Ignite Creation Date:
2024-05-06 @ 7:47 AM
Last Modification Date:
2024-10-26 @ 11:52 AM
Study NCT ID:
NCT02603133
Status:
COMPLETED
Last Update Posted:
2023-02-10
First Post:
2015-11-06
Brief Title:
Web-based Implementation for the Science of Enhancing Resilience Study
Sponsor:
Stanford University
Organization:
Stanford University
Study Overview
Official Title:
Web-based Implementation for the Science of Enhancing Resilience Study
Status:
COMPLETED
Status Verified Date:
2023-02
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
WISER
Brief Summary:
Resilience means a healthcare providers ability to cope recover and learn from stressful events as well as their access to resources that promote health and well-being Neonatal intensive care unit NICU health professionals need to have particularly good resilience because their work is extremely stressful and their patients fragile preterm infants require their undivided attention The investigators propose a feasible and engaging intervention to enhance resilience among NICU health professionals promoting their ability to provide safe care
Detailed Description:
Optimizing provider well-being is critical to the delivery of safe and high quality care to the most vulnerable of patients very preterm babies
Major innovative objectives of this proposal include testing the Web-based Implementation for the Science of Enhancing Resilience WISER programs effectiveness in enhancing resilience among Neonatal Intensive Care Unit NICU health workers evaluating its effect on unit safety culture and examining its effect on clinical outcomes in preterm infants The WISER program is an established but low-intensity yet engaging intervention which integrates education and behavior modification to boost provider well-being and resilience in order to create an organizational environment which prevents patient harm
Care for the more than 50000 very low birth weight VLBW 1500 gm infants born annually in the United States is challenging and expensive Quality of care and outcomes vary widely Increasing technical demands and patient acuity have pushed burnout among health workers to the breaking point The few tested interventions that improve caregiver resilience lack feasibility for widespread adoption This study is designed to achieve the following aims
1 Test the effectiveness of WISER in improving NICU health professional resilience
2 Test the effectiveness of WISER in improving patient safety and organizational outcomes
3 Test the sustainability of WISER and
4 Describe the barriers and facilitators of the WISER program
The investigators will test the efficacy of the WISER Program in the NICU setting using a stepped-wedge mixed-methods randomized controlled trial swRCT at six tertiary care NICUs The results of this trial will also provide insights into the causal relations between health worker resilience the organizational environment and clinical outcomes among infants born VLBW
Two blocks with 3 NICUs each will be randomly assigned to one of two intervention cohorts The WISER NICUs program consists of six 10-minute videos delivered over the course of a six-month period Following the end of the initial intervention each NICU will receive individualized feedbackrefresher webinar at 12 months and a final follow-up at 24 months The investigators will use measures of perception surveys of health professionals perceptions and quantifiable measures clinical measures to assess the efficacy of the intervention in different domains resilience organizational environment and health Qualitative methods will provide further insights into facilitators and barriers of the efficacy of WISER
Major innovative objectives of this proposal include testing the Web-based Implementation for the Science of Enhancing Resilience WISER programs effectiveness in enhancing resilience among Neonatal Intensive Care Unit NICU health workers evaluating its effect on unit safety culture and examining its effect on clinical outcomes in preterm infants The WISER program is an established but low-intensity yet engaging intervention which integrates education and behavior modification to boost provider well-being and resilience in order to create an organizational environment which prevents patient harm
Care for the more than 50000 very low birth weight VLBW 1500 gm infants born annually in the United States is challenging and expensive Quality of care and outcomes vary widely Increasing technical demands and patient acuity have pushed burnout among health workers to the breaking point The few tested interventions that improve caregiver resilience lack feasibility for widespread adoption This study is designed to achieve the following aims
1 Test the effectiveness of WISER in improving NICU health professional resilience
2 Test the effectiveness of WISER in improving patient safety and organizational outcomes
3 Test the sustainability of WISER and
4 Describe the barriers and facilitators of the WISER program
The investigators will test the efficacy of the WISER Program in the NICU setting using a stepped-wedge mixed-methods randomized controlled trial swRCT at six tertiary care NICUs The results of this trial will also provide insights into the causal relations between health worker resilience the organizational environment and clinical outcomes among infants born VLBW
Two blocks with 3 NICUs each will be randomly assigned to one of two intervention cohorts The WISER NICUs program consists of six 10-minute videos delivered over the course of a six-month period Following the end of the initial intervention each NICU will receive individualized feedbackrefresher webinar at 12 months and a final follow-up at 24 months The investigators will use measures of perception surveys of health professionals perceptions and quantifiable measures clinical measures to assess the efficacy of the intervention in different domains resilience organizational environment and health Qualitative methods will provide further insights into facilitators and barriers of the efficacy of WISER
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| R01HD084679 | NIH | None | httpsreporternihgovquickSearchR01HD084679 |