SOS Inpatients: a pilot study of enhanced support, openness and supervision for staff working on adult mental health wards

ISRCTN ISRCTN96754763
DOI https://doi.org/10.1186/ISRCTN96754763
Secondary identifying numbers N/A
Submission date
03/09/2010
Registration date
17/03/2011
Last edited
17/05/2017
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Ms Anna Maratos
Scientific

CNWL Trust Head of Arts Therapies
Community Mental Health Services
7a Woodfield Road
London
W9 2NW
United Kingdom

Study information

Study designPilot randomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeQuality of life
Participant information sheet Not available in web format, please contact m.crawford@imperial.ac.uk to request a patient information sheet
Scientific titleA pilot randomised controlled trial of enhanced support, openness and supervision for staff working on adult mental health wards
Study acronymSOS
Study objectivesPrimary 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(s)West London Research Ethics Committee 2, 20/09/2010, ref:10/H0711/62
Health condition(s) or problem(s) studiedMental health
InterventionA 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 typeOther
Primary outcome measureStaff-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 measuresThe 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 study start date01/11/2010
Completion date31/03/2012

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants100 participants across 6 wards
Key inclusion criteriaStaff 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.
Key exclusion criteriaDoes not meet inclusion criteria
Date of first enrolment01/11/2010
Date of final enrolment31/03/2012

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

CNWL Trust Head of Arts Therapies
London
W9 2NW
United Kingdom

Sponsor information

Central and North West London NHS Foundation Trust (UK)
Hospital/treatment centre

2nd Floor, Greater London House
Hampstead Road
Mornington Crescent
London
NW1 7QN
England
United Kingdom

Phone +44 300 013 4799
Email feedback.cnwl@nhs.net
Website http://www.cnwl.nhs.uk
ROR logo "ROR" https://ror.org/05drfg619

Funders

Funder type

Government

Central and North West London NHS Foundation Trust (UK) - Innovation Fund

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
HRA research summary 28/06/2023 No No

Editorial Notes

17/05/2017: No publications found in PubMed, verifying study status with principal investigator