Health PersonnelNCT05794490
Learning From Excellence in a Hospital Unit
An observational study of Health Personnel and Resilience, run by University Hospital, Akershus at 1 site in Norway.
Trial summary
This study is based on the implementation of the method named "Learning-from-excellence", see methodology www.learningfromexcellence.com. The project is a longitudinal cohort study based on data from both qualitative and quantitative data, presented in two different research articles, one qualitative and one… Read more about this study
- Who is it for?
- Ages 18 to 72 yearsHealthy volunteers can take part
- Conditions the study is for
- Health Personnel, Resilience, Patient Safety
- What is being tested?
- Learning from excellence
- Type of treatment
- Lifestyle or therapy programme
- How many people
- 24 participants
- Where
- 1 siteNorway
- Study dates
- 14 Nov 2022to 26 Mar 2024
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 72 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Study population: The quantitative part of this longitudinal cohort study will collect data from all nurses working on the premises who have answered questions on the annual Norwegian hospital survey from March 2016 to March 2023. The qualitative part will include the aforementioned nurses, additionally, anaesthesiologists who have participated in the Learning from Excellence method.
Who may be able to join
- Nurses who had been working for at least six months on the premises
- Physicians who had either received or captured and reported peer excellence
- All nurses working on the premises who have answered questions in the annual hospital survey, between March 2021 and March 2024. Answers are collected on unit-level, not individual level.
Who cannot join
- -
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Continuous Learning to Increase Patient Safety - A Multi-method Study
This study is based on the implementation of the method named "Learning-from-excellence", see methodology www.learningfromexcellence.com.
The project is a longitudinal cohort study based on data from both qualitative and quantitative data, presented in two different research articles, one qualitative and one quantitative, using :
- an electronic hosptal staff survey on "work-engagement, team collaboration, patient safety climate, and working conditions" before and after implementing Learning from Excellence.
- focus group interviews to explore experiences with the method of Learning from excellence from the view of healthcare professionals.
Read the detailed description
One measure to improve patient safety, is to focus on improvements based on learning from errors (Safety-I). However, it is advocated that learning also should be based on situations where work goes well (Safety-II). Learning from Excellence (LfE) is an English initiative to learn from what works well and provide positive feedback to staff to increase resilience. LfE was implemented in a unit of a South-eastern Norwegian hospital trust between November 2022 and May 2023, using readily available resources from www.learningfromexcellence.com.
The qualitative data will be derived from five semi-structured focus group interviews, with nurses, physicians and change team representants. A descriptive design will be applied, and the data will be analysed using a more deductive, reflexive thematic analysis. Data from the focus group interviews will be taped on a recorder and stored at a secured computerised research place at Akershus University Hospital.
The gained knowledge from the focus group interviews in this study may provide in-depth knowledge on healthcare professionals' experiences in the novel field of learning from excellence, regarding the outcomes: learning, quality improvement work and resilience and culture in the workplace.
The quantitative part consist of aggregated data reports derived from the annual Norwegian hospital survey, which is a measure to explore connections between working environment, patient safety and Health-Environment-Safety in Norwegian hospitals, with a 5-point Likert response scale. From this report we derive answers from 20 questions, submittet before (March 2021 and 2022) and after (March 2023 and 2024), regarding the themes: Work engagement (n= 6), Team-collaboration (n=5) Patient safety climate (n=6) Working conditions (n=3). Thus, the study uses a longitudinal quasi-experimental pre-post intervention design, with a non-equivalent comparison unit.
The gained knowledge from the surveys may provide information if and how the method of Learning from excellence method impact the perceived:
- patient safety climate
- work engagement
- team-collaboration
- working conditions
- Conditions
- Health Personnel, Resilience, Patient Safety, Learning, Quality Improvement
- Being tested
- Learning from excellence
- Keywords
- resilience, learning from excellence, healthcare quality improvement, safety culture, patient safety
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Learning from excellenceBehavioural
Health care professionals´ experiences of learning from excellence in a hospital unit
What is being measured
The primary outcome is the main question the study is designed to answer.
Qualitative: Focus group interviews
Health care professionals´ experiences of learning from excellence in a hospital unit
Measured: 6 months after implementation of Learning from Excellence, i.e., May 2023
Secondary outcomes (1)
Quantitative: Survey from the nurses unit
Aggregated data from the annual Norwegian hospital survey, which is a measure to explore connections between working environment, patient safety and Health-Environment-Safety in Norwegian hospitals
Measured: From March 2021 to March 2024
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 Apr 2023
- Study start14 Nov 2022
- Primary completion26 Mar 2024
- Study completion26 Mar 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Health PersonnelStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 24 participants (actual)
Sponsor and investigators
- Lead sponsor
- University Hospital, Akershus
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Gørill Birkeli, University Hospital, Akershus
- Investigators
- Anne Karin Lindahl, PhD, Study director, University of Oslo Faculty of Medicine, Institute of Health and Society
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05794490
- Sponsor's protocol ID
- 2022_3 and 2024_37
- Status last verified
- May 2024
- First submitted
- 4 Mar 2023
- Last updated
- 7 May 2024
- Results posted
- No
- Individual data sharing
- No
Publications
Birkeli G, Thomas OMT, Ballangrud R, Deilkas ECT, Lindahl AK. No effect of learning from excellence on patient safety culture in a postanaesthesia care unit: a longitudinal quasi-experimental study. BMC Health Serv Res. 2026 Aug 26;26(1):1308. doi: 10.1186/s12913-026-15405-1.
