Healthy Work EnvironmentNCT06244784
Effectiveness of an Interventional Intervention in Improving the Work Environment of Nurses and Nursing Assistants in the Hospital
A study testing effectiveness of a training course on a healthy work environment for nurses and nursing assistants in a hospital in people with Healthy Work Environment and Burnout, run by Universitat Internacional de Catalunya at 2 sites in Spain.
Trial summary
The goal of this interventional study is to evaluate the effectiveness of a training course on a healthy work environment for nurses and nursing assistants in a hospital. The main questions it aims to answer are: To evaluate the effectiveness of a training course on a healthy work environment To know the perception of… Read more about this study
- Who is it for?
- Ages 18 to 63 years
- Conditions the study is for
- Healthy Work Environment, Burnout, Intention to Leave
- What is being tested?
- effectiveness of a training course on a healthy work environment for nurses and nursing assistants in a hospital
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 117 participants
- Where
- 2 sitesSpain
- Study dates
- 5 Oct 2022to 30 Apr 2025
- Phase
- Interventional
- 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 63 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Voluntary acceptance to participate in the study
- Having worked at least one year in the hospital
Who cannot join
- Nursing supervisors/nursing assistants or people with management positions
- Professionals working in more than one care center
- Professionals working in the outpatient area
Trial locations and contacts
2 sites in 1 country.
Spain2 sites
Hospital General de Granollers
Granollers, Barcelona, 08402
Consorci Sanitari de Terrassa
Terrassa, Barcelona, 08227
About this study
The goal of this interventional study is to evaluate the effectiveness of a training course on a healthy work environment for nurses and nursing assistants in a hospital. The main questions it aims to answer are:
- To evaluate the effectiveness of a training course on a healthy work environment
- To know the perception of nursing and nursing assistants on what is needed to have a healthy work environment, what elements it should contain and whether it has changed after the course has been completed
Participants in the intervention group will receive the training course and the control group will not. Researchers will compare intervention group with control group to see if the training course on healthy work environment is effective.
Read the detailed description
Concurrent mixed study consisting of different phases in which the qualitative and quantitative parts will be interspersed. The qualitative part will include focus groups, and the quantitative part will be a controlled non-randomised experimental study by convenience sampling according to hospital unit and professional category (nurses and nursing assistants). Multicenter study carried out at Hospital General de Granollers and the Consorci Sanitari de Terrassa in nursing professionals and nursing assistants with one year of experience working in the hospital in any of the hospitalization services or special services. Once the subjects have been included in the study, they will be assigned in each group (control group and intervention group) through a stratification by quotas following the same criteria as in the sampling. The intervention group will receive training, and the control group will not. The training will be based on the American Association of Critical Care Nurses standards on a healthy work environment. In both groups, the same data will be collected at different times (before and just after the training, at 6 months and 12 months post-training). The focus groups will not be conducted in the control group after the training. Work environment, burnout, intention to leave the job and staff engagement will be assessed.
- Conditions
- Healthy Work Environment, Burnout, Intention to Leave, Engagement
- Being tested
- effectiveness of a training course on a healthy work environment for nurses and nursing assistants in a hospital
- Keywords
- Healthy Work Environment, Burnout, Intent to leave, Engagement, Educational intervention, Nursing
- Medical subject headings
- Burnout, Psychological
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
effectiveness of a training course on a healthy work environment for nurses and nursing assistants in a hospitalBehavioural
Once the participants have been included in the study, they will be assigned to each group; control group and intervention group by convenience sampling. Baseline data will be collected in both groups. At this time, questionnaires will be collected in both populations and focus groups will be conducted in the professionals assigned to both groups. Once the data have been obtained, the intervention group will conduct the training course.
After the training, data will be collected again at three different times: 1) Right after the training: questionnaires and focus group will be collected from intervention group professionals; 2) 6 months after the training: questionnaires will be collected from control group and intervention group; 3) 12 months after the training: questionnaires will be collected and focus groups will be conducted in both groups.
| Study group | Role | What they receive |
|---|---|---|
| Intervention Group | Experimental | Participants in the intervention group will receive the training course on healthy work environment Receives: Behavioral: effectiveness of a training course on a healthy work environment for nurses and nursing assistants in a hospital |
| Control Group | No intervention | Not described |
What is being measured
The primary outcome is the main question the study is designed to answer.
