work. The 4 days will most likely be weekdays, but some participants may work weekends. If participants do any work from home, they will clock in remotely to account for the time.

Intervention Group

No Schedule Change BEHAVIORAL

The control group will continue to work five days per week, receiving standard practice for the schedule policies at the participating study sites.

Control Group

Eligibility Criteria

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

You may qualify if:

• years old or older
• Registered nurse
• Currently employed as a full-time nurse manager
• Having a span of control greater than 40 Full Time Equivalent (FTE) Direct Reports
• Currently working at either Ronald Regan UCLA Medical Center or UCLA Medical Center Santa Monica
• In the acute care setting

You may not qualify if:

• Those working in ambulatory care settings
• Nurse leaders with less than 30 FTE's
• Working part time
• Working a schedule less than 5 days a week

Sponsors & Collaborators

• University of California, Los Angeles: lead

Study Sites (2)

Ronald Reagan UCLA Medical Center

Los Angeles, California, 90095, United States

RECRUITING

UCLA Health, Santa Monica

Santa Monica, California, 90404, United States

RECRUITING

Study Officials

• Jian Li, MD, PhD

  University of California, Los Angeles

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Elizabeth G Keller, PhD

CONTACT

8593915038; kellere4@g.ucla.edu

Jian Li, MD, PhD

CONTACT

310-206-3788; JiaLi@mednet.ucla.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: No masking will occur in this study, as the groups will be aware of which schedule they are working, and the researchers will be examining differences between intervention and control groups.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Model Details: Participants will be stratified by study site and race, and then randomized into either the control or intervention group. The allocation sequences will be generated by a research team member using a random number table assigning groups 1:1, with equal numbers of participants in each intervention and control group.

Study Record Dates

• First Submitted: April 10, 2024
• First Posted: May 9, 2024
• Study Start: January 1, 2025
• Primary Completion: March 1, 2025
• Study Completion: September 1, 2025
• Last Updated: November 14, 2024

Record last verified: 2024-05

Data Sharing

• IPD Sharing: Will not share

Locations

US (2)