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| Name | Class |
|---|---|
| Spirit of Charity Foundation - University Medical Center | UNKNOWN |
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Burnout affects a significant number of healthcare employees and leads to worsened mental health, increased job turnover, and patient safety events. Those caring for critically ill patients may be especially susceptible due to high patient mortality, long hours, and regular encounters with traumatic and ethical issues. Preliminary studies suggest that debriefing opportunities may reduce burnout through reflection on distressing patient events, enhancement of social support, and interprofessional collaboration. Death Cafés are a specific form of debriefing that focus on discussing death, dying, loss, and illness.
The purpose of this study is to evaluate whether biweekly Death Cafe group debriefing sessions can prevent burnout in ICU physicians and staff.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Death Cafe Arm | Experimental | Participants undergo biweekly Death Café sessions hosted by a trained psychotherapist for 3 months. |
|
| Control Arm | No Intervention | Participants do not undergo biweekly Death Café sessions hosted by a trained psychotherapist for 3 months. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Death Cafe | Behavioral | Death Cafés are a specific form of debriefing that focuses on discussing death, dying, loss, and illness. Nourishment in the form of cake is provided. These sessions may allow for reflection on distressing patient events while developing a sense of community and collaboration among hospital employees. |
| Measure | Description | Time Frame |
|---|---|---|
| Differences in Burnout as measured by the Maslach Burnout Inventory Score (MBI). | This is a validated 22-item, self-reported questionnaire that asks respondents to indicate on a 7 point Likert scale the frequency of certain feelings related to their job. Presence of burnout is defined by high values of depersonalization and emotional exhaustion with low values for personal accomplishment. Changes in mean scores between groups and within groups over time will be assessed. | At the time of enrollment and at 1 month, 3 months, 6 months after enrollment |
| Measure | Description | Time Frame |
|---|---|---|
| Differences in Depression as measured by the Patient Health Questionnaire 8 (PHQ-8) | This is an 8 question validated questionnaire that asks respondents to indicate the frequency with which they have experienced certain symptoms consistent with depression. Higher scores mean higher frequency of depression symptoms, and a score of 10 or higher will be considered to indicate clinically significant depression. Changes in mean scores between groups and within groups over time will be assessed. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Marjorie E Bateman, MD | Tulane University School of Medicine | Principal Investigator |
| Joshua Denson, MD | Tulane University School of Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tulane Medical Center | New Orleans | Louisiana | 70112 | United States | ||
| University Medical Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 11148311 | Background | Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol. 2001;52:397-422. doi: 10.1146/annurev.psych.52.1.397. | |
| 30661041 | Background | Hammer R, Ravindran N, Nielsen N. Can Death Cafes resuscitate morale in hospitals? Med Humanit. 2021 Mar;47(1):2-3. doi: 10.1136/medhum-2018-011607. Epub 2019 Jan 19. |
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| ID | Term |
|---|---|
| D000077062 | Burnout, Psychological |
| D002055 | Burnout, Professional |
| D001008 | Anxiety Disorders |
| D003863 | Depression |
| D003643 | Death |
| D013315 | Stress, Psychological |
| D000073397 | Occupational Stress |
| D001526 | Behavioral Symptoms |
| ID | Term |
|---|---|
| D001519 | Behavior |
| D009784 | Occupational Diseases |
| D001523 | Mental Disorders |
| D010335 | Pathologic Processes |
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|
| At the time of enrollment and at 1 month, 3 months, 6 months after enrollment |
| Differences in Anxiety as measured by the Generalized Anxiety Disorder 7 Scale (GAD-7) | This is a 7 question validated questionnaire that asks respondents to indicate the frequency with which they have experienced certain symptoms consistent with anxiety. Higher scores mean higher frequency of anxiety symptoms, and a score of 10 or higher will be considered to indicate clinically significant anxiety. Changes in mean scores between groups and within groups over time will be assessed. | At the time of enrollment and at 1 month, 3 months, 6 months after enrollment |
| New Orleans |
| Louisiana |
| 70112 |
| United States |
| Children's Hospital New Orleans | New Orleans | Louisiana | 70118 | United States |
| Ochsner Medical Center | New Orleans | Louisiana | 70121 | United States |
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| 39052070 | Derived | Bateman ME, Chung CH, Mascarenhas E, Hammer R, Ravindran N, Panjshiri F, Mehta P, Byrne A, Lasky S, Denson R, Brown M, Halton B, Chiurco J, Ferrell S, Ruiz B, Wentowski C, Shukla I, Bauer H, Sarma A, Bhyravabhotla K, Zu Y, Peacock E, Lefante J, Epere J, Denson JL. STOPTHEBURN: A Randomized Controlled Trial of Death Cafes for Burnout Prevention in Intensive Care Unit Employees. Ann Am Thorac Soc. 2024 Nov;21(11):1572-1582. doi: 10.1513/AnnalsATS.202312-1024OC. |
| 33308290 | Derived | Bateman ME, Hammer R, Byrne A, Ravindran N, Chiurco J, Lasky S, Denson R, Brown M, Myers L, Zu Y, Denson JL. Death Cafes for prevention of burnout in intensive care unit employees: study protocol for a randomized controlled trial (STOPTHEBURN). Trials. 2020 Dec 11;21(1):1019. doi: 10.1186/s13063-020-04929-4. |
| D013568 |
| Pathological Conditions, Signs and Symptoms |