Design of an Intervention to Equip Middle Managers and Managers in Healthcare Institutions with Tools to Increase the Resilience of Their Teams

NCT06724770 | Completed

• 1 other identifier: ILISABIO22_AP09
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The main objective of this preparatory action (experimental study without control group, before and after measurements) is to develop and test the feasibility of the e-Resilience tool in a relevant environment (TRL6). This web-based tool has been designed to facilitate the work of the top and middle management of healthcare institutions to strengthen the resilience of their teams to face critical situations inherent to healthcare activity. The main questions it aims to answer are:

1. 1.Which components of the e-Resilience intervention need to be improved?
2. 2.Does the e-Resilience tool improve the knowledge of middle managers in healthcare institutions on specific techniques and strategies to strengthen the resilience of the professionals and teams under their care?
3. 3.Is the e-Resilience tool helpful and applicable to clinical settings in the opinion of middle managers in healthcare institutions?

Conditions

Occupational Health; Resilience; Job Stress; Well-being At Work; Highly Stressful Situations; Healthcare Worker

Outcome Measures

Primary Outcomes (3)

• Number of incorporations and adaptations necessary for the validation of e-Resilience in a relevant environment.

  Number of change proposals of the expert group to adapt the tool to the target environments' needs and enhance its applicability.

  5 months

• Hits on resilience knowledge questionnaire (pre-intervention).

  Number of correct answers to questions on knowledge of models, techniques, tools and strategies for building resilience in clinical settings.

  3 months

• Hits on resilience knowledge questionnaire (post-intervention).

  Number of correct answers to questions on knowledge of models, techniques, tools and strategies for building resilience in clinical settings.

  3 months

Secondary Outcomes (6)

• Clarity of the e-Resilience tool components.

  3 months

• Usefulness and applicability of the e-Resilience tool.

  3 months

• Perception of improvement of own capacity to strengthen the resilience of healthcare teams.

  3 months

• Willingness to recommend e-Resilience.

  3 months

• Willingness to use e-Resilience in the future.

  3 months

Study Arms (1)

e-Resilience Intervention

EXPERIMENTAL

Middle management and healthcare professionals who voluntarily participate in the e-Resilience intervention.

Other: Resilience training intervention

Interventions

Resilience training intervention OTHER

Training intervention on tools and strategies to strengthen the resilience of work teams in healthcare centres.

e-Resilience Intervention

Eligibility Criteria

• Age: 26 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Healthcare professionals and middle management in active healthcare institutions.

You may not qualify if:

• Inability to complete the web-based intervention due to access difficulties or lack of digital literacy.

Sponsors & Collaborators

• Irene Carrillo Murcia: lead
• Foundation for the Promotion of Healthcare and Biomedical Research in the Valencian Community (FISABIO): collaborator

Study Sites (1)

Universidad Miguel Hernández de Elche

Elche, Alicante, 03202, Spain

Location

Related Publications (19)

• Seys D, Panella M, Russotto S, Strametz R, Joaquin Mira J, Van Wilder A, Godderis L, Vanhaecht K. In search of an international multidimensional action plan for second victim support: a narrative review. BMC Health Serv Res. 2023 Jul 31;23(1):816. doi: 10.1186/s12913-023-09637-8.

  PMID: 37525127 BACKGROUND

• Mira JJ, Vicente MA, Lopez-Pineda A, Carrillo I, Guilabert M, Fernandez C, Perez-Jover V, Martin Delgado J, Perez-Perez P, Cobos Vargas A, Astier-Pena MP, Martinez-Garcia OB, Marco-Gomez B, Abad Bouzan C. Preventing and Addressing the Stress Reactions of Health Care Workers Caring for Patients With COVID-19: Development of a Digital Platform (Be + Against COVID). JMIR Mhealth Uhealth. 2020 Oct 5;8(10):e21692. doi: 10.2196/21692.

  PMID: 32936769 BACKGROUND

• Venegas CL, Nkangu MN, Duffy MC, Fergusson DA, Spilg EG. Interventions to improve resilience in physicians who have completed training: A systematic review. PLoS One. 2019 Jan 17;14(1):e0210512. doi: 10.1371/journal.pone.0210512. eCollection 2019.

  PMID: 30653550 BACKGROUND

• Stoliker BE, Vaughan AD, Collins J, Black M, Anderson GS. Building Personal Resilience following an Online Resilience Training Program for BScN Students. West J Nurs Res. 2022 Aug;44(8):755-764. doi: 10.1177/01939459211017240. Epub 2021 May 17.

  PMID: 33998338 BACKGROUND

• Strametz R, Raspe M, Ettl B, Huf W, Pitz A. [Recommended actions: Reinforcing clinicians' resilience and supporting second victims during the COVID-19 pandemic to maintain capacity in the healthcare system]. Zentralbl Arbeitsmed Arbeitsschutz Ergon. 2020;70(6):264-268. doi: 10.1007/s40664-020-00405-7. Epub 2020 Sep 2. German.

  PMID: 32905028 BACKGROUND

• Raetze S, Duchek S, Maynard MT, Wohlgemuth M. Resilience in organization-related research: An integrative conceptual review across disciplines and levels of analysis. J Appl Psychol. 2022 Jun;107(6):867-897. doi: 10.1037/apl0000952. Epub 2021 Nov 11.

  PMID: 34766796 BACKGROUND

• Daly LM. Resilience: An Integrated Review. Nurs Sci Q. 2020 Oct;33(4):330-338. doi: 10.1177/0894318420943141.

  PMID: 32940160 BACKGROUND

• Winwood PC, Colon R, McEwen K. A practical measure of workplace resilience: developing the resilience at work scale. J Occup Environ Med. 2013 Oct;55(10):1205-12. doi: 10.1097/JOM.0b013e3182a2a60a.

  PMID: 24064782 BACKGROUND

• Smith BW, Dalen J, Wiggins K, Tooley E, Christopher P, Bernard J. The brief resilience scale: assessing the ability to bounce back. Int J Behav Med. 2008;15(3):194-200. doi: 10.1080/10705500802222972.

  PMID: 18696313 BACKGROUND

• Wagnild GM, Young HM. Development and psychometric evaluation of the Resilience Scale. J Nurs Meas. 1993 Winter;1(2):165-78.

  PMID: 7850498 BACKGROUND

• Bartone PT, Ursano RJ, Wright KM, Ingraham LH. The impact of a military air disaster on the health of assistance workers. A prospective study. J Nerv Ment Dis. 1989 Jun;177(6):317-28. doi: 10.1097/00005053-198906000-00001.

  PMID: 2723619 BACKGROUND

• Wiig S, Aase K, Billett S, Canfield C, Roise O, Nja O, Guise V, Haraldseid-Driftland C, Ree E, Anderson JE, Macrae C; RiH-team. Defining the boundaries and operational concepts of resilience in the resilience in healthcare research program. BMC Health Serv Res. 2020 Apr 19;20(1):330. doi: 10.1186/s12913-020-05224-3.

  PMID: 32306981 BACKGROUND

• Sisto A, Vicinanza F, Campanozzi LL, Ricci G, Tartaglini D, Tambone V. Towards a Transversal Definition of Psychological Resilience: A Literature Review. Medicina (Kaunas). 2019 Nov 16;55(11):745. doi: 10.3390/medicina55110745.

  PMID: 31744109 BACKGROUND

• Bodenheimer T, Sinsky C. From triple to quadruple aim: care of the patient requires care of the provider. Ann Fam Med. 2014 Nov-Dec;12(6):573-6. doi: 10.1370/afm.1713.

  PMID: 25384822 BACKGROUND

• Schwappach DL, Boluarte TA. The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountability. Swiss Med Wkly. 2009 Jan 10;139(1-2):9-15. doi: 10.4414/smw.2009.12417.

  PMID: 18951201 BACKGROUND

• Bourne T, Shah H, Falconieri N, Timmerman D, Lees C, Wright A, Lumsden MA, Regan L, Van Calster B. Burnout, well-being and defensive medical practice among obstetricians and gynaecologists in the UK: cross-sectional survey study. BMJ Open. 2019 Nov 25;9(11):e030968. doi: 10.1136/bmjopen-2019-030968.

  PMID: 31767585 BACKGROUND

• Schiess C, Schwappach D, Schwendimann R, Vanhaecht K, Burgstaller M, Senn B. A Transactional "Second-Victim" Model-Experiences of Affected Healthcare Professionals in Acute-Somatic Inpatient Settings: A Qualitative Metasynthesis. J Patient Saf. 2021 Dec 1;17(8):e1001-e1018. doi: 10.1097/PTS.0000000000000461.

  PMID: 29384831 BACKGROUND

• Sovold LE, Naslund JA, Kousoulis AA, Saxena S, Qoronfleh MW, Grobler C, Munter L. Prioritizing the Mental Health and Well-Being of Healthcare Workers: An Urgent Global Public Health Priority. Front Public Health. 2021 May 7;9:679397. doi: 10.3389/fpubh.2021.679397. eCollection 2021.

  PMID: 34026720 BACKGROUND

• Jacobs B, McGovern J, Heinmiller J, Drenkard K. Engaging Employees in Well-Being: Moving From the Triple Aim to the Quadruple Aim. Nurs Adm Q. 2018 Jul/Sep;42(3):231-245. doi: 10.1097/NAQ.0000000000000303.

  PMID: 29870489 BACKGROUND

Related Links

• Related Info

MeSH Terms

Conditions

Occupational Stress

Condition Hierarchy (Ancestors)

Occupational Diseases; Stress, Psychological; Behavioral Symptoms; Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Assistant Professor

Model Details: Participants voluntarily adhere to the intervention. The intervention consists of the review and use of the e-Resilience tool. It is a toolkit that provides training in skills to strengthen the resilience of teams working in healthcare institutions. Participants complete knowledge questionnaires before and after the intervention. There is no control group.

Study Record Dates

• First Submitted: November 29, 2024
• First Posted: December 9, 2024
• Study Start: January 15, 2024
• Primary Completion: November 26, 2024
• Study Completion: November 26, 2024
• Last Updated: December 9, 2024

Record last verified: 2024-12

Locations

ES (1)