Work Environment (1)
The Practice Environment Scale-Nursing Work Index (PES-NWI) will be used to assess the work environment. The PES-NWI is used to measure day-to-day aspects of organizational culture and climate, and is more frequently used in European studies. The PES-NWI is Likert-type with scores from 1 to 4 (strongly disagree - strongly agree). Three category variable indicating favorable, mixed, or unfavorable practice environments: favorable = four or more subscale means exceed 2.5; mixed = two or three subscale means exceed 2.5; unfavorable = zero or one subscales exceed 2.5.
Measured: 6 months
Work Environment (2)
The American Association of Critical Care Nurses (AACN) questionnaire will be used to assess the work environment. The AACN questionnaire is much broader and covers other aspects related to the work environment. The AACN scoring guidelines for the assessment are: 1.00-2.99 - Needs Improvement 3.00-3.99 - Good 4.00-5.00 - Excellent.
Measured: 6 months
Secondary outcomes (5)
Work environment (1)
The Practice Environment Scale-Nursing Work Index (PES-NWI) will be used to assess the work environment. The PES-NWI is used to measure day-to-day aspects of organizational culture and climate, and is more frequently used in European studies. The PES-NWI is Likert-type with scores from 1 to 4 (strongly disagree - strongly agree). Three category variable indicating favorable, mixed, or unfavorable practice environments: favorable = four or more subscale means exceed 2.5; mixed = two or three subscale means exceed 2.5; unfavorable = zero or one subscales exceed 2.5.
Measured: 1 year
Burnout
Questionnaire for the Assessment of Job Burnout Syndrome (CESQT) will be used to evaluate the burnout syndrome in professionals who care for people.
Measured: 1 year
Engagement
Utrecht work engagement scale (UWES) will be use to assess the engagement. The UWES contais 17 items; 6 items in reference to vigor (item 1, ,4, 8, 12, 15, 17), 5 items to dedication (item 2, 5, 7, 7, 10 13) and 6 items to absorption (item 3, 6, 9, 11, 14, 16). It is a frequency scale with 6 response options from 0 (never) to every day (6).
Measured: 1 year
Intention to leave
The American Association of Critical Care Nurses questionnaire will be used to assess the intention to leave of participants.
Measured: 1 year
Focus groups
Professionals participating in the study will be invited to collaborate in focus groups depending on the time of the study. These will take place at different times and will have different objectives. Before the intervention (control group and intervention group), they will focus on what they consider to be a healthy work environment and what elements they identify it should contain. After the intervention (only intervention group), we will explore how their perception of what a healthy work environment is has changed. At 12 months (control group and intervention group), we will explore whether there has been any change during this time in the work environment and the perceptions about the actions they consider that the institution and/or professionals could take to improve the work environment.
Measured: 1 year
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Feb 2024
- Study start5 Oct 2022
- Primary completion26 Jul 2023
- Study completion30 Apr 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Healthy Work EnvironmentStudies 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
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 117 participants (actual)
Sponsor and investigators
- Lead sponsor
- Universitat Internacional de Catalunya
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Estel Curado Santos, Universitat Internacional de Catalunya
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06244784
- Sponsor's protocol ID
- INF-2022-01
- Other IDs
- 20212013, 02-23-305-060, PR-551/2022
- Status last verified
- Apr 2025
- First submitted
- 29 Jan 2024
- Last updated
- 11 Jun 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 11 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effectiveness of an Interventional Intervention in Improving the Work Environment of Nurses and Nursing Assistants in the Hospital
- ClinicalTrials.gov ID
- NCT06244784
- Acronym / sponsor ID
- INF-2022-01
- Conditions
- Healthy Work Environment, Burnout, Intention to Leave, Engagement
- Keywords
- Healthy Work Environment, Burnout, Intent to leave, Engagement, Educational intervention, Nursing
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 117 participants (actual)
- Lead sponsor
- Universitat Internacional de CatalunyaUniversity, hospital or other
- Study start
- 5 Oct 2022 (actual)
- Primary completion
- 26 Jul 2023 (actual)
- Study completion
- 30 Apr 2025 (actual)
- First posted
- 6 Feb 2024 (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.
