Additional identifiers
EudraCT number
ClinicalTrials.gov number
Protocol/serial number
N/A
Study information
Scientific title
A pilot randomised controlled trial of enhanced support, openness and supervision for staff working on adult mental health wards
Acronym
SOS
Study hypothesis
Primary hypothesis:
One year after randomisation, staff working on mental health wards that receive interventions aimed at enhancing support, openness and supervision for staff will experience lower levels of burnout than those working on wards that do not.
Secondary hypothesis:
One year after randomisation, levels of staff turnover, staff sickness and use of agency staff will be lower on mental health wards that receive interventions aimed at enhancing support, openness and supervision for staff than on wards that do not.
Tertiary hypothesis:
One year after randomisation, the number of untoward incidents as recorded by incident report forms, will be lower on wards where staff receive enhanced support and supervision compared to wards that do not.
Ethics approval
West London Research Ethics Committee 2, 20/09/2010, ref:10/H0711/62
Study design
Pilot randomised controlled trial
Primary study design
Interventional
Secondary study design
Randomised controlled trial
Trial setting
Hospitals
Trial type
Quality of life
Patient information sheet
Not available in web format, please contact m.crawford@imperial.ac.uk to request a patient information sheet
Condition
Mental health
Intervention
A modified cognitive analytic therapy approach to clinical supervision for ward staff in groups. Entitled 'Sharing, Openness and Supervision', this aims to change ward culture so that morale is improved with a positive effect on patient care.
The treatment arm will comprise one group per week of 1.5 hours clinical supervision for the ward team including staff members from all disciplines and from the ward leadership including at least one of ward manager, consultant and modern matron. Registered will be taken to record attendance and fidelity to this model. The clinical supervision groups will be run according to a Cognitive Analytic Therapy approach, adapted to this context.
Please note that there is only one treatment arm; the control arm is not active. The duration of the intervention will be one year and data on job satisfaction will be collected from ward staff at the beginning and end of the year. There will be no follow up after the end of the intervention, but routine ward data on incidents, recruitment and retention and sickness is routinely collected and may be analysed at a future point if appropriate.
Intervention type
Other
Phase
Not Applicable
Drug names
Primary outcome measures
Staff-level data:
All staff who make up the ward establishment, from a list supplied by the ward manager, will be approached. For these staff data collection will be completed on baseline measures prior to randomisation, using:
1. Maslach Burnout Inventory: a 15-item measure to assess emotional exhaustion, depersonalisation and personal accomplishment
2. Job Content Questionnaire: a 34-item measure to assess job-related stress
3. Basic demographic data: including age, gender and number of hours worked. We will collect this using a proforma specifically designed for the study.
Secondary outcome measures
The following data will be collected from the ward and Trust databases:
1. Untoward incidents:
1.1. Total number of untoward clinical incidents on the ward including medication errors and near-misses in the 6 months prior to randomisation (March - August 2010)
2. Level of severity of clinical untoward incidents rated according to the IR1 form 5-point severity rating scale in the 6 months prior to randomisation
2. Staff costs (6 months prior to randomisation):
2.1. Agency and locum usage
2.2. Turnover of staff
2.3. Sickness rates among ward staff
2.4. Suspensions, disciplinaries
Overall trial start date
01/11/2010
Overall trial end date
31/03/2012
Reason abandoned
Eligibility
Participant inclusion criteria
Staff working on acute open mental health wards in the London Borough of Kensington and Chelsea: St Charles Hospital and the South Kensington and Chelsea Centre for Mental Health.
Data will not be collected from patients at any point during the course of the study.
Participant type
Patient
Age group
Adult
Gender
Both
Target number of participants
100 participants across 6 wards
Participant exclusion criteria
Does not meet inclusion criteria
Recruitment start date
01/11/2010
Recruitment end date
31/03/2012
Locations
Countries of recruitment
United Kingdom
Trial participating centre
CNWL Trust Head of Arts Therapies
London
W9 2NW
United Kingdom
Sponsor information
Organisation
Central and North West London NHS Foundation Trust (UK)
Sponsor details
2nd Floor
Greater London House
Hampstead Road
Mornington Crescent
London
NW1 7QN
United Kingdom
+44 300 013 4799
feedback.cnwl@nhs.net
Sponsor type
Government
Website
Funders
Funder type
Government
Funder name
Central and North West London NHS Foundation Trust (UK) - Innovation Fund
Alternative name(s)
Funding Body Type
Funding Body Subtype
Location
Results and Publications
Publication and dissemination plan
Not provided at time of registration
Intention to publish date
Participant level data
Not provided at time of registration
Results - basic reporting
Publication summary