PubMed 42786463Birkeli G, Deilkas ECT, Ballangrud R, Lindahl AK. Implementing Learning from Excellence in a postanaesthesia care unit: a qualitative study of healthcare professionals' experiences after six months. BMC Health Serv Res. 2025 Apr 2;25(1):493. doi: 10.1186/s12913-025-12626-8.
PubMed 40176056
Study at a glance
From the registry record, last updated by the sponsor on 7 May 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Continuous Learning to Increase Patient Safety - A Multi-method Study
- ClinicalTrials.gov ID
- NCT05794490
- Acronym / sponsor ID
- 2022_3 and 2024_37
- Conditions
- Health Personnel, Resilience, Patient Safety, Learning, Quality Improvement
- Keywords
- resilience, learning from excellence, healthcare quality improvement, safety culture, patient safety
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 24 participants (actual)
- Lead sponsor
- University Hospital, AkershusUniversity, hospital or other
- Study start
- 14 Nov 2022 (actual)
- Primary completion
- 26 Mar 2024 (actual)
- Study completion
- 26 Mar 2024 (actual)
- First posted
- 3 Apr 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is based on the implementation of the method named "Learning-from-excellence", see methodology www.learningfromexcellence.com.
The project is a longitudinal cohort study based on data from both qualitative and quantitative data, presented in two different research articles, one qualitative and one quantitative, using :
- an electronic hosptal staff survey on "work-engagement, team collaboration, patient safety climate, and working conditions" before and after implementing Learning from Excellence.
- focus group interviews to explore experiences with the method of Learning from excellence from the view of healthcare professionals.
Detailed description
One measure to improve patient safety, is to focus on improvements based on learning from errors (Safety-I). However, it is advocated that learning also should be based on situations where work goes well (Safety-II). Learning from Excellence (LfE) is an English initiative to learn from what works well and provide positive feedback to staff to increase resilience. LfE was implemented in a unit of a South-eastern Norwegian hospital trust between November 2022 and May 2023, using readily available resources from www.learningfromexcellence.com.
The qualitative data will be derived from five semi-structured focus group interviews, with nurses, physicians and change team representants. A descriptive design will be applied, and the data will be analysed using a more deductive, reflexive thematic analysis. Data from the focus group interviews will be taped on a recorder and stored at a secured computerised research place at Akershus University Hospital.
The gained knowledge from the focus group interviews in this study may provide in-depth knowledge on healthcare professionals' experiences in the novel field of learning from excellence, regarding the outcomes: learning, quality improvement work and resilience and culture in the workplace.
The quantitative part consist of aggregated data reports derived from the annual Norwegian hospital survey, which is a measure to explore connections between working environment, patient safety and Health-Environment-Safety in Norwegian hospitals, with a 5-point Likert response scale. From this report we derive answers from 20 questions, submittet before (March 2021 and 2022) and after (March 2023 and 2024), regarding the themes: Work engagement (n= 6), Team-collaboration (n=5) Patient safety climate (n=6) Working conditions (n=3). Thus, the study uses a longitudinal quasi-experimental pre-post intervention design, with a non-equivalent comparison unit.
The gained knowledge from the surveys may provide information if and how the method of Learning from excellence method impact the perceived:
- patient safety climate
- work engagement
- team-collaboration
- working conditions
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
Who may qualify
- Ages
- 18 to 72 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
- Study population
- The quantitative part of this longitudinal cohort study will collect data from all nurses working on the premises who have answered questions on the annual Norwegian hospital survey from March 2016 to March 2023. The qualitative part will include the aforementioned nurses, additionally, anaesthesiologists who have participated in the Learning from Excellence method.
Key inclusion criteria (3 listed)
- Nurses who had been working for at least six months on the premises
- Physicians who had either received or captured and reported peer excellence
- All nurses working on the premises who have answered questions in the annual hospital survey, between March 2021 and March 2024. Answers are collected on unit-level, not individual level.
Key exclusion criteria (1 listed)
- -
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Learning from excellenceHealth care professionals´ experiences of learning from excellence in a hospital unit | Behavioural | – |
Primary outcome
Qualitative: Focus group interviews
Time frame: 6 months after implementation of Learning from Excellence, i.e., May 2023
Health care professionals´ experiences of learning from excellence in a hospital unit
1 secondary outcome
Quantitative: Survey from the nurses unit
Time frame: From March 2021 to March 2024
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 May 2024.
- Derived from this study: PubMed 42786463Birkeli G, Thomas OMT, Ballangrud R, Deilkas ECT, Lindahl AK. No effect of learning from excellence on patient safety culture in a postanaesthesia care unit: a longitudinal quasi-experimental study. BMC Health Serv Res. 2026 Aug 26;26(1):1308. doi: 10.1186/s12913-026-15405-1.
- Derived from this study: PubMed 40176056Birkeli G, Deilkas ECT, Ballangrud R, Lindahl AK. Implementing Learning from Excellence in a postanaesthesia care unit: a qualitative study of healthcare professionals' experiences after six months. BMC Health Serv Res. 2025 Apr 2;25(1):493. doi: 10.1186/s12913-025-12626-8.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Anne Karin Lindahl, PhD study director
University of Oslo Faculty of Medicine, Institute of Health and Society
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Health Personnel and Resilience, run by University Hospital, Akershus at 1 site in Norway.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 7 May 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Norway. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Qualitative: Focus group interviews (time frame: 6 months after implementation of Learning from Excellence, i.e., May 2023). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05794490, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 May 2024.