The goal of this interventional study is to evaluate the effectiveness of a training course on a healthy work environment for nurses and nursing assistants in a hospital. The main questions it aims to answer are:
- To evaluate the effectiveness of a training course on a healthy work environment
- To know the perception of nursing and nursing assistants on what is needed to have a healthy work environment, what elements it should contain and whether it has changed after the course has been completed
Participants in the intervention group will receive the training course and the control group will not. Researchers will compare intervention group with control group to see if the training course on healthy work environment is effective.
Detailed description
Concurrent mixed study consisting of different phases in which the qualitative and quantitative parts will be interspersed. The qualitative part will include focus groups, and the quantitative part will be a controlled non-randomised experimental study by convenience sampling according to hospital unit and professional category (nurses and nursing assistants). Multicenter study carried out at Hospital General de Granollers and the Consorci Sanitari de Terrassa in nursing professionals and nursing assistants with one year of experience working in the hospital in any of the hospitalization services or special services. Once the subjects have been included in the study, they will be assigned in each group (control group and intervention group) through a stratification by quotas following the same criteria as in the sampling. The intervention group will receive training, and the control group will not. The training will be based on the American Association of Critical Care Nurses standards on a healthy work environment. In both groups, the same data will be collected at different times (before and just after the training, at 6 months and 12 months post-training). The focus groups will not be conducted in the control group after the training. Work environment, burnout, intention to leave the job and staff engagement will be assessed.
Study design
- Primary purpose
- Other
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Intervention Group | Experimental | Behavioral: effectiveness of a training course on a healthy work environment for nurses and nursing assistants in a hospitalParticipants in the intervention group will receive the training course on healthy work environment |
| Control Group | No intervention | – |
Who may qualify
- Ages
- 18 to 63 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (2 listed)
- Voluntary acceptance to participate in the study
- Having worked at least one year in the hospital
Key exclusion criteria (3 listed)
- Nursing supervisors/nursing assistants or people with management positions
- Professionals working in more than one care center
- Professionals working in the outpatient area
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 |
|---|---|---|
| effectiveness of a training course on a healthy work environment for nurses and nursing assistants in a hospitalOnce the participants have been included in the study, they will be assigned to each group; control group and intervention group by convenience sampling. Baseline data will be collected in both groups. At this time, questionnaires will be collected in both populations and focus groups will be conducted in the professionals assigned to both groups. Once the data have been obtained, the intervention group will conduct the training course. After the training, data will be collected again at three different times: 1) Right after the training: questionnaires and focus group will be collected from intervention group professionals; 2) 6 months after the training: questionnaires will be collected from control group and intervention group; 3) 12 months after the training: questionnaires will be collected and focus groups will be conducted in both groups. | Behavioural | Intervention Group |
Primary outcome
Work Environment (1)
Time frame: 6 months
The Practice Environment Scale-Nursing Work Index (PES-NWI) will be used to assess the work environment. The PES-NWI is used to measure day-to-day aspects of organizational culture and climate, and is more frequently used in European studies. The PES-NWI is Likert-type with scores from 1 to 4 (strongly disagree - strongly agree). Three category variable indicating favorable, mixed, or unfavorable practice environments: favorable = four or more subscale means exceed 2.5; mixed = two or three subscale means exceed 2.5; unfavorable = zero or one subscales exceed 2.5.
Work Environment (2)
Time frame: 6 months
The American Association of Critical Care Nurses (AACN) questionnaire will be used to assess the work environment. The AACN questionnaire is much broader and covers other aspects related to the work environment. The AACN scoring guidelines for the assessment are: 1.00-2.99 - Needs Improvement 3.00-3.99 - Good 4.00-5.00 - Excellent.
5 secondary outcomes
Work environment (1)
Time frame: 1 year
Burnout
Time frame: 1 year
Engagement
Time frame: 1 year
Intention to leave
Time frame: 1 year
Focus groups
Time frame: 1 year
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 11 Jun 2026.
- 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.
The record lists no contact. Use the official record to reach the sponsor.
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing effectiveness of a training course on a healthy work environment for nurses and nursing assistants in a hospital in people with Healthy Work Environment and Burnout, run by Universitat Internacional de Catalunya at 2 sites in Spain.
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 2 inclusion and 3 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 11 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Spain. 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?
Work Environment (1) (time frame: 6 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 11 Jun 2026.