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The goal of this clinical trial is to determine if reactivating a hospital program called "Plus de temps au service des patients" (PTP) can improve the quality of pain management for patients and increase job satisfaction among healthcare professionals. The main questions this study aims to answer are:
Participants in the trial are healthcare professionals who will:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Immediate reactivation | Experimental | Our intervention will be booster measure of the existing PTP elements that will be designed for each unit that has been randomized to the immediate intervention group. The booster will consist in a reactivation through audit and feedback of 2-3 elements of the PTP program. The selection of the elements to boost will be done locally in each unit through a coordinated discussion between representants of the PTP organization and representants of the unit's medical and nursing professionals. This will create an adaptable intervention that will feature selected standards among the list of 36 existing standards. The boost will be performed over 3 months |
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| Delayed reactivation | No Intervention | The control intervention will also be PTP as applied usually, in the control group before the application of the booster measure (applied delayed by three months). |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Immediate reactivation | Behavioral | Our intervention will be booster measure of the existing PTP elements that will be designed for each unit that has been randomized to the immediate intervention group. The booster will consist in a reactivation through audit and feedback of 2-3 elements of the PTP program. The selection of the elements to boost will be done locally in each unit through a coordinated discussion between representants of the PTP organization and representants of the unit's medical and nursing professionals. This will create an adaptable intervention that will feature selected standards among the list of 36 existing standards. The boost will be performed over 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Timely delivery of appropriate analgesic | Quality of pain management as recorded through the timely delivery of an appropriate level painkiller after any pain Visual Analog Scale (VAS) ≥4. VAS score range from 0 to 10, 0 being no pain and 10 being the worse pain imaginable. | Timely is operationalized as maximum 6 hours before for reserve pain medication, and up to 1 hour after pain measurement for any medication appropriate to the level of pain. |
| Measure | Description | Time Frame |
|---|---|---|
| Pain VAS documentation | Patients stay will be divided in 12 hours segments and documentation will be considered adequate when 90% of the segments have at least 1 pain Visual Analog Scale score documented. VAS score range from 0 to 10, 0 being no pain and 10 being the worse pain imaginable. | 12 hours |
| Patient satisfaction - Picker |
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Inclusion criteria for the units:
Inclusion criteria for healthcare professionals:
Inclusion criteria for patients
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Thomas Agoritsas, MD, PhD | Contact | 0041 79 553 45 43 | thomas.agoritsas@hug.ch |
| Name | Affiliation | Role |
|---|---|---|
| Thomas Agoritsas, MD, PhD | University Hospital, Geneva | Principal Investigator |
| Delphine S. Courvoisier, PhD | University Hospital, Geneva | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Geneva University Hospitals | Geneva | 1205 | Switzerland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41529885 | Derived | Buclin CP, Burgisser N, Mongin D, Le Mauguen A, Farhoumand PD, Berner A, Daverio JE, Barrios J, Reny JL, Courvoisier DS, Agoritsas T. Impact of a booster intervention of the 'More Time at Patients' Side' programme on patients and healthcare professionals in a Swiss hospital: protocol for a cluster randomised controlled trial. BMJ Open. 2026 Jan 13;16(1):e104027. doi: 10.1136/bmjopen-2025-104027. |
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| ID | Term |
|---|---|
| D017060 | Patient Satisfaction |
| D000377 | Agnosia |
| ID | Term |
|---|---|
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |
| D010468 | Perceptual Disorders |
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Intervention group will see immediate reactivation of the program where control intervention will be the program as it is usually applied before the application of the booster measure (applied delayed by three months).
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Patient satisfaction is already routinely collected via continuous Picker satisfaction questionnaires. They are sent one week after patient discharge to all patients with a valid email address. |
| 1 week after discharge for every patients. |
| Patient satisfaction - daily | Daily patient satisfaction is already routinely collected in a 3 level scale going from 1 dissatisfied to 3 fully satisfied. Surveys are realized at the bedside, often by nurse assistant in the early afternoon. | Every day from month 1 to month 3 corresponding to the period of study |
| Healthcare professionals' satisfaction | Healthcare professionals' satisfaction will be evaluated using the satisfaction with work scale. All item range from extremely dissatisfied to extremely satisfied. | Once before the reactivation and once after (month 1 and month 3) |
| Healthcare professionals' burnout | Burnout will be assessed using the Copenhagen burnout inventory. The Copenhagen Burnout Inventory is a three dimensions scale evaluating the personal, the professional and the relational components of burnout. Each dimension is scored on a scale ranging from 0 to 100, 0 being no burnout and 100 being the maximum burnout. | Once before the reactivation and once after (month 1 and month 3) |
| Healthcare professionals' risk of turnover | Risk of turnover will be investigated by the following validated single item "If it were possible and you would keep a similar salary, would you like to change profession to take up another one or to keep the same profession but without patient care?" Three answers are possible: "No, I do not want to", "Perhaps", and "Yes, I do want to" | Once before the reactivation and once after (month 1 and month 3) |
| Healthcare professional's absenteeism rate | If given consent by the participants, individual monthly absenteeism rate will be extracted from the human resources of the hospital. For all others, absenteeism rate will be extracted aggergated at the unit level. | At month 1, 2 and 3 corresponding to the period of study |
| D019954 |
| Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |