Evidence map›Paper›PMID 31796029›Full record

ArticleBMC health services research2019

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.

Baptiste Cougot, Jules Gauvin, Nicolas Gillet, Kalyane Bach-Ngohou, Johan Lesot, Isaac Getz, Xavier Deparis, Claire Longuenesse, Anne Armant, Emmanuelle Bataille and 4 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04010773 (Project for the Liberation of Organizations in an University Hospital in France), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04010773 completednot on this map

Project for the Liberation of Organizations in an University Hospital in France: A Randomized Controlled Study of the Impact at Two Years of an Intervention Program on the Empowerment of the Medical and Nursing Teams

Typeobservational_patient_registrySponsorNantes University HospitalRan2018 to 2021Enrolled1,191ConditionsEmpowermentArmscollective and psycho-social intervention
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 7 institutions in 1 country.

Baptiste CougotDepartment of Occupational Medicine and Environmental Pathology, Nantes University Hospital, Nantes, France. baptiste.cougot@chu-nantes.fr.ORCID http://orcid.org/0000-0002-9596-9900
Jules GauvinDepartment of Occupational Medicine and Environmental Pathology, Nantes University Hospital, Nantes, France.
Nicolas GilletDepartment of Psychology, University of Tours, Tours, France.
Kalyane Bach-NgohouDepartment of Biochemistry, Nantes University Hospital, Nantes, France.
Johan LesotDepartment of Occupational Medicine and Environmental Pathology, Nantes University Hospital, Nantes, France.
Isaac GetzESCP Europe Business School, Ecole Supérieure de Commerce de Paris Europe, Paris, France.
Xavier DeparisSSTRN Service de Santé au Travail de la Région Nantaise, Nantes, France.
Claire LonguenesseDepartment of Occupational Medicine and Environmental Pathology, Nantes University Hospital, Nantes, France.
Anne ArmantDepartment of Occupational Medicine and Environmental Pathology, Nantes University Hospital, Nantes, France.
Emmanuelle BatailleDepartment of Public Health, Nantes University Hospital, Nantes, France.
Brice LeclereDepartment of Public Health, Nantes University Hospital, Nantes, France.
Ghozlane Fleury-BahiDepartment of Psychology, University of Nantes, Nantes, France.
Leïla MoretDepartment of Public Health, Nantes University Hospital, Nantes, France.
Dominique TripodiDepartment of Occupational Medicine and Environmental Pathology, Nantes University Hospital, Nantes, France.
Nantes Université · FRLaboratoire de Psychologie des Pays de la Loire · FRCentre Hospitalier Universitaire de Nantes · FRUniversité de Tours · FRAix-Marseille Université · FRESCP Business School · FRInserm · FR

Funding

Direction Générale de l'offre de Soins PREPS-16-681
6 · The paper itself

Abstract

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. DISCUSSION: The 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).

Indexed as

EmpowermentOccupational HealthPatient Care TeamFranceHospitals, UniversityHumansModels, OrganizationalOccupational StressPersonnel, HospitalQuality of LifeRandomized Controlled Trials as TopicResearch DesignEmpowermentInterventionLeader empowering behavioursManagementMotivationOccupational healthWorkplace quality-of-life

Identifiers

PMID31796029
PMCPMC6889667
OpenAlexW2991894064

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.