Impact at two years of an intervention on empowerment among medical care teams: study protocol of a randomised controlled trial in a large French university hospital

Autor: Brice Leclère, Baptiste Cougot, Johan Lesot, Emmanuelle Bataille, Anne Armant, Kalyane Bach-Ngohou, Leïla Moret, Jules Gauvin, Ghozlane Fleury-Bahi, Nicolas Gillet, C Longuenesse, Dominique Tripodi, Xavier Deparis, Isaac Getz
Přispěvatelé: Bodescot, Myriam, Department of Occupational Medicine and Environmental Pathology [Nantes], Centre hospitalier universitaire de Nantes (CHU Nantes), Department of Psychology [Tours], Université de Tours (UT), Qualité de vie et Santé psychologique [Tours] (QualiPsy - E.E. 1901), Service de Santé publique [Nantes], Department of Occupational Medicine [Nantes], The Enteric Nervous System in gut and brain disorders [U1235] (TENS), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Nantes - UFR de Médecine et des Techniques Médicales (UFR MEDECINE), Université de Nantes (UN)-Université de Nantes (UN), Service de Santé au Travail de la Région Nantaise [Nantes] (SSTRN), Ecole Supérieure de Commerce de Paris (ESCP Europe), Centre d'épidémiologie et de santé publique des armées [Marseille] (CESPA), Department of Psychology [Nantes], Université de Nantes (UN), Laboratoire de Psychologie des Pays de la Loire (LPPL), Université d'Angers (UA)-Université de Nantes - UFR Lettres et Langages (UFRLL), MethodS in Patients-centered outcomes and HEalth ResEarch (SPHERE), Université de Tours (UT)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Nantes - UFR des Sciences Pharmaceutiques et Biologiques, This work is entirely funded for 498 180 € from a scientific call for tender by the French ministry of health (Direction Générale de l’Offre de Soin), within a PREPS (Programme de Recherche sur la Performance du Système de soin) [85]., Université de Tours, Department of Biochemistry [Nantes], Université de Nantes - UFR de Médecine et des Techniques Médicales (UFR MEDECINE), Université de Nantes (UN)-Université de Nantes (UN)-Institut National de la Santé et de la Recherche Médicale (INSERM), Université de Tours-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Nantes - UFR des Sciences Pharmaceutiques et Biologiques, Qualité de vie et Santé psychologique [Tours] (QualiPsy), Army Center for Epidemiology and Public Health [Marseille], Aix Marseille Université (AMU)
Jazyk: angličtina
Rok vydání: 2019
Předmět:
medicine.medical_specialty
media_common.quotation_subject
Intervention
Health informatics
Occupational safety and health
Workplace quality-of-life
Health administration
Hospitals
University
Occupational Stress
Study Protocol
03 medical and health sciences
Nursing
0502 economics and business
Health care
medicine
Humans
Empowerment
Leader empowering behaviours
media_common
Patient Care Team
Motivation
030504 nursing
Occupational health
business.industry
Health Policy
Public health
Nursing research
lcsh:Public aspects of medicine
05 social sciences
lcsh:RA1-1270
3. Good health
Management
Personnel
Hospital
Research Design
Models
Organizational
Public hospital
[SCCO.PSYC] Cognitive science/Psychology
[SCCO.PSYC]Cognitive science/Psychology
Quality of Life
France
0305 other medical science
business
050203 business & management
Zdroj: BMC Health Services Research, Vol 19, Iss 1, Pp 1-13 (2019)
BMC Health Services Research
BMC Health Services Research, 2019, 19 (1), pp.927. ⟨10.1186/s12913-019-4724-7⟩
BMC Health Services Research, BioMed Central, 2019, 19 (1), pp.927. ⟨10.1186/s12913-019-4724-7⟩
ISSN: 1472-6963
Popis: BackgroundEmpowerment of hospital workers is known as a key factor of organizational performance and occupational health. Nevertheless, empowering workers remains a real challenge. As in many traditional organizations, hospitals follow a bureaucratic model defined by a managerial culture of control and a stratified organization, which at once weaken professionals’ mastery of their work and hinder their commitment and performance. Based on the existing literature this protocol describes a new managerial and organizational transformation program as well as the study design of its effect on worker empowerment in a large French public hospital. The project is funded by the French Ministry of Health for a total of 498,180 €.MethodsThis study is a randomized controlled trial conducted in a French university hospital complex (CHU). The CHU comprises 12 sub-centers (SC) with about 20 care units and 1000 employees each. Randomization is performed at SC level. The intervention lasts 12 months and combines accompaniment of healthcare teams, frontline managers and SC directors to empower first-line professionals in the experimental SC. Quantitative outcome measurements are collected over 2 years during mandatory check-ups in the occupational medicine department. The primary outcomes are structural and psychological empowerment, motivational processes, managerial practices, working conditions, health and performance. Mixed linear modeling is the primary data analysis strategy.DiscussionThe protocol was approved by the CHU health ethics committee. The results of the analysis of the intervention effects will be reported in a series of scientific articles. The results will contribute to reflection on prevention and management policies, and to the development of Workplace Quality-of-Life. If the intervention is a success, the system will warrant replication in other SCs and in other health facilities.Trial registrationThe study was retrospectively registered at ClinicalTrials.gov on July 4, 2019 (NCT04010773).
Databáze: OpenAIRE
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