TY - JOUR
T1 - Schwartz Rounds for Staff in an Australian Tertiary Hospital
T2 - Protocol for a Pilot Uncontrolled Trial
AU - Ewais, Tatjana
AU - Hunt, Georgia
AU - Munro, Jonathan
AU - Pun, Paul
AU - Hogan, Christy
AU - William, Leeroy
AU - Teodorczuk, Andrew
N1 - Funding Information:
This study was funded by the Griffith University Health Group collaboration grant in October 2020 and approved by the Mater Hospital Human Research Ethics Committee on January 13, 2021. Recruitment commenced in July 2021 and was completed in September 2021. Data collection commenced in July 2021, with projected completion by March 2022. Data analysis will commence in April 2022 and the results are expected to be published in the second half of 2021. The trail has been registered in the Australian New Zealand Clinical Trials Registry (ACTRN12621001473853).
Funding Information:
This research is supported by the Griffith University Health Group. Funding was used for employment of the senior clinician to facilitate the Rounds and a senior research assistant to manage the project along with in-kind support from Mater Health Brisbane. In addition, funding was provided the Schwartz Centre license/membership fee annually.
Publisher Copyright:
© Tatjana Ewais, Georgia Hunt, Jonathan Munro, Paul Pun, Christy Hogan, Leeroy William, Andrew Teodorczuk.
PY - 2022/4
Y1 - 2022/4
N2 - Background: Schwartz Rounds are a unique, organization-wide interdisciplinary intervention aimed at enhancing staff well-being, compassionate care, teamwork, and organizational culture in health care settings. They provide a safe space wherein both clinical and nonclinical health staff can connect and share their experiences about the social and emotional aspects of health care. Objective: Although Schwartz Rounds have been assessed and widely implemented in the United States and United Kingdom, they are yet to be formally evaluated in Australian health care settings. The purpose of this study is to evaluate the feasibility and impact of Schwartz Rounds on staff well-being, compassionate care, and organizational culture, in a tertiary metropolitan hospital in Brisbane, Australia. Methods: This mixed methods repeated measures pilot study will recruit 24 participants in 2 groups from 2 departments, the intensive care unit and the gastroenterology department. Participants from each group will take part in 3 unit-based Schwartz Rounds. Primary outcomes will include the study and intervention feasibility measures, while secondary outcomes will include scores on the Maslach Burnout Inventory-Human Services Survey, the Schwartz Centre Compassionate Care Scale, and the Culture of Care Barometer. Primary and secondary outcomes will be collected at baseline, after the Rounds, and 3-month follow-up. Two focus groups will be held approximately 2 months after completion of the Schwartz Rounds. Descriptive statistics, paired t tests, chi-square tests, and analysis of variance will be used to compare quantitative data across time points and groups. Qualitative data from focus groups and free-text survey questions will be analyzed using an inductive thematic analysis approach. Results: The study was approved by the Mater Hospital Human Research Ethics Committee (reference number: HREC/MML/71868) and recruitment commenced in July 2021; study completion is anticipated by May 2022. Conclusions: The study will contribute to the assessment of feasibility and preliminary efficacy of the Schwartz Rounds in a tertiary Australian hospital during the COVID-19 pandemic.
AB - Background: Schwartz Rounds are a unique, organization-wide interdisciplinary intervention aimed at enhancing staff well-being, compassionate care, teamwork, and organizational culture in health care settings. They provide a safe space wherein both clinical and nonclinical health staff can connect and share their experiences about the social and emotional aspects of health care. Objective: Although Schwartz Rounds have been assessed and widely implemented in the United States and United Kingdom, they are yet to be formally evaluated in Australian health care settings. The purpose of this study is to evaluate the feasibility and impact of Schwartz Rounds on staff well-being, compassionate care, and organizational culture, in a tertiary metropolitan hospital in Brisbane, Australia. Methods: This mixed methods repeated measures pilot study will recruit 24 participants in 2 groups from 2 departments, the intensive care unit and the gastroenterology department. Participants from each group will take part in 3 unit-based Schwartz Rounds. Primary outcomes will include the study and intervention feasibility measures, while secondary outcomes will include scores on the Maslach Burnout Inventory-Human Services Survey, the Schwartz Centre Compassionate Care Scale, and the Culture of Care Barometer. Primary and secondary outcomes will be collected at baseline, after the Rounds, and 3-month follow-up. Two focus groups will be held approximately 2 months after completion of the Schwartz Rounds. Descriptive statistics, paired t tests, chi-square tests, and analysis of variance will be used to compare quantitative data across time points and groups. Qualitative data from focus groups and free-text survey questions will be analyzed using an inductive thematic analysis approach. Results: The study was approved by the Mater Hospital Human Research Ethics Committee (reference number: HREC/MML/71868) and recruitment commenced in July 2021; study completion is anticipated by May 2022. Conclusions: The study will contribute to the assessment of feasibility and preliminary efficacy of the Schwartz Rounds in a tertiary Australian hospital during the COVID-19 pandemic.
KW - compassionate care
KW - health care staff well-being
KW - Schwartz Rounds
UR - http://www.scopus.com/inward/record.url?scp=85129679509&partnerID=8YFLogxK
U2 - 10.2196/35083
DO - 10.2196/35083
M3 - Article
C2 - 35475785
AN - SCOPUS:85129679509
SN - 1929-0748
VL - 11
JO - JMIR Research Protocols
JF - JMIR Research Protocols
IS - 4
M1 - e35083
ER -
