Trial document





This trial has been registered retrospectively.
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  DRKS00000351

Trial Description

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Title

Cool Down Effects In Nursing And Geriatric Care

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Trial Acronym

[---]*

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URL of the Trial

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Brief Summary in Lay Language

The study aims to investigate "cool down" effects in nursing and geriatric care. In contrast to the conventional Burn-out, cool down effects are not necessarily defined as relevant and they may not be recognized, because the individuals are still doing their job,
with an attitude of aloofness towards their patients.
The underlying causes of this "inner withdrawal" and loss of empathic attention could be a general discontentment with working situation, lacking appreciation of superior authorities, inadequate team integration, conflicts with the patients or elderly, general life dissatisfaction, emotional and physical pressure of work and also the classical burn-out with it´s phase of stand-off.
A reduced motivation and empathy can be found in both situations, but only the burn-out is associated with a chronic (physical and mental) exhaustion/fatigue, depression or aggressiveness, and the risk of addictions / drug abuse.
Thus, we intend to differentiate both phenomena, particularly because an emotional distance is implicitly regarded as an adequate reaction of self-protection against the demands of the wearing work situation nursing and geriatric care. A work-to-rule is not identically with indifference and is often ascribed to a perceived disrespect or minor appreciation, while an avoidance of contacts or a `mechanization´ of care could be due to an emotional overwork because of the patients´ fate which is perceived as woebegone or hopeless (i.e., stand-off as an act of self-protection).

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Brief Summary in Scientific Language

The study aims to investigate "cool down" effects in nursing and geriatric care. In contrast to the conventional Burn-out, cool down effects do not necessarily have clinical significance, and they may not be recognized, because the individuals are still doing their job, albeit with an attitude of aloofness towards their patients.
The underlying causes of this "inner withdrawal" and loss of empathic attention could be a general discontentment with working situation, lacking appreciation of superior authorities, inadequate team integration, conflicts with the patients or elderly, general life dissatisfaction, emotional and physical pressure of work and also the classical burn-out with it´s phase of stand-off.
A reduced motivation and empathy can be found in both situations, but only the burn-out is associated with a chronic (physical and mental) exhaustion/fatigue, depression or aggressiveness, and the risk of addictions / drug abuse.
Thus, we intend to differentiate both phenomena, particularly because an emotional distance is implicitly regarded as an adequate reaction of self-protection against the demands of the wearing work situation nursing and geriatric care. A work-to-rule is not identically with indifference and is often ascribed to a perceived disrespect or minor appreciation, while an avoidance of contacts or a `mechanization´ of care could be due to an emotional overwork because of the patients´ fate which is perceived as woebegone or hopeless (i.e., stand-off as an act of self-protection).
The newly developed Cool-down-Index (CDI) should be analyzed with respect to its reliability and validity. To judge convergent validity, we use the German version of the Maslach Burnout Inventory (MBI), and for discriminant validity the subjective life satisfaction (Brief Multidimensional Life Satisfaction Scale plus 2 Items addressing health situation and coping with every-day life). Additionally, the individuals´ profile of mood (ASTS questionnaire with 19 Items), aspects of spirituality (ASP questionnaire with 30 Items) and 3 additional items to address the corporate ideal of pity/compassion were analyzed.

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Organizational Data

  •   DRKS00000351
  •   2010/03/24
  •   [---]*
  •   yes
  •   Approved
  •   09-021, Ethikkommission der DG-Pflegewissenschaft e.V. Institut für Ethik und Kommunikation im Gesundheitswesen, Universität Witten-Herdecke
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Secondary IDs

  •   U1111-1114-0818 
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Health Condition or Problem studied

  •   -: Cool-down Effects
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Interventions/Observational Groups

  • [---]*
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Characteristics

  •   Non-interventional
  •   Epidemiological study
  •   Single arm study
  •   Open (masking not used)
  •   [---]*
  •   Uncontrolled/Single arm
  •   Prevention
  •   Single (group)
  •   [---]*
  •   [---]*
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Primary Outcome

reliabilty of Cool-Down-Index || Cool-down-Index (10 Items) || Life Satisfaction (Brief Multidimensional Life Satisfaction Scale, 8 Items + 2 Items)

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Secondary Outcome

Burn out (Maslach Burnout Inventory, 22 Items) || Profile of Mood (ASTS, 19 Items) || Aspects of Spirituality (ASP, 30 Items + 3 Items)

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Countries of Recruitment

  •   Germany
  •   Austria
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Locations of Recruitment

  • [---]*
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Recruitment

  •   Actual
  •   2010/02/10
  •   100
  •   Multicenter trial
  •   International
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Inclusion Criteria

  •   Both, male and female
  •   18   Years
  •   60   Years
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Additional Inclusion Criteria

Nurses in nursing and geriatric care as a volunteer

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Exclusion Criteria

none

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Addresses

  • start of 1:1-Block address primary-sponsor
    • Generation Research Program, Ludwig-Maximilians-University Munich,
    • Mr.  Dr.  Niko Boris  Kohls 
    • Prof. Max-Lange-Platz 11,
    • 83646  BadTölz
    • Germany
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    • Lehrstuhl für familienorientierte und gemeindenahe Pflege Institut für Pflegewissenschaft Universität Witten/Herdecke
    • Mr.  Prof. Dr.  Wilfried  Schnepp 
    • Stockumer Str. 12
    • 58453  Witten
    • Germany
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    • Zentrum für Integrative Medizin Fakultät für Medizin Universität Witten/Herdecke
    • Mr.  Prof. Dr. med.  Arndt  Büssing 
    • Gerhardt-Kienle-Weg 4
    • D-58313  Herdecke
    • Germany
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Sources of Monetary or Material Support

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    • Zentrum für Integrative Medizin Fakultät für Medizin Universität Witten/Herdecke
    • Mr.  Prof. Dr. med.  Arndt  Büssing 
    • Gerhardt-Kienle-Weg 4
    • 58313  Herdecke
    • Germany
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    • Generation Research Program (GRP) des Humanwissenschaftlichen Zentrums der Ludwig-MAximilians-Universität München, Bad Tölz
    • Mr.  Dr. phil.  Sebastian  Sauer 
    • Prof. Max-Lange-Platz 11,
    • 83646  Bad Tölz
    • Germany
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Status

  •   Recruiting ongoing
  •   [---]*
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Trial Publications, Results and other Documents

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* This entry means the parameter is not applicable or has not been set.